Adherence

A home-based, individually tailored lifestyle intervention combining limited face-to-face counseling with telephone, print, and DVD media promotes clinically significant weight loss (≥5%) and increased moderate-to-vigorous physical activity in obese, sedentary primary care patients, with effects peaking at 12 months.

If you are obese and sedentary, a structured home-based program with regular check-ins (phone/mail) and clear goals can help you lose significant weight and get more active. Expect the best results within the first year, but plan for ongoing support to keep the weight off long-term. You don't need constant doctor visits, but you do need consistent engagement with the program materials.