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Patient Educ Couns ; 87(1): 108-19, 2012 Apr.
Article in English | MEDLINE | ID: mdl-21907528

ABSTRACT

OBJECTIVE: To test and optimize the feasibility and acceptability of a physical activity (PA) and healthy eating behavior change intervention for obese adults with obesity-related co-morbidities or additional risk factors for co-morbidities. METHODS: Open-pilot intervention study using an uncontrolled pre and post design with ongoing measures on intervention acceptability and feasibility. Participants received 5 weekly nurse-led one-hour long group sessions. Acceptability and feasibility were assessed throughout. PA, dietary behavior and weight were measured before and after the intervention. RESULTS: Of 74 consenting participants, 61 (82%) received and 47 (64%) completed the intervention. Average ratings of intervention materials and components by participants ranged between 4.1 and 4.9 out of 5. Average facilitator satisfaction rating was 90% (range 75-100%). The intervention delivery was feasible as indicated by ratings and comments from participants and the facilitator. Participants lost -0.86 kg of weight t(45)=3.84, p=0.0001, and increased PA by an additional 1.6 (SD=2.7) sessions/week, t(31)=-3.3, p=0.002. No significant dietary differences emerged. CONCLUSION: The intervention was acceptable to the facilitator and participants and feasible for delivery. Several intervention aspects were further optimized. PRACTICE IMPLICATIONS: The current study outlines a PA and dietary behavior change pilot intervention coupled with a systematic and transparent process of intervention optimization.


Subject(s)
Behavior Therapy , Evidence-Based Medicine/methods , Health Behavior , Obesity/therapy , Adult , Aged , Body Mass Index , Comorbidity , Exercise , Feasibility Studies , Feeding Behavior , Female , Humans , Male , Middle Aged , Motor Activity , Obesity/epidemiology , Patient Acceptance of Health Care , Pilot Projects , Risk Factors , Socioeconomic Factors , Surveys and Questionnaires
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