An Office-Based Health Promotion Intervention for Overweight and Obese Uninsured Adults

Buchholz, Susan Weber; Wilbur, JoEllen; Miskovich, Lynn; Gerard, Peggy

doi:10.1097/jcn.0b013e3182112829

Cited by 5 publications

(26 citation statements)

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“…Thirty-three 43,152,[154][155][156][157][158] individual-level studies were identified that met the review inclusion criteria. Because of heterogeneity in terms of study design and main outcomes, it was possible to conduct meta-analysis for only a small subset of studies in this category (n = 4 133,135,136,152 for weight change and n = 4 132,135,149,152 for BMI change, all targeted interventions).…”

Section: Overviewmentioning

confidence: 99%

“…The other 12 studies 132,133,135,136,138,141,142,[147][148][149][150]155 were treatment studies in participants who were already overweight or obese. The greatest number of studies were conducted in health-care settings or study/university settings (n = 19 43,131,133,134,[136][137][138]141,143,144,147,150,152,155,157,158 ), with five 129,130,135,148,149 studies conducted in participants' homes (or in the home environment, e.g. shopping vouchers for fruit and vegetables), two 128,142 delivered remotely by telephone or through the internet and seven 127,132,139,140,145,146 being mass media or population-wide campaigns or prevention activities.…”

Section: Overviewmentioning

confidence: 99%

“…There were 33 studies 43,152,[154][155][156][157][158] of individual-level interventions (12 treatment, 132,133,135,136,138,141,142,147-150,155 21 prevention 43,[127][128][129][130][131]134,137,139,140,[143][144][145][146]152,154,[156][157][158] ); 60 studies 65,66,103,153,[159][160][161][162][163][164][165][166][167][168][169][170][171][172][173][174][175][176]225,230,231 of communitylevel interventions (32 treatment, 153,159,160,164,…”

Section: Studies Included In the Reviewmentioning

confidence: 99%

“…The majority of the studies came from the USA (n = 62 127,[129][130][131][132][133][134]136,138,145,150,154,155,[164][165][166][167][168][169][170][171][172][174][175][176]178,179,[181][182][183][184][185][186]190,191,193,195,196,[198][199][200]202,203,205,206,210,213,214,[219][220][221][222][223][224]230,231 ) and Europe (n = 30 128,135,140,141,...…”

Section: Studies Included In the Reviewmentioning

confidence: 99%

“…shopping vouchers for fruit and vegetables), two 128,142 delivered remotely by telephone or through the internet and seven 127,132,139,140,145,146 being mass media or population-wide campaigns or prevention activities. Thirteen 127,[129][130][131][132][133][134]136,138,145,150,154,155 of the studies were conducted in the USA, with two 127 of those also being conducted in Sweden. In addition, seven 135,141,143,147,152 studies were conducted in the UK, three each in Australia, 139,142,148,149 Israel 137,157,158 The numbers of participants in the studies varied considerably, between n = 9 and n = 14,078 (median sample size 687), and the median follow-up time was 12 months (range 3-72 months).…”

Section: Overviewmentioning

confidence: 99%

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How effective are interventions at reducing socioeconomic inequalities in obesity among children and adults? Two systematic reviews

