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Contemp Clin Trials. 2019 Aug;83:1-9. doi: 10.1016/j.cct.2019.06.006. Epub 2019 Jun 21.

Health coaching to encourage obese adults to enroll in commercially-available weight management programs: The path to health study.

Author information

1
The University of Texas MD Anderson Cancer Center, Health Disparities Research, 1400 Pressler St, Houston, TX 77030, United States. Electronic address: niheredia@mdanderson.org.
2
McGovern Medical School at The University of Texas Health Science Center at Houston, United States.
3
The University of Texas Health Science Center Houston, School of Public Health in Brownsville, United States.
4
The University of Texas Health Science Center at Houston, School of Public Health, United States.
5
The University of Texas MD Anderson Cancer Center, Health Disparities Research, 1400 Pressler St, Houston, TX 77030, United States.

Abstract

Physicians are recommended to screen and refer obese patients to weight management programs (WMPs). There are often limited referral options for physicians, though commercially-available WMPs could be a potential solution. The purpose of this study (Path to Health) was to evaluate the efficacy of health coaching to promote enrollment in commercially-available WMPs through a two-arm, RCT with obese patients (n = 168) randomly assigned to intervention (n = 84) or control groups (n = 84). Intervention participants received phone health coaching to help them select and enroll in WMPs. We collected data on program enrollment, weight, self-reported physical activity (PA), and fruit and vegetable (FV) intake at baseline, 3- and 6-months. We used logistic regression to assess the intervention effect on enrollment in WMPs and longitudinal regression models to evaluate the effect on weight change, PA and FV intake. The average age was 54.7 years, 59% were female and 43% were Black and 49% were White. At 6 months, 39% of the intervention group (vs. 29% of control) had enrolled in WMPs. We found no longitudinal intervention effect on weight, PA and FV intake. We found that there was more weight loss for those who completed ≥4 calls as compared to those who completed <4 calls. We also found significant dose response relationships for PA and FV intake at 3 months. In this study, we found that phone health coaching was successful in increasing obese adults' enrollment in commercially-available WMPs and that there was a dose response relationship for weight and behavioral outcomes.

KEYWORDS:

Behavior change; Obesity; Weight management programs

PMID:
31229621
PMCID:
PMC6642849
[Available on 2020-08-01]
DOI:
10.1016/j.cct.2019.06.006

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