ArticleEuropean journal of clinical nutrition2005
Empowering primary care to tackle the obesity epidemic: the Counterweight Programme.
Article in European journal of clinical nutrition, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 68 citations in OpenAlex.
- Interventions to change the behaviour of health professionals and the organisation of care to promote weight reduction in children and adults with overweight or obesity.The Cochrane database of systematic reviews · 2017Pooled it
- Interventions to change the behaviour of health professionals and the organisation of care to promote weight reduction in overweight and obese people.The Cochrane database of systematic reviews · 2010Pooled it
- Impact of an educational intervention combining clinical obesity preceptorship with electronic networking tools on primary care professionals: a prospective study.BMC medical education · 2020Trial
- A brief intervention for weight control based on habit-formation theory delivered through primary care: results from a randomised controlled trial.International journal of obesity (2005) · 2017Trial
- A Randomized Clinical Trial of a Tailored Lifestyle Intervention for Obese, Sedentary, Primary Care Patients.Annals of family medicine · 2016Trial
- Missing an opportunity: the embedded nature of weight management in primary care.Clinical obesity · 2015Trial
- Tailored weight loss intervention in obese adults within primary care practice: rationale, design, and methods of Choose to Lose.Contemporary clinical trials · 2014Trial
- Comparison of range of commercial or primary care led weight reduction programmes with minimal intervention control for weight loss in obesity: lighten Up randomised controlled trial.BMJ (Clinical research ed.) · 2011Trial
- A randomised controlled trial to compare a range of commercial or primary care led weight reduction programmes with a minimal intervention control for weight loss in obesity: the Lighten Up trial.BMC public health · 2010Trial
- [Effectiveness of a therapeutic practice on overweight in primary care].Atencion primaria · 2008Trial
- Combining community-based system dynamics and design thinking to inform public health intervention: a case study optimizing community-clinical linkage design in Brooklyn, NY.Frontiers in public health · 2025Article
- Community-Clinical Linkages With Community Health Workers in the United States: A Scoping Review.Health promotion practice · 2018Article
- Role of the family doctor in the management of adults with obesity: a scoping review.BMJ open · 2018Article
- Research protocol: Management of obesity in patients with low health literacy in primary health care.BMC obesity · 2015Article
- Impact of an integrated obesity management system on patient's care - research protocol.BMC obesity · 2014Article
- Feasibility and indicative results from a 12-month low-energy liquid diet treatment and maintenance programme for severe obesity.The British journal of general practice : the journal of the Royal College of General Practitioners · 2013Article
- Linkages between clinical practices and community organizations for prevention: a literature review and environmental scan.American journal of public health · 2012Review
- Evaluation of the Counterweight Programme for obesity management in primary care: a starting point for continuous improvement.The British journal of general practice : the journal of the Royal College of General Practitioners · 2008Article
- Obesity in primary care: evidence for advising weight constancy rather than weight loss in unsuccessful dieters.The British journal of general practice : the journal of the Royal College of General Practitioners · 2008Article
- ABC of obesity. Obesity--time to wake up.BMJ (Clinical research ed.) · 2006Review
Corrections and comments
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Authors and funding
18 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo improve the management of obese adults (18-75 y) in primary care.
designCohort study. SETTINGS: UK primary care. SUBJECTS: Obese patients (body mass index > or =30 kg/m(2)) or BMI> or =28 kg/m(2) with obesity-related comorbidities in 80 general practices.
interventionThe model consists of four phases: (1) audit and project development, (2) practice training and support, (3) nurse-led patient intervention, and (4) evaluation. The intervention programme used evidence-based pathways, which included strategies to empower clinicians and patients. Weight Management Advisers who are specialist obesity dietitians facilitated programme implementation.
main outcome measuresProportion of practices trained and recruiting patients, and weight change at 12 months.
resultsBy March 2004, 58 of the 62 (93.5%) intervention practices had been trained, 47 (75.8%) practices were active in implementing the model and 1549 patients had been recruited. At 12 months, 33% of patients achieved a clinically meaningful weight loss of 5% or more. A total of 49% of patients were classed as 'completers' in that they attended the requisite number of appointments in 3, 6 and 12 months. 'Completers' achieved more successful weight loss with 40% achieving a weight loss of 5% or more at 12 months.
conclusionThe Counterweight programme provides a promising model to improve the management of obesity in primary care.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.