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Design of the Rural LEAP randomized trial: An evaluation of extended-care programs for weight management delivered via group or individual telephone counseling. | LitMetric

AI Article Synopsis

  • - Obesity in rural areas contributes significantly to higher rates of chronic diseases, yet there's limited research on addressing these health disparities through effective weight management strategies.
  • - Lifestyle interventions can lead to meaningful weight loss, but challenges remain with maintaining these results long-term and making programs accessible to underserved populations.
  • - The Rural Lifestyle Eating and Activity Program (Rural LEAP) aims to evaluate the cost-effectiveness of delivering extended-care through group-based telephone counseling versus individual approaches to help rural adults with obesity manage their weight long-term.

Article Abstract

Obesity is a major contributor to the greater prevalence of chronic disease morbidity and mortality observed in rural versus nonrural areas of the U.S. Nonetheless, little research attention has been given to modifying this important driver of rural/urban disparities in health outcomes. Although lifestyle treatments produce weight reductions of sufficient magnitude to improve health, the existing research is limited with respect to the long-term maintenance of treatment effects and the dissemination of services to underserved populations. Recent studies have demonstrated the feasibility of delivering lifestyle programs through the infrastructure of the U.S. Cooperative Extension Service (CES), which has >2900 offices nationwide and whose mission includes nutrition education and health promotion. In addition, several randomized trials have shown that supplementing lifestyle treatment with extended-care programs consisting of either face-to-face sessions or individual telephone counseling can improve the maintenance of weight loss. However, both options entail relatively high costs that inhibit adoption in rural communities. The delivery of extended care via group-based telephone intervention may represent a promising, cost-effective alternative that is well suited to rural residents who tend to be isolated, have heightened concerns about privacy, and report lower quality of life. The Rural Lifestyle Eating and Activity Program (Rural LEAP) is a randomized trial, conducted via CES offices in rural communities, targeted to adults with obesity (n = 528), and designed to evaluate the effectiveness and cost-effectiveness of extended-care programs delivered via group or individual telephone counseling compared to an education control condition on long-term changes in body weight.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6311420PMC
http://dx.doi.org/10.1016/j.cct.2018.11.006DOI Listing

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