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Related Experiment Video

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Multidisciplinary Approach to Obesity Management: A Case Report
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'Shape-Up', a Modified Cognitive-Behavioural Community Programme for Weight Management: Real-World Evaluation as an

Amber Soni1, Rebecca J Beeken2, Laura McGowan3,4

  • 1Research Department of Behavioural Science and Health, University College London, London WC1E 6BT, UK.

Nutrients
|August 27, 2021
PubMed
Summary

The Shape-Up weight management program effectively reduced participant weight and improved health behaviors. Attendance correlated with greater weight loss, demonstrating its value for public health obesity initiatives.

Keywords:
RE-AIM frameworkbehavioural programmenutritionobesitypeer-learningphysical activitypublic healthservice evaluationweight management

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Area of Science:

  • Public Health
  • Behavioral Science
  • Health Promotion

Background:

  • Obesity presents significant public health challenges requiring comprehensive prevention and management strategies.
  • Behavioral weight management programs are key public health tools for addressing overweight and obesity.
  • The Shape-Up program integrates structured behavioral interventions for nutrition and physical activity within a peer-learning model.

Purpose of the Study:

  • To conduct a service evaluation of the Shape-Up program delivered locally.
  • To analyze program effectiveness, reach, adoption, implementation, and maintenance using the RE-AIM framework.
  • To assess adaptations made to the program to align with national guidelines and local needs.

Main Methods:

  • A service evaluation of the Shape-Up program involving 141 participants.
  • Secondary data analysis of community-collected service provider data.
  • Application of the RE-AIM framework to assess program outcomes and implementation.

Main Results:

  • Participants experienced a mean weight loss of -4.4 kg over 12 weeks.
  • Weight change was significantly associated with session attendance (p < 0.0005).
  • Positive impacts were observed on participant weight, health behaviors, and quality of life.

Conclusions:

  • The Shape-Up program demonstrated effectiveness in weight management and improving health-related outcomes.
  • Adaptations to the intervention content and structure enhanced its suitability for local needs.
  • The RE-AIM framework proved valuable for evaluating and adapting evidence-based programs for public health goals.