Predictors of Clinically Significant Weight Loss and Participant Retention in an Insurance-Sponsored Community-Based Weight Management Program

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 w...

Full description

Saved in:
Bibliographic Details
Published in:Health promotion practice 2013-07, Vol.14 (4), p.580-588
Main Authors: Abildso, Christiaan G., Zizzi, Sam, Fitzpatrick, Sean J.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Community based
Community Health Services - economics
Community Health Services - organization & administration
Energy Intake
Environment
Exercise
Female
Health insurance
Health Promotion - economics
Health Promotion - organization & administration
Humans
Insurance Carriers
Male
Middle Aged
Payments
Program Evaluation
Retention
Social networks
Social Support
Time Factors
Weight Loss
Young Adult
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary: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.
ISSN:1524-8399
1552-6372
DOI:10.1177/1524839912462393