Applying a stepped-care approach to the treatment of obesity

Carels, Robert A.; Darby, Lynn A.; Cacciapaglia, Holly; Douglass, Olivia M.; Harper, Jessica; Kaplar, Mary E.; Konrad, Krista; Rydin, Sofia; Tonkin, Karin

doi:10.1016/j.jpsychores.2005.06.060

Cited by 50 publications

(51 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Considering the failure or weak effects of nonsurgical interventions in obesity, [18][19][20] providing realistic information to affected people is crucial. Responding to the global epidemic of obesity, consultation is the major ingredient of a stepped care decision.…”

Section: Discussionmentioning

confidence: 99%

Is Information on Genetic Determinants of Obesity Helpful or Harmful for Obese People?—A Randomized Clinical Trial

et al. 2007

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Is Information on Genetic Determinants of Obesity Helpful or Harmful for Obese People?—A Randomized Clinical Trial

et al. 2007

View full text Add to dashboard Cite

show abstract

“…In the mental health and substance use literatures, they are more commonly known as adaptive treatment strategies [38,39]. Investigators often study a special type of adaptive intervention, known as a stepped-care intervention [40][41][42][43][44]. Stepped-care interventions begin with a low-intensity intervention that is increased if certain milestones are not achieved [45].…”

Section: Adaptive Interventionsmentioning

confidence: 99%

Introduction to SMART designs for the development of adaptive interventions: with application to weight loss research

Almirall

Nahum‐Shani

Sherwood

et al. 2014

Behav. Med. Pract. Policy Res.

349

274

View full text Add to dashboard Cite

The management of many health disorders often entails a sequential, individualized approach whereby treatment is adapted and readapted over time in response to the specific needs and evolving status of the individual. Adaptive interventions provide one way to operationalize the strategies (e.g., continue, augment, switch, step-down) leading to individualized sequences of treatment. Often, a wide variety of critical questions must be answered when developing a highquality adaptive intervention. Yet, there is often insufficient empirical evidence or theoretical basis to address these questions. The Sequential Multiple Assignment Randomized Trial (SMART)-a type of research design-was developed explicitly for the purpose of building optimal adaptive interventions by providing answers to such questions. Despite increasing popularity, SMARTs remain relatively new to intervention scientists. This manuscript provides an introduction to adaptive interventions and SMARTs. We discuss SMART design considerations, including common primary and secondary aims. For illustration, we discuss the development of an adaptive intervention for optimizing weight loss among adult individuals who are overweight. KEYWORDS

show abstract

“…While psychodynamic treatments are still prevailing in Germany and other countries, to date, studies have usually been limited to behavioral treatments (e.g., Carels et al [18]). Therefore, it seems timely to compare psychodynamic and behavioral treatments of obese patients.…”

Section: Introductionmentioning

confidence: 99%

Long-term weight loss maintenance after inpatient psychotherapy of severely obese patients based on a randomized study: Predictors and maintaining factors of health behavior

Wiltink

Dippel²,

Szczepański³

et al. 2007

Journal of Psychosomatic Research

View full text Add to dashboard Cite

Applying a stepped-care approach to the treatment of obesity

Cited by 50 publications

References 28 publications

Is Information on Genetic Determinants of Obesity Helpful or Harmful for Obese People?—A Randomized Clinical Trial

Is Information on Genetic Determinants of Obesity Helpful or Harmful for Obese People?—A Randomized Clinical Trial

Introduction to SMART designs for the development of adaptive interventions: with application to weight loss research

Long-term weight loss maintenance after inpatient psychotherapy of severely obese patients based on a randomized study: Predictors and maintaining factors of health behavior

Contact Info

Product

Resources

About