Abildso Christiaan G, Zizzi Sam, Fitzpatrick Sean J
College of Physical Activity and Sport Sciences, West Virginia University, Morgantown, WV 26506-6116, USA.
Health Promot Pract. 2013 Jul;14(4):580-8. doi: 10.1177/1524839912462393. Epub 2012 Oct 17.
Health insurance providers are a logical partner in providing third-party payment for behavioral weight loss programming, but little evidence of predictors of improved outcomes or retention in large, insurance-sponsored lifestyle programming is available. The purpose was to determine predictors of weight loss and retention in an insurance-sponsored, community-based weight management program. Current and former participants (N = 2,106) were recruited to complete a program evaluation survey. Respondents' survey and objective outcome data (n = 766) were analyzed using logistic regression procedures to understand the factors predictive of clinically-significant (5%) weight loss and program retention (>6 months). Clinically significant weight loss was predicted by completing more than 6 months of the program, positive ratings of staff interaction, and social support from friends on success. Ratings of positive impact of site hours of operation, nurse calls, and availability of safe places to be active and feeling comfortable at the site were predictive of program retention. Modifiable intervention, social factors, and site-level factors were predictive of clinically significant weight loss and program retention, providing fodder for further study and dissemination to current providers and to a broader network of health promotion professionals.
健康保险提供商是为行为减肥计划提供第三方支付的合理合作伙伴，但在大型保险赞助的生活方式计划中，关于改善结果或留存率的预测因素的证据很少。目的是确定在一项保险赞助的社区体重管理计划中体重减轻和留存率的预测因素。招募了现任和前任参与者（N = 2106）来完成一项计划评估调查。使用逻辑回归程序分析受访者的调查和客观结果数据（n = 766），以了解预测临床上显著（5%）体重减轻和计划留存（>6个月）的因素。完成超过6个月的计划、对工作人员互动的积极评价以及朋友对成功的社会支持可预测临床上显著的体重减轻。对场所运营时间、护士电话的积极影响评分，以及有安全的活动场所和在场所感到舒适的程度可预测计划留存率。可改变的干预措施、社会因素和场所层面的因素可预测临床上显著的体重减轻和计划留存率，为进一步研究以及向当前提供商和更广泛的健康促进专业人员网络传播提供了素材。
