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Description and preliminary results from a structured specialist behavioural weight management group intervention: Specialist Lifestyle Management (SLiM) programme.

Brown, Adrian and Gouldstone, Amy and Fox, Emily and Field, Annmarie and Todd, Wendy and Shakher, Jayadave and Bellary, Srikanth and Teh, Ming Ming and Azam, Muhammad and John, Reggie and Jagielski, Alison and Arora, Teresa and Thomas, G Neil and Taheri, Shahrad (2015) Description and preliminary results from a structured specialist behavioural weight management group intervention: Specialist Lifestyle Management (SLiM) programme. BMJ open, 5 (4). e007217. ISSN 2044-6055.

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Official URL: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC439073...

Abstract

BACKGROUND

Specialist Lifestyle Management (SLiM) is a structured patient education and self-management group weight management programme. Each session is run monthly over a 6-month period providing a less intensive long-term approach. The groups are patient-centred incorporating educational, motivational, behavioural and cognitive elements. The theoretical background, programme structure and preliminary results of SLiM are presented.

SUBJECTS/METHODS

The study was a pragmatic service evaluation of obese patients with a body mass index (BMI) ≥35 kg/m(2) with comorbidity or ≥40 kg/m(2) without comorbidity referred to a specialist weight management service in the West Midlands, UK. 828 patients were enrolled within SLiM over a 48-month period. Trained facilitators delivered the programme. Preliminary anonymised data were analysed using the intention-to-treat principle. The primary outcome measure was weight loss at 3 and 6 months with comparisons between completers and non-completers performed. The last observation carried forward was used for missing data.

RESULTS

Of the 828 enrolled within SLiM, 464 completed the programme (56%). The mean baseline weight was 135 kg (BMI=49.1 kg/m(2)) with 87.2% of patients having a BMI≥40 kg/m(2) and 12.4% with BMI≥60 kg/m(2). The mean weight change of all patients enrolled was -4.1 kg (95% CI -3.6 to -4.6 kg, p=0.0001) at the end of SLiM, with completers (n=464) achieving -5.5 kg (95% CI -4.2 to -6.2 kg, p=0.0001) and non-completers achieving -2.3 kg (p=0.0001). The majority (78.6%) who attended the 6-month programme achieved weight loss with 32.3% achieving a ≥5% weight loss.

CONCLUSIONS

The SLiM programme is an effective group intervention for the management of severe and complex obesity.

Item Type: Article
Subjects: WD Diseases and disorders of systemic, metabolic or environmental origin > WD10 Diet and nutrition
Related URLs:
Depositing User: Mr Philip O'Reilly
Date Deposited: 08 Jan 2016 16:02
Last Modified: 08 Jan 2016 16:02
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/1058

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