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  • Primary care interventions for obesity: behavioural support, whether delivered remotely or in person, facilitates greater weight loss over 2 years than self-directed weight loss

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Primary health care
Randomised controlled trial
Primary care interventions for obesity: behavioural support, whether delivered remotely or in person, facilitates greater weight loss over 2 years than self-directed weight loss
  1. Ian Brown
  1. CHSCR, Sheffield Hallam University, Sheffield, UK
  1. Correspondence to Ian Brown
    CHSCR, Sheffield Hallam University, 32 Collegiate Crescent, Sheffield, South Yorkshire, S10 2BP, UK; ian.brown{at}shu.ac.uk

https://doi.org/10.1136/ebnurs-2012-100530

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    Commentary on: Appel LJ, Clark JM, Yeh HC, et al. Comparative effectiveness of weight-loss interventions in clinical practice. N Engl J Med 2011;365:1959–68.OpenUrlCrossRefPubMedWeb of Science

    Implications for practice and research

    • ■ Generalist nurses (eg, practice nurses) can contribute to the social support element of weight loss interventions to improve participation and adherence.

    • ■ Coaching patients within weight loss interventions (in person or remotely by email or phone) requires further specialist training in motivational interviewing and weight management.

    • ■ Establishing which elements (within a complex programme) are effective in specific contexts would be useful to refine nursing practice in weight management.

    Context

    Obesity prevalence trends are a public health concern in many parts of the world. Excess body fat is linked to adverse health outcomes.1 Evidence-based guidelines recommend multi-component interventions that include behavioural and lifestyle change.2 , …

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    Footnotes

    • Competing interests None.