Effectiveness of a motivational intervention on overweight/obese patients in the primary healthcare : a cluster randomized trial
Rodriguez-Cristobal, Juan Jose (Institut Universitari d'Investigació en Atenció Primària Jordi Gol)
Alonso-Villaverde, Carlos (Institut d'Investigació Biomèdica Sant Pau)
Panisello, Jose Ma (FUFOSA (Fundación Fomento Salud))
Travé-Mercade, Pere (Universitat de Barcelona. Facultat de Farmàcia)
Rodriguez-Cortés, Francisca (Unitat de Salut Mental Hospitalet de Llobregat - Collblanc)
Marsal, Josep Ramon (Institut Universitari d'Investigació en Atenció Primària Jordi Gol)
Peña, Esther (Institut d'Investigació Biomèdica Sant Pau)
Universitat Autònoma de Barcelona

Data:	2017
Resum:	Overweight and obesity are common health problems which increase the risk of developing several serious health conditions. The main difficulty in the management of weight-loss lies in its maintenance, once it is achieved. The aim of this study was to investigate whether a motivational intervention, together with current clinical practice, was more efficient than a traditional intervention, in the treatment of overweight and obesity and whether this intervention reduces cardiovascular risk factors associated with overweight and obesity. Multi-centre cluster randomized trial with a 24-month follow-up included 864 overweight/obese patients randomly assigned. Motivational intervention group (400 patients), delivered by a nurse trained by an expert psychologist, in 32 sessions, 1 to 12 fortnightly, and 13 to 32, monthly, on top of their standard programmed diet and exercise. The control group (446 patients), received the usual follow-up. Weight reduction was statistically significant in the second year with a mean reduction of 1. 0 Kg in the control group and 2. 5 Kg in the intervention group (p = 0. 02). While 18. 1% of patients in the control group reduced their weight by more than 5%, this percentage rose to 26. 9% in the intervention group, which is statistically significant (p = 0. 04). Patients in the motivational intervention group had significantly greater improvements in triglycerides and APOB/APOA1ratio. The results highlight the importance of the group motivational interview in the treatment of overweight /obese patients in primary care, and in the improvement of their associated cardiovascular risks factors. Identifier: NCT01006213 October 30, 2009. The online version of this article (doi:10. 1186/s12875-017-0644-y) contains supplementary material, which is available to authorized users.
Ajuts:	Instituto de Salud Carlos III PI07/0087
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Overweight ; Obesity ; Motivational interview ; Weight-loss ; Cardiovascular risk factors
Publicat a:	BMC family practice, Vol. 18 (june 2017) , ISSN 1471-2296

DOI: 10.1186/s12875-017-0644-y
PMID: 28633627

8 p, 746.9 KB

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