Adherence

Extended care interventions (face-to-face, telephone, or internet-based) significantly improve long-term adherence and weight maintenance compared to standard care with no follow-up.

If you are starting a weight loss program, insist on a plan that includes regular check-ins (monthly or biweekly) for at least a year after you reach your goal. This 'extended care' is the most effective way to keep the weight off, whether through phone calls, internet tools, or in-person visits. Do not assume that reaching your goal means you are 'done'; maintenance requires active support.