Long-term results of two behavior modification weight loss programs using nutritionists as therapists

Beneke, William M.; Paulsen, Barbara K.; Kohrs, Mary Bess; McReynolds, William T.; Lutz, Ruth N.

doi:10.1016/s0005-7894(78)80122-1

Cited by 22 publications

(6 citation statements)

References 10 publications

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“…The most important interpretation of the present findings is that the strategies tested were not effective, an outcome hardly unique in the maintenance literature (e.g., Ashby & Wilson, 1978;Beneke, Paulsen & McReynolds, 1978;Beneke & Paulsen, 1979;Hall et al, 1978;ONeil, Currey, Hirsch, Riddle, Taylor, Malcolm, & Sexauer, 1979;Wilson & Brownell, 1978). However, closer evaluatibn of the present results strongly suggests that the generally poor outcome was due to lack of adherence during the maintenance period.…”

Section: Discussioncontrasting

confidence: 52%

A comparison of specific strategies for long term maintenance following a behavioural treatment program for obese women

Bonato¹,

Boland

1986

Int. J. Eat. Disord.

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Over a 10‐week period, 102 women who had been randomly assigned to conditions received 7 sessions of a standard behavioral treatment, followed by 3 sessions of training in one of the following 5 maintenance strategies: continued self‐monitoring, urge control, relapse prevention, a combination of the previous three strategies, or attention‐placebo. There were 85 women available for a 1 year follow‐up. Results showed that the different maintenance conditions did not differentially affect weight loss beyond that produced by the attention‐placebo. Participants lost an average of 5.08 kg during the 10‐week program. They began to regain weight by the 4‐month follow‐up and continued to do so at the 1‐year follow‐up. However, mean weight at the 1‐year follow‐up was still significantly below pretreatment weight (mean Joss of 2.18 kg). In total, 21.8% of the sample either maintained postprogram weight or continued to lose weight, whereas 29% either returned to pretreatment weight or regained above pretreatment weight by the 1‐year follow‐up. Consideration of results clearly suggests that adherence is a major problem with maintenance techniques.

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Section: Discussioncontrasting

confidence: 52%

A comparison of specific strategies for long term maintenance following a behavioural treatment program for obese women

Bonato¹,

Boland

1986

Int. J. Eat. Disord.

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“…The tendency to regain lost weight in any conventional dietary program is extremely high. Poor results are also reported from behavioral modification studies (Beneke et al, 1978;Oest & Goettestam 1976;Stunkard & Penick, 1979;Wing & Jeffrey 1979). Our results suggest that repeated visits or reinforcements did not materially increase the success rate.…”

Section: Discussionmentioning

confidence: 99%

“…The techniques have typically included daily record keeping of food intake, restricting the cues that signal eating (e.g., eating in one place and keeping snacks to a minimum), and decreasing the rate of eating (Ferster et al, 1962;Penick et al, 1971;Stuart, 1967). Long-term analysis, however, suggests only moderate success (Stunkard & Penick, 1979), e.g., in most of the behavior modification programs weight losses of better than 6.4 kg were not maintained even for 1 year (Beneke, Paulsen, McReynolds, & Lutz, 1978;Oest & Goettestam, 1976;Wing & Jef-frey, 1979). In addition, no systematic relationships between behavioral changes and weight changes are generally reported (Brownell & Stunkard, 1978).…”

Section: Introductionmentioning

confidence: 99%

Analysis of factors contributing to long-term success among graduates of aresidential weight management program for women

Grinker

Most

Hirsch

et al. 1985

Int. J. Eat. Disord.

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This study evaluated several components of a residential weight loss program for adult women and compared the characteristics of successful and nonsuccessful participants. Program components included a 1000–1200‐kcal daily diet, nutrition counseling, behavior modification, and regular exercise. Weight loss averaged 7 kg during an average 35‐day stay. Thirty‐eight percent of participants (n = 226) responded to questionnaires that were mailed 6 months to 5 years after participation. Respondents did not differ on any baseline measure of body composition or characteristics from nonrespondents including degree of overweight, rate of weight loss, etc. Nineteen percent reported weight increment since initial attendance. Fifty‐two percent of the respondents reported maintenance of all weight loss with 18% losing an additional 5 kg and 8% losing an additional 9 kg. Duration of time since attendance and repeated visits were not related to successful weight maintenance. No behavioral profile discriminated between successful and unsuccessful respondents. However, continued success was related to increased and regular exercise and later age of onset of obesity.

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“…Most behavioral obesity treatments are provided in smaller groups, which probably allow for more thorough learning and thus greater compliance. Second, although it is counterintuitive, there is some evidence that practitioners with nutrition/dietetic backgrounds may be relatively ineffective in teaching behavioral techniques (Beneke, Paulsen, McReynolds, Lutz, & Kohrs, 1978). Finally, in treating such a large number of patients over a one year period, it is quite possible that deviation from treatment protocols occurred, or therapist enthusiasm waned.…”

Section: Community Clinicsmentioning

confidence: 99%

Clinical series in the behavioral treatment of obesity.

Hall¹,

Hall²

1982

Health Psychology

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This article reviews the seven large scale clinical series reported to date which used behavioral treatments to effect weight loss in obese patients. Treatment completion and weight loss data are compared with those obtained in other treatments and with benchmark data. It is concluded that weight losses in "live-in" clinics are considerable, and surpass those generally reported in the literature. In outpatient clinics, which are more representative of current obesity treatment, weight losses appear similar to those found in other treatments, and provide no evidence for the superiority of behavioral interventions. However, low drop-out rates, lack of negative side effects, and low-risk may still make the behavioral treatment of obestiy the treatment of choice in many clinical settings. Criteria for reports of clinical series are described. New directions for treatment and research are suggested.

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Long-term results of two behavior modification weight loss programs using nutritionists as therapists

Cited by 22 publications

References 10 publications

A comparison of specific strategies for long term maintenance following a behavioural treatment program for obese women

A comparison of specific strategies for long term maintenance following a behavioural treatment program for obese women

Analysis of factors contributing to long-term success among graduates of aresidential weight management program for women

Clinical series in the behavioral treatment of obesity.

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