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COMPAR-EU RCTs Web
Shortβ€mediumβ€longβ€term efficacy of interdisciplinary intervention against overweight and obesity: Randomized controlled clinical trial
See more Setting of implementation: N/A Professionals delivering the intervention: N/A Targeted self-management behaviours: N/A
Components
Individual sessions
A single person receives the self-management support. Examples: self-guided actions (without the participation of any other person) during a clinical visit or within the context of a support or educational session
Face-to-face
Self-management support delivered in a face-to-face encounter between the providers and patients and/or caregivers.
See more Setting of implementation: Outpatient care (hospital) Professionals delivering the intervention: Dietician/nutritionist, Nurses, Physicians, Physiotherapists Targeted self-management behaviours: Eating behaviours, Handling /managing emotions, Physical activity /exercise
Components
Education (E)
Action-based behavioural change techniques (AB)
Action-based behavioural change techniques (AB)
There are different action-based behavioural change techniques:
Enhancing problem-solving skills. This technique consists in teaching on how to analyse factors that influence your behaviour and provide you or help you to develop strategies to reduce or overcome barriers and/or support facilitators (e.g., not eating unhealthy foods when you feel depressed). Strategies include anticipation, self-treatment, resource utilization, and problem management. Ideally, there should be an initial plan, but this is not a requisite.
Example: Identification and attenuation of environmental barriers (e.g., no gym in the neighbourhood when one want to exercise) and facilitators (e.g., someone who keeps you company during exercise) to everyday physical activities.
Goal setting and action planning. This technique consists in encouraging you to set one or more achievable goals based on your needs and preferences. These goals may be behaviours (e.g., a consuming a healthy meal three times a day) or outcomes (e.g., less pain) and can be used as a starting point. The process usually involves the formulation of a detailed action plan, specifying what you would do and at least when and/or where you will do it. It could also include an assessment of your behaviours with your health care provider and a discussion of goals and the writing up of agreed-on action plans, including plans for emergency situations.
Examples of goals: achieving a daily walking distance of 2 km or a weight loss of some kilograms in x months with diet and exercise.
Emotional-based change techniques (EB)
In group
Two or more patients or caregivers receive a self-management intervention. Group interventions are normally organized for efficiency purposes or to facilitate learning and knowledge exchange among peers (people living with the same health condition). For example, peer-led education group to enhance physical activity in obese individuals.
Face-to-face
Self-management support delivered in a face-to-face encounter between the providers and patients and/or caregivers.
Outcomes measured in the study
| Effekt | Messgröße | Tool |
|---|---|---|
| Weight management | Weight (Kgs/lbs) | N/A |
| Weight management | BMI - Body Mass Index | N/A |
| Weight management | Waist/hip ratio | N/A |
| Weight management | Waist size | N/A |
| Weight management | Hip size | N/A |
| Weight management | Body fat | N/A |
Patient characteristics
Number of co-morbidities: N/A
Tool: N/A
Risk of Bias of this study
| Effekt | Random sequence generation | Allocation concealment | Blinding performance | Blinding detection objective outcomes assessment | Attrition incomplete outcome | Incorrect statistical methods | Recruitment bias | Selective outcome reporting |
|---|---|---|---|---|---|---|---|---|
| Weight management - Weight (Kgs/lbs) | ||||||||
| Weight management - BMI - Body Mass Index | ||||||||
| Weight management - Waist/hip ratio | ||||||||
| Weight management - Waist size | ||||||||
| Weight management - Hip size | ||||||||
| Weight management - Body fat |
Learn more about the intervention: Action-based and emotional-based behavioural techniques, delivered in groups
Summary of findings | |
RCTs that also analysed this type of intervention | |
Related cost-effectiveness analysis |
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To learn more about the cost-effectiveness of self-management interventions check our section on the topic: Cost-effectiveness
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Related contextual analysis |
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To learn more about the contextual factors that can facilitate or hinder the implementation of a self-management intervention check our section on the topic: Contextual factors
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