Retention and weight outcomes after transitioning an intensive behavioral weight management program from an in‐person to a virtual format
Abstract Background Virtual care offers many potential advantages over traditional in‐person care for people with chronic diseases including obesity. Before the COVID‐19 pandemic, virtual care was not broadly implemented because of regulatory, legal, and reimbursement barriers. Objective To evaluate...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-10-01
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| Series: | Obesity Science & Practice |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/osp4.673 |
| _version_ | 1797666047640207360 |
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| author | Amy E. Rothberg Deanna J. Marriott Nicole M. Miller William H. Herman |
| author_facet | Amy E. Rothberg Deanna J. Marriott Nicole M. Miller William H. Herman |
| author_sort | Amy E. Rothberg |
| collection | DOAJ |
| description | Abstract Background Virtual care offers many potential advantages over traditional in‐person care for people with chronic diseases including obesity. Before the COVID‐19 pandemic, virtual care was not broadly implemented because of regulatory, legal, and reimbursement barriers. Objective To evaluate the impact of the transition from an entirely in‐person format to a virtual format during the COVID‐19 pandemic on retention and weight reduction in a 2‐year, structured, intensive behavioral weight management program for people with moderate to severe obesity. Methods Retrospective cohort study of 1313 program participants stratified according to the phase of the program during which the transition to virtual visits occurred. Results Age, sex, and baseline weight were independent predictors of program retention. Transition to virtual visits was associated with greater 2‐year program retention. Retention but not mode of program delivery was associated with reduction in weight at 2‐year. Conclusions Transition from in‐person to virtual program delivery improved retention and by doing so, indirectly improved weight loss at 2 years. Telemedicine has the potential to overcome many of the limitations associated with traditional in‐person weight loss interventions. Clinical Trial Registration This research was reviewed and approved by the University of Michigan Institutional Review Board and registered on ClinicalTrials.gov (NCT02043457). All participants provided written informed consent. |
| first_indexed | 2024-03-11T19:52:36Z |
| format | Article |
| id | doaj.art-af1a217258ee42ad94410a471ed491f8 |
| institution | Directory Open Access Journal |
| issn | 2055-2238 |
| language | English |
| last_indexed | 2024-03-11T19:52:36Z |
| publishDate | 2023-10-01 |
| publisher | Wiley |
| record_format | Article |
| series | Obesity Science & Practice |
| spelling | doaj.art-af1a217258ee42ad94410a471ed491f82023-10-05T03:34:31ZengWileyObesity Science & Practice2055-22382023-10-019545245810.1002/osp4.673Retention and weight outcomes after transitioning an intensive behavioral weight management program from an in‐person to a virtual formatAmy E. Rothberg0Deanna J. Marriott1Nicole M. Miller2William H. Herman3Department of Internal Medicine Michigan Medicine USASchool of Nursing University of Michigan USADepartment of Internal Medicine Michigan Medicine USADepartment of Internal Medicine Michigan Medicine USAAbstract Background Virtual care offers many potential advantages over traditional in‐person care for people with chronic diseases including obesity. Before the COVID‐19 pandemic, virtual care was not broadly implemented because of regulatory, legal, and reimbursement barriers. Objective To evaluate the impact of the transition from an entirely in‐person format to a virtual format during the COVID‐19 pandemic on retention and weight reduction in a 2‐year, structured, intensive behavioral weight management program for people with moderate to severe obesity. Methods Retrospective cohort study of 1313 program participants stratified according to the phase of the program during which the transition to virtual visits occurred. Results Age, sex, and baseline weight were independent predictors of program retention. Transition to virtual visits was associated with greater 2‐year program retention. Retention but not mode of program delivery was associated with reduction in weight at 2‐year. Conclusions Transition from in‐person to virtual program delivery improved retention and by doing so, indirectly improved weight loss at 2 years. Telemedicine has the potential to overcome many of the limitations associated with traditional in‐person weight loss interventions. Clinical Trial Registration This research was reviewed and approved by the University of Michigan Institutional Review Board and registered on ClinicalTrials.gov (NCT02043457). All participants provided written informed consent.https://doi.org/10.1002/osp4.673health care researchobesityweight loss |
| spellingShingle | Amy E. Rothberg Deanna J. Marriott Nicole M. Miller William H. Herman Retention and weight outcomes after transitioning an intensive behavioral weight management program from an in‐person to a virtual format Obesity Science & Practice health care research obesity weight loss |
| title | Retention and weight outcomes after transitioning an intensive behavioral weight management program from an in‐person to a virtual format |
| title_full | Retention and weight outcomes after transitioning an intensive behavioral weight management program from an in‐person to a virtual format |
| title_fullStr | Retention and weight outcomes after transitioning an intensive behavioral weight management program from an in‐person to a virtual format |
| title_full_unstemmed | Retention and weight outcomes after transitioning an intensive behavioral weight management program from an in‐person to a virtual format |
| title_short | Retention and weight outcomes after transitioning an intensive behavioral weight management program from an in‐person to a virtual format |
| title_sort | retention and weight outcomes after transitioning an intensive behavioral weight management program from an in person to a virtual format |
| topic | health care research obesity weight loss |
| url | https://doi.org/10.1002/osp4.673 |
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