title: Can certified health professionals treat obesity in a community-based programme? A quasi-experimental study.
abstract: OBJECTIVE
  To test the effectiveness of a non-pharmaceutical programme for obese participants in a rural Eastern Canadian Province using certified health professionals.
  
  
  METHODS
  A prospective quasi-experimental design with repeated premeasure and postmeasure.
  
  
  METHODS
  146 participants with obesity (body mass index >30 kg/m(2)) from rural and urban communities in an Eastern Canadian Province were divided into four groups.
  
  
  METHODS
  A 6-month intensive active community-based lifestyle intervention (InI) delivered by Certified Exercise Physiologists, Certified Personal Trainers and Registered Dietitians, followed by 6 months of self-management. A second intervention (InII) was nested in InI and consisted of group-mediated cognitive-behavioral intervention (GMCBI) delivered by an exercise psychologist to two of the four InI groups.
  
  
  RESULTS
  (1) Improving health outcomes among the participants' preactive and postactive 6-month intervention and self-management period, (2) Documenting the impact of InII (GMCBI) and location of the intervention (urban vs rural).
  
  
  RESULTS
  The 6-month active InI significantly improved cardiovascular health for participants who completed the intervention. InII (GMCBI) significantly lowered the attrition rate among the participants. The self-management period was challenging for the participants and they did not make further gains; however, most were able to maintain the gains achieved during the active intervention. The location of the intervention, urban or rural, had little impact on outcomes.
  
  
  CONCLUSIONS
  A community-based programme utilising healthcare professionals other than physicians to treat obese patients was effective based on premeasure and postmeasure. During the self-management phase, the participants were able to maintain the gains. Psychological support is essential to participant retention.
authors: Dalhousie University Family Medicine Teaching Unit, Dr. Everett Chalmers Regional Hospital, Fredericton, Canada.
authors: Baukje
authors: B
authors: Miedema
authors: Department of Sport & Exercise Science, University of Auckland, Auckland, New Zealand.
authors: Stacey A
authors: SA
authors: Reading
authors: Psychology Department, University of New Brunswick, Fredericton, New Brunswick, Canada.
authors: Ryan A
authors: RA
authors: Hamilton
authors: Dalhousie University Family Medicine Teaching Unit, Dr. Everett Chalmers Regional Hospital, Fredericton, Canada.
authors: Katherine S
authors: KS
authors: Morrison
authors: Dalhousie University Family Medicine Teaching Unit, Dr. Everett Chalmers Regional Hospital, Fredericton, Canada.
authors: Ashley E
authors: AE
authors: Thompson
mesh_terms: D000328:Adult; D000368:Aged; D001521:Behavior Therapy; D015992:Body Mass Index; D002170:Canada; D002318:Cardiovascular Diseases / Q000517:prevention & control; D003153:Community Health Services; D003376:Counseling; D004032:Diet; D015444:Exercise / Q000523:psychology; D005260:Female; D015438:Health Behavior; D006282:Health Personnel; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000523:psychology / Q000628:therapy*; D010352:Patient Dropouts; D015397:Program Evaluation; D011446:Prospective Studies; D012648:Self Care; D055815:Young Adult
keywords: NUTRITION & DIETETICS; PRIMARY CARE; PUBLIC HEALTH
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