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The Impact of Telephonic Wellness Coaching on Weight Loss: A “Natural Experiments for Translation in Diabetes (NEXT-D)” Study
  • Published Date:
    Feb 2017
  • Source:
    Obesity (Silver Spring). 25(2):352-356.


Public Access Version Available on: February 01, 2018 information icon
Please check back on the date listed above.
Details:
  • Pubmed ID:
    28124501
  • Pubmed Central ID:
    PMC5300741
  • Description:
    Objective

    To evaluate the impact of a population-based telephonic wellness coaching program on weight loss.

    Methods

    Individual-level segmented regression analysis of interrupted time series data comparing the BMI trajectories in the 12 months before vs. the 12 months after initiating coaching among a cohort of Kaiser Permanente Northern California (KPNC) members (n=954) participating in The Permanente Medical Group (TPMG) Wellness Coaching program in 2011. The control group was a 20:1 propensity-score matched control group (n=19,080) matched with coaching participants based on baseline demographic and clinical characteristics.

    Results

    Wellness coaching participants had a significant upward trend in BMI in the 12 months before their first Wellness coaching session, and a significant downward trend in BMI in the 12 months after their first session equivalent to a clinically significant reduction of greater than one unit of baseline BMI (p<.01 for both). The control group did not have statistically significant decreases in BMI during the post-period.

    Conclusions

    Wellness coaching has a positive impact on BMI reduction that is both statistically and clinically significant. Future research and quality improvement efforts should focus on disseminating Wellness coaching for weight loss in diabetes patients and those at risk for developing the disease.

  • Document Type:
  • Collection(s):
  • Funding:
    K01 DK099404/DK/NIDDK NIH HHS/United States
    L60 MD007402/MD/NIMHD NIH HHS/United States
    P30 DK092924/DK/NIDDK NIH HHS/United States
    U58 DP002721/DP/NCCDPHP CDC HHS/United States
  • Supporting Files:
    No Additional Files
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