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The implementation of the Counterweight Programme in Scotland, UK
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The Counterweight Team (Including:
). (2012) The implementation of the Counterweight Programme in Scotland, UK. Family Practice, Vol.29 (Suppl.1). i139-i144. doi:10.1093/fampra/cmr074 ISSN 0263-2136.Research output not available from this repository.
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Official URL: http://dx.doi.org/10.1093/fampra/cmr074
Abstract
Background: The Counterweight Programme is a proven model for the management of obesity in the UK, evaluated over 5 years (2000-05) and demonstrating clinical and cost effectiveness. The Scottish Government commissioned three phases of Counterweight implementation during the period 2006-08. The first two phases linked the Counterweight Programme to a primary care cardiovascular disease prevention programme; the third phase was commissioned independent of other interventions. Aim: To assess the implementation of the Counterweight Programme in 13 Health Boards in Scotland and compare 12-month outcomes with published Counterweight data. Methods: Patients with a body mass index (BMI) ≥ 30 kg/m 2 or BMI ≥ 28 kg/m 2 with at least one co-morbidity were screened for the Counterweight Programme. Patients were asked to attend nine structured appointments with a trained Counterweight Programme practitioner over 12 months. Results: Six thousand seven hundred and fifteen patients from 184 general practices, 16 pharmacies and one centralized community-based service in 13 Health Boards, with a mean BMI of 37 kg/m 2 were enrolled in the Counterweight Programme. Twenty-six per cent had a BMI ≥ 40 kg/m 2. Attendance for patients at 3, 6 and 12 months follow-up was 55%, 37% and 28%. Of those who attended at 12 months, 35.2% had maintained a weight loss of ≥5% compared to 30.7% in the original evaluation. Conclusions: Evaluation of the Counterweight Programme in Scotland demonstrated consistency in characteristics of patients enrolled into the programme. There was evidence of higher loss to follow-up in a population not routinely engaging with primary care but evidence of greater weight losses among those who attended. © The Author 2012. Published by Oxford University Press. All rights reserved.
Item Type: | Journal Article | ||||
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Subjects: | R Medicine > R Medicine (General) | ||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Population, Evidence & Technologies (PET) > Warwick Evidence Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Journal or Publication Title: | Family Practice | ||||
Publisher: | Oxford University Press | ||||
ISSN: | 0263-2136 | ||||
Official Date: | 2012 | ||||
Dates: |
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Volume: | Vol.29 | ||||
Number: | Suppl.1 | ||||
Page Range: | i139-i144 | ||||
DOI: | 10.1093/fampra/cmr074 | ||||
Status: | Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Restricted or Subscription Access |
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