. (2012) The implementation of the Counterweight Programme in Scotland, UK. Family Practice, Vol.29 (Suppl.1). i139-i144. ISSN 0263-2136

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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
Subjects:	R Medicine > R Medicine (General)
Divisions:	Faculty of Medicine > Warwick Medical School
Journal or Publication Title:	Family Practice
Publisher:	Oxford University Press
ISSN:	0263-2136
Date:	2012
Volume:	Vol.29
Number:	Suppl.1
Page Range:	i139-i144
Identification Number:	10.1093/fampra/cmr074
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Restricted or Subscription Access
URI:	http://wrap.warwick.ac.uk/id/eprint/44371

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