A comparison of client follow-up and selected components of weight control programs managed by dietitians and nondietitians in Oregon Public Deposited

http://ir.library.oregonstate.edu/concern/graduate_thesis_or_dissertations/6m311s80r

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  • Obesity affects one out of every four Americans and represents a serious health hazard in the United States. Serious chronic diseases associated with obesity include heart disease, cancer, and adult-onset diabetes mellitus. There has been a rapid expansion in the number of weight control centers since the 1970s, yet there has been no significant improvement in the success rate for controlling obesity: 95 percent of those who enter weight control programs fail to maintain their weight loss for more than 2 years. It is questionable whether the weight loss industry observes effective program guidelines, including consistent client follow-up contact to determine weight loss maintenance success rates. Without follow-up data, it is impossible to measure potential program effectiveness. The purpose of the study was to compare Oregon weight control centers managed by registered dietitians (RDs) and nondietitians (NDs) on the basis of client follow-up information and program components. An 80-item questionnaire was used to obtain the data. All of the 45 programs surveyed were listed in the Oregon Dietetic Association Weight Management Resource Directory. There were no statistically significant differences between the two groups in: client follow-up performance; primary reason why clients were successful; dietary programming scores and total program attribute scores (p ≤ .05). Client follow-up contact 2 years after program completion did not occur in the programs surveyed. Even though statistically significant differences were not found between the groups, more NDs than RDs reported doing client follow-up, performing follow-up regularly, performing follow-up at shorter intervals, and taking several measures of health status. Since the results were from self-reported responses of administrators, there was no basis for quality assessment of the programs.
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