Evaluation of the sustainability of the Public Health Program "Slim without diet (Schlank ohne Diät)"

Boehm, Gabriela; Bracharz, Natascha; Schoberberger, Rudolf

doi:10.1007/s00508-011-1594-3

Cited by 5 publications

(7 citation statements)

References 12 publications

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“…Several countries have recently started health programs to achieve lifestyle changes in order to support weight loss and prevent metabolic diseases [36,37]. Our results substantiate the beneficial effect of motivation training on the efficacy of weight loss programs.…”

Section: Discussionsupporting

confidence: 81%

A Pilot Clinical Trial on L-Carnitine Supplementation in Combination with Motivation Training: Effects on Weight Management in Healthy Volunteers

Odo¹,

Tanabe²,

Yamauchi³

2013

FNS

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A 4-week low dosage (500 mg/day) L-carnitine supplementation in combination with motivation training was carried out in 24 overweight (BMI 25.8 - 26.6 kg/m²) Japanese males in the course of a double-blind randomized placebo-controlled study. L-carnitine motivated group showed significant body weight loss and a decrement of serum triglyceride level vs. the non-motivated placebo group. Serum adiponectin levels increased in both L-carnitine supplemented groups. The beneficial effects of L-carnitine were amplified by motivation training. For clinical evaluation of supplements, whose efficacy is potentially affected by inter-individual life style variability, supportive motivation training might be advisable for future clinical trials.

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Section: Discussionsupporting

confidence: 81%

A Pilot Clinical Trial on L-Carnitine Supplementation in Combination with Motivation Training: Effects on Weight Management in Healthy Volunteers

Odo¹,

Tanabe²,

Yamauchi³

2013

FNS

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“…Adherence requires participants to make an active decision for or against attending program sessions, and requires effort while putting into practice behavior change, and overcoming ingrained habits of overeating [7,8,14,15]. On average, participants of the “Slim-without-diet” program have been shown to achieve good initial, as well as persistent, weight loss up to 12 months post program completion, with success linearly associated with program session attendance [6]. Results of the present study indicate that both the COMPASS-diet-self and -other surveys could provide useful early information which could prospectively predict program success.…”

Section: Discussionmentioning

confidence: 99%

“…The “Slim-without-diet” program has been described in detail previously [4,5,6]. It is based on behavior modification theory and practice by Kanfer et al [10], and is provided to participants within five group session plus printed self-help materials.…”

Section: Methodsmentioning

confidence: 99%

“…Since 2005, it has been provided free of charge to patients interested in weight loss funded by the Lower Austria health insurance. In a recent evaluation, based on 4053 participants who enrolled between March 2005 and December 2010, within the 10-week program, participants achieved an average weight loss of −3.42 kg (range +8.0 kg to −24.0 kg), closely following the program’s recommended weight loss of 0.5 kg per week [6]. It has been shown that in contrast to more rapid weight loss slower but continuous weight loss is associated with sustained success [7].…”

Section: Introductionmentioning

confidence: 99%

“…During the subsequent six months, participants continued to lose weight (average −1.43 kg). Weight loss success was associated with the number of sessions attended in a linear fashion [6]. …”

Section: Introductionmentioning

confidence: 99%

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An Instrument to Measure Adherence to Weight Loss Programs: The Compliance Praxis Survey-Diet (COMPASS-Diet)

et al. 2013

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Adherence to behavioral weight loss strategies is important for weight loss success. We aimed to examine the reliability and validity of a newly developed compliance praxis-diet (COMPASS-diet) survey with participants in a 10-week dietary intervention program. During the third of five sessions, participants of the “slim-without-diet” weight loss program (n = 253) completed the COMPASS-diet survey and provided data on demographic and clinical characteristics, and general self-efficacy. Group facilitators completed the COMPASS-diet-other scale estimating participants’ likely adherence from their perspective. We calculated internal consistency, convergent validity, and predictive value for objectively measured weight loss. Mean COMPASS-diet-self score was 82.4 (SD 14.2) and COMPASS-diet-other score 80.9 (SD 13.6) (possible range 12–108), with lowest scores in the normative behavior subscale. Cronbach alpha scores of the COMPASS-diet-self and -other scale were good (0.82 and 0.78, respectively). COMPASS-diet-self scores (r = 0.31) correlated more highly with general self-efficacy compared to COMPASS-diet-other scores (r = 0.04) providing evidence for validity. In multivariable analysis adjusted for age and gender, both the COMPASS-diet-self (F = 10.8, p < 0.001, r2 = 0.23) and other (F = 5.5, p < 0.001, r2 = 0.19) scales were significantly associated with weight loss achieved at program conclusion. COMPASS-diet surveys will allow group facilitators or trainers to identify patients who need additional support for optimal weight loss.

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How is the sustainability of chronic disease health programmes empirically measured in hospital and related healthcare services?—a scoping review

2016

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ObjectivesProgrammes to address chronic disease are a focus of governments worldwide. Despite growth in ‘implementation science’, there is a paucity of knowledge regarding the best means to measure sustainability. The aim of this review was to summarise current practice for measuring sustainability outcomes of chronic disease health programmes, providing guidance for programme planners and future directions for the academic field.SettingsA scoping review of the literature spanning 1985–2015 was conducted using MEDLINE, CINAHL, PsychINFO and The Cochrane Library limited to English language and adults. Main search terms included chronic disease, acute care, sustainability, institutionalisation and health planning. A descriptive synthesis was required. Settings included primary care, hospitals, mental health centres and community health.ParticipantsProgrammes included preventing or managing chronic conditions including diabetes, heart disease, depression, respiratory disease, cancer, obesity, dental hygiene and multiple chronic diseases.Primary and secondary outcome measuresOutcome measures included clarifying a sustainability definition, types of methodologies used, timelines for assessment, criteria levels to determine outcomes and how methodology varies between intervention types.ResultsAmong 153 abstracts retrieved, 87 were retained for full article review and 42 included in the qualitative synthesis. Five definitions for sustainability outcome were identified with ‘maintenance of programme activities’ most frequent. Achieving sustainability was dependent on inter-relationships between various organisational and social contexts supporting a broad scale approach to evaluation. An increasing trend in use of mixed methods designs over multiple time points to determine sustainability outcomes was found.ConclusionsDespite the importance and investment in chronic disease programmes, few studies are undertaken to measure sustainability. Methods to evaluate sustainability are diverse with some emerging patterns in measurement found. Use of mixed methods approaches over multiple time points may serve to better guide measurement of sustainability. Consensus on aspects of standardised measurement would promote the future possibility of meta-analytic syntheses.

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Evaluation of the sustainability of the Public Health Program "Slim without diet (Schlank ohne Diät)"

Cited by 5 publications

References 12 publications

A Pilot Clinical Trial on L-Carnitine Supplementation in Combination with Motivation Training: Effects on Weight Management in Healthy Volunteers

A Pilot Clinical Trial on L-Carnitine Supplementation in Combination with Motivation Training: Effects on Weight Management in Healthy Volunteers

An Instrument to Measure Adherence to Weight Loss Programs: The Compliance Praxis Survey-Diet (COMPASS-Diet)

How is the sustainability of chronic disease health programmes empirically measured in hospital and related healthcare services?—a scoping review

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