title: Improving management of obesity in primary care: cluster randomised trial.
abstract: OBJECTIVE
  To evaluate a training programme intended to improve the management of obesity, delivered to general practice teams.
  
  
  METHODS
  Cluster randomised trial.
  
  
  METHODS
  Northern and Yorkshire region of England.
  
  
  METHODS
  44 general practices invited consecutively attending obese adults to participate; 843 patients attended for collection of baseline data and were subsequently randomised.
  
  
  METHODS
  4.5 hour training programme promoting an obesity management model.
  
  
  METHODS
  Difference in weight between patients in intervention and control groups at 12 months (main outcome measure) and at 3 months and 18 months; change in practitioners' knowledge and behaviour in obesity management consultations.
  
  
  RESULTS
  Twelve months after training the patients in the intervention group were 1 (95% confidence interval--1.9 to 3.9) kg heavier than controls (P = 0.5). Some evidence indicated that practitioners' knowledge had improved. Some aspects of the management model, including recording weight, target weight, and dietary targets, occurred more frequently in intervention practices after the training, but in absolute terms levels of implementation were low.
  
  
  CONCLUSIONS
  A training package promoting a brief, prescriptive approach to the treatment of obesity through lifestyle modification, intended to be incorporated into routine clinical practice, did not ultimately affect the weight of this motivated and at risk cohort of patients.
authors: Centre for Research in Primary Care, University of Leeds, Leeds LS2 9PL. h.moore@leeds.ac.uk
authors: Helen
authors: H
authors: Moore
authors: Carolyn D
authors: CD
authors: Summerbell
authors: Darren C
authors: DC
authors: Greenwood
authors: Philip
authors: P
authors: Tovey
authors: Jacqui
authors: J
authors: Griffiths
authors: Maureen
authors: M
authors: Henderson
authors: Kate
authors: K
authors: Hesketh
authors: Sally
authors: S
authors: Woolgar
authors: Ashley J
authors: AJ
authors: Adamson
mesh_terms: D000293:Adolescent; D000328:Adult; D016000:Cluster Analysis; D004501:Education, Medical / Q000379:methods*; D005194:Family Practice / Q000193:education*; D005260:Female; D006266:Health Education; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000517:prevention & control*; D016017:Odds Ratio; D011379:Prognosis