title: A comparison of maintenance-tailored therapy (MTT) and standard behavior therapy (SBT) for the treatment of obesity.
abstract: OBJECTIVE
  To evaluate a maintenance-tailored therapy (MTT) compared to standard behavior therapy (SBT) for treatment of obesity.
  
  
  METHODS
  change in body weight.
  
  
  METHODS
  A non-blinded, randomized trial comparing effectiveness of MTT and SBT in facilitating sustained weight loss over 18 months; 213 adult volunteers> or =18 years participated. SBT had fixed behavioral goals, MTT goals varied over time. Study conducted at the University of Minnesota, School of Public Health, January 2005 through September 2007.
  
  
  RESULTS
  Mean (SD) weight losses at 6, 12, and 18 months were 5.7 (5.0) kg, 8.2 (8.6) kg and 8.3 (8.9) kg for MTT and 7.4 (3.9) kg, 10.7 (8.2) kg and 9.3 (8.8) kg for SBT. Total weight loss did not differ by group at 18 months, but the time pattern differed significantly (p<0.001). The SBT group lost more weight in the first 6 months. Both groups lost similar amounts between 6 and 12 months; MTT had stable weight between 12 and 18 months, while SBT experienced significant weight gain.
  
  
  CONCLUSIONS
  The MTT approach produced sustained weight loss for an unusually long period of time and not achieved in previous trials of behavioral treatment for weight loss. The MTT approach, therefore, deserves further study.
authors.affiliation: University of Minnesota, School of Public Health, Division of Epidemiology and Community Health, Twin Cities Campus, 1300 South Second Street, Suite 300, Minneapolis, MN 55454-1015, USA. jefferyrw@gmail.com
authors.forename: Robert W
authors.initials: RW
authors.lastname: Jeffery
authors.forename: Rona L
authors.initials: RL
authors.lastname: Levy
authors.forename: Shelby L
authors.initials: SL
authors.lastname: Langer
authors.forename: Ericka M
authors.initials: EM
authors.lastname: Welsh
authors.forename: Andrew P
authors.initials: AP
authors.lastname: Flood
authors.forename: Melanie A
authors.initials: MA
authors.lastname: Jaeb
authors.forename: Patricia S
authors.initials: PS
authors.lastname: Laqua
authors.forename: Annie M
authors.initials: AM
authors.lastname: Hotop
authors.forename: Emily A
authors.initials: EA
authors.lastname: Finch
mesh_terms: D000328:Adult; D000367:Age Factors; D001521:Behavior Therapy / Q000379:methods*; D015992:Body Mass Index; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000523:psychology* / Q000628:therapy*; D010349:Patient Compliance / Q000706:statistics & numerical data; D011336:Probability; D012016:Reference Values; D012307:Risk Factors; D012737:Sex Factors; D013997:Time Factors; D016896:Treatment Outcome; D015431:Weight Loss
references.citation: Am J Clin Nutr. 2003 Oct;78(4):684-9
references.pmid: 14522725
references.citation: Am J Gastroenterol. 1999 Jul;94(7):1733-42
references.pmid: 10406229
references.citation: J Consult Clin Psychol. 1988 Aug;56(4):529-34
references.pmid: 2848874
references.citation: J Consult Clin Psychol. 1984 Jun;52(3):480-1
references.pmid: 6747068
references.citation: Prev Med. 1984 Mar;13(2):155-68
references.pmid: 6739444
references.citation: Am J Epidemiol. 1986 Sep;124(3):453-69
references.pmid: 3740045
references.citation: Diabetes Care. 2007 Jun;30(6):1374-83
references.pmid: 17363746
references.citation: Diabetes Care. 2001 Jan;24(1):117-23
references.pmid: 11194216
references.citation: JAMA. 2008 Mar 12;299(10):1139-48
references.pmid: 18334689
references.citation: J Consult Clin Psychol. 2001 Aug;69(4):722-6
references.pmid: 11550740
references.citation: Control Clin Trials. 1989 Sep;10(3 Suppl):1S-29S
references.pmid: 2680271
references.citation: Am J Epidemiol. 1978 Sep;108(3):161-75
references.pmid: 707484
references.citation: Ann Behav Med. 1996 Sep;18(3):172-6
references.pmid: 24203769
references.citation: JAMA. 2005 Apr 20;293(15):1861-7
references.pmid: 15840860
references.citation: Obes Res. 1996 Jul;4(4):401-10
references.pmid: 8822766
references.citation: Ann Behav Med. 2005 Dec;30(3):210-6
references.pmid: 16336072
references.citation: Control Clin Trials. 2002 Apr;23(2):157-71
references.pmid: 11943442
references.citation: Psychol Rev. 2009 Apr;116(2):384-407
references.pmid: 19348547
references.citation: Am J Epidemiol. 1998 Dec 15;148(12):1148-56
references.pmid: 9867258
references.citation: J Consult Clin Psychol. 1999 Feb;67(1):132-8
references.pmid: 10028217
references.citation: Int J Obes Relat Metab Disord. 2000 Apr;24(4):395-403
references.pmid: 10805494
references.citation: Ann Behav Med. 2004 Apr;27(2):100-6
references.pmid: 15026294
references.citation: Obes Res. 2003 Oct;11 Suppl:3S-6S
references.pmid: 14569033
references.citation: N Engl J Med. 2005 Mar 17;352(11):1138-45
references.pmid: 15784668
references.citation: J Consult Clin Psychol. 1989 Jun;57(3):450-2
references.pmid: 2500466
references.citation: Health Psychol. 2006 May;25(3):282-91
references.pmid: 16719599
references.citation: J Consult Clin Psychol. 1993 Dec;61(6):1038-45
references.pmid: 8113481
references.citation: Obes Res. 1994 Jul;2(4):307-13
references.pmid: 16358394
references.citation: Obes Res. 2004 Dec;12 Suppl:151S-62S
references.pmid: 15687411
references.citation: Health Psychol. 2000 Jan;19(1S):5-16
references.pmid: 10709944