Adherence
Extended-care behavioral counseling delivered via telephone or face-to-face sessions significantly improves long-term weight maintenance (reduces weight regain) compared to education-only control in obese rural women.
To maintain weight loss, especially if you live in a rural area with limited access to clinics, engage in regular behavioral counseling. This can be done via telephone or in-person sessions. The key is not just the contact, but using these sessions to reinforce self-monitoring (like tracking food intake). Telephone counseling is a cost-effective and effective alternative to in-person visits, removing travel barriers while maintaining adherence to weight management strategies.
One year after randomization, participants in the telephone and face-to-face extended-care programs regained less weight (mean [SE],1.2[0.7] and 1.2[0.6] kg, respectively) than those in the education control group (3.7 [0.7] kg; P=.03 and .02, respectively).
Why this rating
Randomized controlled trial with a moderate sample size (n=234) and clear statistical significance, though limited to a specific demographic.
Source
Extended-Care Programs for Weight Management in Rural Communities
Michael G. Perri et al. · Archives of Internal Medicine · 2008
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