Adherence
High-intensity behavioral therapy (IBT) delivered in primary care settings produces clinically significant weight loss and improvements in metabolic markers (HbA1c, blood pressure).
To manage weight effectively in primary care, engage in a structured behavioral therapy program that includes regular counseling, nutrition education, and goal setting. The program described offers 26 sessions over a year, combining individual and group visits. While financial barriers exist, the health benefits, including weight loss and improved blood pressure and blood sugar, make it a viable option for those who can access it.
Participants experienced a significant reduction in weight (9.7 lbs, P< .001)... Average HbA1c decreased significantly (6.7 to 6.5, P=.004)... Participants’ systolic and diastolic blood pressures showed significant improvement (mean difference 2.8 mmHg, P=.002, and 1.9, P=.03, respectively).
Why this rating
Retrospective observational study with selection bias (only patients with 4+ visits included), but large sample size and real-world setting.
Source
Building a Viable Weight Management Program in a Patient-Centered Medical Home
Stephanie B. Wilhoit-Reeves et al. · Family Medicine · 2020
DOI 10.22454/fammed.2020.418736
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