A feasibility randomised controlled trial of a motivational interviewing-based intervention for weight loss maintenance in adults

Abstract

This journal is a member of and subscribes to the principles of the Committee on Publication Ethics (COPE) (www.publicationethics.org/).Editorial contact: nihredit@southampton.ac.ukThe full HTA archive is freely available to view online at www.journalslibrary.nihr.ac.uk/hta. Print-on-demand copies can be purchased from the report pages of the NIHR Journals Library website: www.journalslibrary.nihr.ac.uk Criteria for inclusion in the Health Technology Assessment journalReports are published in Health Technology Assessment (HTA) if (1) they have resulted from work for the HTA programme, and (2) they are of a sufficiently high scientific quality as assessed by the reviewers and editors.Reviews in Health Technology Assessment are termed 'systematic' when the account of the search appraisal and synthesis methods (to minimise biases and random errors) would, in theory, permit the replication of the review by others. HTA programmeThe HTA programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care.The journal is indexed in NHS Evidence via its abstracts included in MEDLINE and its Technology Assessment Reports inform National Institute for Health and Care Excellence (NICE) guidance. HTA research is also an important source of evidence for National Screening Committee (NSC) policy decisions.For more information about the HTA programme please visit the website: http://www.nets.nihr.ac.uk/programmes/hta This reportThe research reported in this issue of the journal was funded by the HTA programme as project number 08/44/04. The contractual start date was in September 2010. The draft report began editorial review in April 2014 and was accepted for publication in September 2014. The authors have been wholly responsible for all data collection, analysis and interpretation, and for writing up their work. The HTA editors and publisher have tried to ensure the accuracy of the authors' report and would like to thank the reviewers for their constructive comments on the draft document. However, they do not accept liability for damages or losses arising from material published in this report.This report presents independent research funded by the National Institute for Health Research (NIHR). The views and opinions expressed by authors in this publication are those of the authors and do not necessarily reflect those of the NHS, the NIHR, NETSCC, the HTA programme or the Department of Health. If there are verbatim quotations included in this publication the views and opinions expressed by the interviewees are those of the interviewees and do not necessarily reflect those of the authors, those of the NHS, the NIHR, NETSCC, the HTA programme or the Department of Health. Published by...

Long-term weight loss maintenance for obesity: a multidisciplinary approach

“… 23 Given the importance of motivation and support, a very recent feasibility trial of motivational interviewing showed that face-to-face and phone interviews improved retention in the study, and increased weight maintenance (−2.8 kg vs the control group). 27 All these studies confirm that the extended care approach, with monthly or more frequent contacts, in person or via telephone or Internet, can improve successful weight loss. They also reduce the risk of weight regain during the maintenance phase, with the exception of eHealth interventions, where evidence for effectiveness is limited 28 and was not confirmed in a meta-analysis.…”

An internet-based approach for lifestyle changes in patients with NAFLD: Two-year effects on weight loss and surrogate markers

“…16 This strategy is the basis to achieve a significant adherence to the program 36 and has been successfully incorporated into behavioral programs aimed at healthy diet and habitual physical activity for weight loss in several diseases. [37][38][39][40] Patients were provided the user-id and password to access the system following a structured face-to-face meeting, and motivation to change was tested by appropriate, validated tests. 14 Reinforcements were provided during follow-up visits, in a similar way irrespective of treatment group.…”

Motivational interviewing in obesity reduction

“…The first group achieved a mean loss of BMI 1 kg/m 2 lower than the control group with 95% confidence interval Cl -2.2 kg/m 2 to 0.2 kg/m 2 and the average difference in loss of weight was 2.8 kg with 95% Cl -6.1 kg to 0.5 kg. The obtained results suggest that intensive intervention with MI would support long-term weight loss [21].…”