Erica T. Warner
Obesity Treatment for Socioeconomically Disadvantaged Patients in Primary Care Practice
evidencebased weight loss treatment options exist medically vulnerable patients primary care settingwe conducted 2arm 24month randomized effectiveness trial 3 boston community health centers february 1 2008 may 2 2011 participants 365 obese patients receiving hypertension treatment 712 black 131 hispanic 685 female 329 less high school educational level randomized participants usual care behavioral intervention promoted weight loss hypertension selfmanagement using ehealth components intervention included tailored behavior change goals selfmonitoring skills training available via website interactive voice response 18 telephone counseling calls primary care provider endorsement 12 optional group support sessions links community resourcesat 24 months weight change intervention group compared usual care group 103 kg 95 ci 203 003 kg twentyfourmonth change body mass index calculated weight kilograms divided height meters squared intervention group compared usual care group 038 95 ci 075 0004 intervention participants larger mean weight losses 24 months compared usual care group area receiver operating characteristic curve 107 kg 95 ci 194 022 mean systolic blood pressure significantly lower intervention arm compared usual care armthe intervention produced modest weight losses improved blood pressure control slowed systolic blood pressure increases highrisk socioeconomically disadvantaged patient population trial registration clinicaltrialsgov identifier nct00661817