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01-03-2017 | Original Research

Patient factors associated with initiation of behavioral weight loss treatment: a prospective observational study in an integrated care setting

Authors: Megan A. McVay, PhD, William S. Yancy Jr., MHS, MD, Christine N. Scott, RD, Lindsay Wilson-Barlow, Sandra Woolson, MS, W. Clint McSherry, PhD, Sandra Allen, RD, Corrine I. Voils, PhD

Published in: Translational Behavioral Medicine | Issue 1/2017

Abstract

Low enrollment in behavioral weight loss treatments limits their impact. We aimed to identify factors associated with treatment initiation. The participants were outpatients (n = 198) at Veterans Affairs (VA) healthcare facilities who were referred to a free VA-based behavioral weight loss treatment. Participants were assessed on psychosocial factors potentially relevant to treatment initiation. Subsequent treatment initiation was determined via medical record review. Study participants were 77 % male, 60 % African American, and 54 % initiated treatment. In multivariable analyses, treatment initiation was associated with being single, higher anxiety, and patients’ perceptions that referring provider supported their weight autonomy. Endorsement of treatment barriers was not associated with treatment initiation. Treatments offering in-person sessions and mood management components were rated as more preferred. Initiation of behavioral weight loss treatments may increase if patients believe that providers respect their weight control autonomy and if healthcare organizations offer treatments that match patients’ preferences.

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Title: Patient factors associated with initiation of behavioral weight loss treatment: a prospective observational study in an integrated care setting
Authors: Megan A. McVay, PhD
William S. Yancy Jr., MHS, MD
Christine N. Scott, RD
Lindsay Wilson-Barlow
Sandra Woolson, MS
W. Clint McSherry, PhD
Sandra Allen, RD
Corrine I. Voils, PhD
Publication date: 01-03-2017
Publisher: Springer US
Published in: Translational Behavioral Medicine / Issue 1/2017
Print ISSN: 1869-6716
Electronic ISSN: 1613-9860
DOI: https://doi.org/10.1007/s13142-016-0430-8

At a glance: The STEP trials

Springer Medicine

Patient factors associated with initiation of behavioral weight loss treatment: a prospective observational study in an integrated care setting

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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