Bambra

Hillier

Cairns

et al. 2015

Public Health Research

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BackgroundTackling obesity is one of the major contemporary public health policy challenges and is vital in terms of addressing health inequalities.ObjectivesTo systematically review the effectiveness of interventions (individual, community and societal) in reducing socioeconomic inequalities in obesity among (1) children aged 0–18 years (including prenatal) and (2) adults aged ≥18 years, in any setting, in any country, and (3) to establish how such interventions are organised, implemented and delivered.Data sourcesNine electronic databases including MEDLINE, EMBASE, Cumulative Index to Nursing and Allied Health Literature, PsycINFO and NHS Economic Evaluation Database were searched from database start date to 10 October 2011 (child review) and to 11 October 2012 (adult review). We did not exclude papers on the basis of language, country or publication date. We supplemented these searches with website and grey literature searches.Review methodsPreferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed. Experimental studies and observational studies with a duration of at least 12 weeks were included. The reviews considered strategies that might reduce existing inequalities in the prevalence of obesity [i.e. effective targeted interventions or universal interventions that work more effectively in low socioeconomic status (SES) groups] as well as those interventions that might prevent the development of inequalities in obesity (i.e. universal interventions that work equally along the SES gradient). Interventions that involved drugs or surgery and laboratory-based studies were excluded from the reviews. The initial screening of titles and abstracts was conducted by one reviewer with a random 10% of the sample checked by a second reviewer. Data extraction was conducted by one reviewer and independently checked by a second reviewer. The methodological quality of the included studies was appraised independently by two reviewers. Meta-analysis and narrative synthesis were conducted focusing on the ‘best-available’ evidence for each intervention type (defined in terms of study design and quality).ResultsOf 56,967 papers of inequalities in obesity in children, 76 studies (85 papers) were included, and of 70,730 papers of inequalities in obesity in adults, 103 studies (103 papers) were included. These studies suggested that interventions that aim to prevent, reduce or manage obesity do not increase inequalities. For children, there was most evidence of effectiveness for targeted school-delivered, environmental and empowerment interventions. For adults, there was most evidence of effectiveness for primary care-delivered tailored weight loss and community-based weight loss interventions, at least in the short term among low-income women. There were few studies of appropriate design that could be included on societal-level interventions, a clear limitation of the evidence base found.LimitationsThe reviews located few evaluations of societal-level interventions and this was probably because they included only experimental study designs. The quality assessment tool, although described as a tool for public health interventions, seemed to favour those that followed a more clinical model. The implementation tool was practical but enabled only a brief summary of implementation factors to be made. Most of the studies synthesised in the reviews were from outside the UK and related to women.ConclusionsThe reviews have found some evidence of interventions with the potential to reduce SES inequalities in obesity and that obesity management interventions do not increase health inequalities. More experimental studies of the effectiveness and cost-effectiveness of interventions (particularly at the societal level) to reduce inequalities in obesity, particularly among adolescents and adult men in the UK, are needed.Study registrationThe studies are registered as PROSPERO CRD42011001740 and CRD42013003612.FundingThe National Institute for Health Research Public Health Research programme.

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Section: Overviewmentioning

confidence: 99%

Section: Overviewmentioning

confidence: 99%

Section: Studies Included In the Reviewmentioning

confidence: 99%

Section: Studies Included In the Reviewmentioning

confidence: 99%

Section: Overviewmentioning

confidence: 99%

See 3 more Smart Citations

How effective are interventions at reducing socioeconomic inequalities in obesity among children and adults? Two systematic reviews

Bambra

Hillier

Cairns

et al. 2015

Public Health Research

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Motivational Interviewing to Increase Physical Activity in Underserved Women

Falahee¹,

Benkert²,

George³

et al. 2016

The Journal for Nurse Practitioners

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Overweight and Obese Low-Income Women: Restorative Health Behaviors Under Overwhelming Conditions

Buchholz

Huffman

McKenna

2012

Health Care for Women International

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In this grounded theory study we used semistructured interviews to explore how 16 low-income uninsured Midwestern United States women who were overweight or obese felt about their condition. Using grounded theory, we identified a central problem-overwhelming conditions exemplified by numerous stressors in the lives of the participants. Despite these overwhelming conditions, the participants identified numerous restorative health behaviors in five dimensions: health, economics, environment, knowledge, and commitment. Health care providers should be cognizant of their patients' complex lives and support them in identifying, adopting, and maintaining health-restoring behaviors that work for them.

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An Office-Based Health Promotion Intervention for Overweight and Obese Uninsured Adults

Cited by 5 publications

References 22 publications

How effective are interventions at reducing socioeconomic inequalities in obesity among children and adults? Two systematic reviews

How effective are interventions at reducing socioeconomic inequalities in obesity among children and adults? Two systematic reviews

Motivational Interviewing to Increase Physical Activity in Underserved Women

Overweight and Obese Low-Income Women: Restorative Health Behaviors Under Overwhelming Conditions

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