title: The Effects of Two Workplace Weight Management Programs and Weight Loss on Health Care Utilization and Costs.
abstract: OBJECTIVE
  The aim of this study was to compare the impact of two worksite weight management (WM [education] and WM+ [education plus counseling]) programs, on health care utilization and costs. Secondarily, compare the intervention groups to an observational control group of obese workers. Finally, evaluate the impact of actual weight loss on these outcomes.
  
  
  METHODS
  Estimate the change in the WM and WM+ intervention groups. Using propensity score adjustment compare the two intervention groups with the observational control group; and compare those who lost weight with those who did not.
  
  
  RESULTS
  No significant differences between the two intervention groups, or between these intervention groups and the observational control group. Those who lost weight reduced their overall health care costs.
  
  
  CONCLUSIONS
  To achieve weight loss and associated morbidity reductions, more extensive and intensive interventions, with more attention to motivation and compliance, are required.
authors: Department of Community and Family Medicine (Dr Østbye, Ms Stroo, Dr Eisenstein, Dr Dement), Duke University Medical Center, Durham, NC; Duke-NUS Graduate Medical School (Dr Østbye), Singapore, Duke Global Health Institute, Duke University (Dr Østbye), Durham, NC; Duke Clinical Research Institute (Dr Eisenstein), Durham, NC.
authors: Truls
authors: T
authors: Østbye
authors: Marissa
authors: M
authors: Stroo
authors: Eric L
authors: EL
authors: Eisenstein
authors: John M
authors: JM
authors: Dement
mesh_terms: D000328:Adult; D003376:Counseling; D005260:Female; D017048:Health Care Costs / Q000706:statistics & numerical data*; D006293:Health Promotion / Q000191:economics / Q000379:methods*; D006296:Health Services / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009657:North Carolina; D009765:Obesity / Q000191:economics / Q000628:therapy*; D009786:Occupational Health Services / Q000191:economics / Q000379:methods*; D057216:Propensity Score; D016896:Treatment Outcome; D015431:Weight Loss; D061217:Weight Reduction Programs / Q000191:economics / Q000379:methods*