Worksite weight management program

Abstract

Purpose This study aims to pilot test a new multi-component worksite intervention for weight loss in a primary healthcare setting. Design/methodology/approach This randomized trial involved 88 participants (43, 45; intervention, control group). The intervention group enrolled in a 12-week lifestyle program that involved modification of dietary intake by community Registered Dietitian (RDs) and increasing high-intensity interval training (HITT) with motivational interviewing (MI) to support changes. The control group received traditional counselling and weekly aerobic exercise from Medical Officer and physiotherapist. The primary outcome measure was the changes in body weight. Secondary measures were changes in blood pressure, fasting blood glucose, fasting blood lipid and dietary changes. Assessments were repeated at a three-month interval. Findings There was a significant reduction in body weight and waist circumference within groups. Intervention group demonstrated a significant improvement in all cardiometabolic risk factors. This study showed that primary healthcare setting can be successful locations in promoting short-term health benefits. RDs were more successful and HITT appeared to be a favorable workout with MI in achieving drastic weight loss. Research limitations/implications The short-term worksite intervention and not recording of body composition were the major drawbacks in this study. Originality/value The efficacy of multi-component worksite intervention (Diet–HITT–MI) in primary healthcare setting has not been clearly defined.

Untitled

“…The randomised controlled trials were conducted in 6 countries: Eight were in Europe: Spain [20], Netherlands [21][22][23][24], Denmark [25] and United Kingdom [26,27]; 2 were in Asia: Taiwan [28] and Malaysia [29]; and 1 in the United States of America [30]. Studies were designed in different ways and MI was used as part of a broader intervention.…”

“…Studies were designed in different ways and MI was used as part of a broader intervention. MI was combined with an individualized healthy lifestyle educative session [28], an educational workbook about hypertension [30], and dietary education and a weight management dietary menu [29]. Other…”

“…studies combined MI with an online health risk assessment and tailored feedback [21], risk communication and action planning [31], identification of barriers to change and goal setting [23,24], behaviour theoretical frameworks [22,[25][26][27], and clinical dyslipidaemia protocol recommendations [20]. Sample size ranged from 88 [29] to 1742 participants [26]. The number of MI sessions offered, ranged from 1 to 12 sessions and the length of the sessions ranged from 15 to 140 minutes.…”

“…Seven studies consisted of in-person combined with telephone-based MI [21-24, 28, 30, 31] and 4 studies consisted of face-to-face MI only [20,[25][26][27]29]. In 7 studies, sessions took place in community clinics [20,[25][26][27][29][30][31]; other studies used an outpatient clinic [28], an occupational health centre [21], and a diabetes research centre [22]. Two studies did not report the setting [23,24].…”

“…Two studies did not report the setting [23,24]. An expert nurse in MI [28], other nurses [22,25,31], general practitioners [20], occupational health physicians/nurses [21,23,24], licensed dieticians [27,29] or a physical activity specialist [27], research assistants [30] or health trainers [20] delivered the sessions in all the studies. Training received ranged from 0 to 36 hours of MI training, and only one study had an expert in MI to deliver the session [28].…”