title: An interventional pilot study on obesity among low-income patients using a computer-based weight management module.
abstract: Primary care physicians infrequently address lifestyle modification with their obese patients, among whom those of lower economic means are disproportionately represented. To enhance patients' access to education on lifestyle modification, a clinic-based computer kiosk was installed at our residency clinic for the purpose of healthy lifestyle education. While posttest scores improved and were maintained after completion of lifestyle modification education, body mass index (BMI) was essentially unaffected. Computer-based education without intensive counseling on lifestyle modification appears ineffective in reducing BMI amongst obese patients of lower economic means. Accountable care organization-sponsored health coaching may represent a potential means by which intensive counseling is accomplished among such patients.
authors.affiliation: Department of Medicine, University of Tennessee Health Science Center, Baptist Hospital, Nashville, TN, USA.
authors.forename: Tracey
authors.initials: T
authors.lastname: Doering
authors.forename: Susan
authors.initials: S
authors.lastname: Harwell
authors.forename: Cheryl
authors.initials: C
authors.lastname: Fassler
authors.forename: Kesley
authors.initials: K
authors.lastname: Burr
authors.forename: Sara
authors.initials: S
authors.lastname: Hewitt
authors.forename: Christopher
authors.initials: C
authors.lastname: Trabue
keywords: low-income; obesity; weight management