Using group support to complement a task-based weight management programme in multi-ethnic localities of high deprivation.
OBJECTIVE
Two pilot studies were undertaken to assess the efficacy and potential reach of a weight management programme in two inner-city areas of East London.


METHODS
The programme provides a 6 weekly group sessions combining a task-based cognitive-behavioural intervention with interactive group support to increase client engagement and retention. Treatment outcome was assessed at end of treatment and at 2 and 3 months by objective markers including pedometer readings, improvements in knowledge of healthy eating, and weight change.


RESULTS
A total of 162 people (mean BMI 35 kg/m(2)) participated. Forty-one started the first pilot and 21 (51%) completed it, losing on average 3.0 kg. In the second pilot 121 participants started the course and 75 (62%) completed it, losing on average 2.6 kg. A total of 62 and 39 participants completed 2- and 3-month follow-up, with average weight loss of 3.8 and 4.5 kg. There were significant increases in mean daily pedometer readings and improvements in objectively assessed knowledge of caloric intake.


CONCLUSIONS
A task-based lifestyle-modification programme complemented by social support proved attractive to inner-city residents and generated significant short-term effects comparable to those achieved by intensive interventions with more traditional target groups.
Hajek
Peter
P
Queen Mary University of London, Barts and The London School of Medicine and Dentistry, Wolfson Institute of Preventive Medicine, London, UK.
Humphrey
Kirsty
K
McRobbie
Hayden
H
D000293:Adolescent; D000328:Adult; D001835:Body Weight / Q000502:physiology*; D005006:Ethnicity; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008019:Life Style; D008131:London; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000208:ethnology / Q000628:therapy*; D010353:Patient Education as Topic; D010865:Pilot Projects; D011203:Poverty; D015397:Program Evaluation; D011615:Psychotherapy, Group / Q000379:methods; D012944:Social Support; D016896:Treatment Outcome; D014505:Urban Population; D015431:Weight Loss / Q000208:ethnology / Q000502:physiology; D055815:Young Adult