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The implementation of the Counterweight Programme in Scotland, UK

Family practice, 2012-04, Vol.29 (suppl_1), p.i139-i144 [Peer Reviewed Journal]

The Author 2012. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. 2012 ;ISSN: 0263-2136 ;EISSN: 1460-2229 ;DOI: 10.1093/fampra/cmr074 ;PMID: 22399544

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  • Title:
    The implementation of the Counterweight Programme in Scotland, UK
  • Author: Counterweight Project Team
  • Subjects: Adult ; Body Mass Index ; Female ; Health Behavior ; Health boards ; Health Promotion - organization & administration ; Humans ; Male ; Middle Aged ; Obesity - epidemiology ; Obesity - prevention & control ; Pharmacies ; Primary health care ; Primary Prevention - organization & administration ; Program Development ; Scotland ; Scotland - epidemiology ; Weight Loss
  • Is Part Of: Family practice, 2012-04, Vol.29 (suppl_1), p.i139-i144
  • Description: 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/m2 or BMI ≥ 28 kg/m2 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/m2 were enrolled in the Counterweight Programme. Twenty-six per cent had a BMI ≥ 40 kg/m2. 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.
  • Publisher: England: Oxford University Press
  • Language: English
  • Identifier: ISSN: 0263-2136
    EISSN: 1460-2229
    DOI: 10.1093/fampra/cmr074
    PMID: 22399544
  • Source: GFMER Free Medical Journals
    MEDLINE
    Alma/SFX Local Collection
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