Brown, Adrian, Gouldstone, Amy, Fox, Emily, Field, Annmarie, Todd, Wendy, Shakher, Jayadave, Bellary, Srikanth, Teh, Ming Ming, Azam, Muhammad, John, Reggie, Jagielski, Alison, Arora, Teresa, Thomas, G Neil and Taheri, Shahrad (2015) Description and preliminary results from a structured specialist behavioural weight management group intervention: Specialist Lifestyle Management (SLiM) programme. BMJ open, 5 (4). e007217. ISSN 2044-6055.
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Abstract
BACKGROUND
Specialist Lifestyle Management (SLiM) is a structured patient education and self-management group weight management programme. Each session is run monthly over a 6-month period providing a less intensive long-term approach. The groups are patient-centred incorporating educational, motivational, behavioural and cognitive elements. The theoretical background, programme structure and preliminary results of SLiM are presented.
SUBJECTS/METHODS
The study was a pragmatic service evaluation of obese patients with a body mass index (BMI) ≥35 kg/m(2) with comorbidity or ≥40 kg/m(2) without comorbidity referred to a specialist weight management service in the West Midlands, UK. 828 patients were enrolled within SLiM over a 48-month period. Trained facilitators delivered the programme. Preliminary anonymised data were analysed using the intention-to-treat principle. The primary outcome measure was weight loss at 3 and 6 months with comparisons between completers and non-completers performed. The last observation carried forward was used for missing data.
RESULTS
Of the 828 enrolled within SLiM, 464 completed the programme (56%). The mean baseline weight was 135 kg (BMI=49.1 kg/m(2)) with 87.2% of patients having a BMI≥40 kg/m(2) and 12.4% with BMI≥60 kg/m(2). The mean weight change of all patients enrolled was -4.1 kg (95% CI -3.6 to -4.6 kg, p=0.0001) at the end of SLiM, with completers (n=464) achieving -5.5 kg (95% CI -4.2 to -6.2 kg, p=0.0001) and non-completers achieving -2.3 kg (p=0.0001). The majority (78.6%) who attended the 6-month programme achieved weight loss with 32.3% achieving a ≥5% weight loss.
CONCLUSIONS
The SLiM programme is an effective group intervention for the management of severe and complex obesity.
Item Type: | Article |
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Subjects: | WD Diseases and disorders of systemic, metabolic or environmental origin > WD10 Diet and nutrition |
Related URLs: | |
Depositing User: | Mr Philip O'Reilly |
Date Deposited: | 08 Jan 2016 16:02 |
Last Modified: | 08 Jan 2016 16:02 |
URI: | http://www.repository.uhblibrary.co.uk/id/eprint/1058 |
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