Using group support to complement a task-based weight management programme in multi-ethnic localities of high deprivation

Abstract

Objective: Two pilot studies were undertaken to assess the efficacy and potential reach of a weight management programme in two inner-city areas of East London.

Methods: The programme provides a 6 weekly group sessions combining a task-based cognitive-behavioural intervention with interactive group support to increase client engagement and retention. Treatment outcome was assessed at end of treatment and at 2 and 3 months by objective markers including pedometer readings, improvements in knowledge of healthy eating, and weight change.

Results: A total of 162 people (mean BMI 35 kg/m(2)) participated. Forty-one started the first pilot and 21 (51%) completed it, losing on average 3.0 kg. In the second pilot 121 participants started the course and 75 (62%) completed it, losing on average 2.6 kg. A total of 62 and 39 participants completed 2- and 3-month follow-up, with average weight loss of 3.8 and 4.5 kg. There were significant increases in mean daily pedometer readings and improvements in objectively assessed knowledge of caloric intake.

Conclusions: A task-based lifestyle-modification programme complemented by social support proved attractive to inner-city residents and generated significant short-term effects comparable to those achieved by intensive interventions with more traditional target groups.