title: A telephonic coaching program has more impact when body mass index is over 35.
abstract: CONCLUSIONS
  
  
  
  OBJECTIVE
  The purpose of this study was to test the theory that two indicators of risk (body mass index (BMI) and overall medical risk at baseline) are correlated with weight change in a telephone employer-provided coaching program.
  
  
  METHODS
  A retrospective cohort study with assessments at baseline and six months after program completion.
  
  
  METHODS
  A large manufacturing employer in the United States.
  
  
  METHODS
  Adult employees and dependents enrolled in a voluntary weight loss program.
  
  
  METHODS
  The weight program was based on the Self-Management of Care model. Coaching was based on collaborative goal-setting and included telephonic self-management health education. Clients were staged according to readiness to change.
  
  
  METHODS
  Weight change (in kilograms), percent weight change, BMI, health risk indices, readiness to change, and demographic variables.
  
  
  METHODS
  Age, gender, race, education, income, total health risk, readiness to change, and baseline body mass index (BMI) were included as model covariates in a multiple linear regression analysis.
  
  
  RESULTS
  Individuals with a BMI >35 at baseline lost more weight than those with normal weight (p = 0.001). Total health risk at baseline was not significantly related to weight loss at p < 0.05.
  
  
  CONCLUSIONS
  Our findings suggest that the greatest weight loss could be achieved in this telephone coaching program by targeting morbidly obese employees.
authors.affiliation: Division of Health Care Policy and Research, Mayo Clinic-Rochester, 200 First Street SW, Rochester, MN 55905, United States. Electronic address:rohrer.james@mayo.edu.
authors.forename: James E
authors.initials: JE
authors.lastname: Rohrer
authors.affiliation: Division of Health Care Policy and Research, Mayo Clinic-Rochester, 200 First Street SW, Rochester, MN 55905, United States. Electronic address:Naessens.james@mayo.edu.
authors.forename: James M
authors.initials: JM
authors.lastname: Naessens
authors.affiliation: Division of Health Care Policy and Research, Mayo Clinic-Rochester, 200 First Street SW, Rochester, MN 55905, United States. Electronic address:Liesinger.juliette@mayo.edu.
authors.forename: Juliette
authors.initials: J
authors.lastname: Liesinger
authors.affiliation: Division of Health Care Policy and Research, Mayo Clinic-Rochester, 200 First Street SW, Rochester, MN 55905, United States. Electronic address:tulledgescheitel.sidna@mayo.edu.
authors.forename: Sidna
authors.initials: S
authors.lastname: Tulledge-Scheitel
authors.affiliation: Division of Health Care Policy and Research, Mayo Clinic-Rochester, 200 First Street SW, Rochester, MN 55905, United States. Electronic address:vanhouten.holly@mayo.edu.
authors.forename: Holly
authors.initials: H
authors.lastname: Vanhouten