Adherence
A brief, low-cost intervention based on habit-formation theory (Ten Top Tips leaflet) delivered in primary care produces significantly greater short-term weight loss (3 months) compared to usual care, with effects maintained at 24 months.
Use a simple, structured leaflet that focuses on building habits (repetition and context) rather than complex diet rules. Deliver it in a brief (30-minute) primary care visit. Provide tools for self-monitoring (logbook) and simple guidance (food label card). This approach is low-cost and can be effective for short-term weight loss, especially for patients who find traditional programs too demanding.
Participants receiving 10TT lost significantly more weight over 3 months than those receiving usual care (mean difference = − 0.87kg; 95% confidence interval: − 1.47 to − 0.27; P = 0.004)... At 24 months, the 10TT group had maintained their weight loss, but the ‘usual care’ group had lost a similar amount.
Why this rating
Randomized controlled trial with a large sample size (n=537) and blinded outcome assessment, though follow-up rates dropped to 58% at 24 months.
Source
A brief intervention for weight control based on habit-formation theory delivered through primary care: results from a randomised controlled trial
Rebecca J. Beeken et al. · International Journal of Obesity · 2016
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