TF was responsible for data collection and data analysis. Rothberg , 1 Laura N. WalkingSpree is one such program that incorporates pedometers with web-based interfaces to assess activity, food consumption, and body weight, and to support social networking. Annual medical spending attributable to obesity: Offering a choice of programs that appeal to different subpopulations appears to be important for program uptake. CB was responsible for the study design and data interpretation.
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Program participation was associated with significant reductions in BMI and improvements in cardiovascular risk factors including blood pressure, lipids, and glycemia with no increase in pharmacy costs. In the United States, the prevalence and costs of obesity are enormous and are growing rapidly.
Prior to enrollment, patients are asked to attend an orientation session that reviews the scope of the obesity problem, the epidemiology and biology of obesity, and the requirements of the program. In a randomized controlled clinical trial, Dansinger and colleagues assessed adherence rates and the effectiveness of four popular diets for weight loss and cardiac risk factor reduction 4.
Users may view, print, copy, and download text and data-mine the content in such documents, for the purposes of academic research, subject always to the full Conditions of use: Tom Fraser is a Blue Care Network employee. When implemented within organized systems of health care, weight loss and physical activity programs have an enormous potential to improve clinical outcomes. Participants are subsequently asked to perform 40 to 90 minutes of moderate to vigorous physical activity per day.
Perhaps due to both the freedom of choice and the financial incentives, longer-term program participation was also excellent.
Abstract Objective To evaluate the impact of a managed care obesity intervention that requires enrollment in an intensive medical weight management program, a commercial weight loss program, or a commercial pedometer-based walking program to maintain enhanced benefits.
Those who do not adhere to the program requirements revert to standard benefits.
Walkingspree Official Rules | Henry Community Health
We included all members who were eligible to participate in the three programs and who were sent notification letters to join the WMP, Weight Wapkingspree, or WalkingSpree. Characteristics of the study population before enrollment and 12 months after enrollment in the weight management pedomeyer. WalkingSpree is one such program that incorporates pedometers with web-based interfaces to assess activity, food consumption, and body weight, and to support social networking.
In managed care organizations, patients have access to primary care, laboratory testing, and medications. Author manuscript; available in PMC May 1. Loss aversion may thus provide a strong incentive for behavior change. A portion of Dr.
Walkingspree Official Rules
Mean HbA1c performed for diabetic members was 7. Members who chose not to participate in any weight management program showed an increase in HbA1c and an increase in treated depression at follow-up Table 2. Randomized controlled clinical trials have demonstrated the efficacy of short-term weight loss interventions. When we compared clinical outcomes among members who elected a program to those who elected no program, it was apparent that members who elected the WMP demonstrated a consistent and substantial improvement in all of the risk factors assessed Table 2.
The largest proportion of costs was attributable eoftware outpatient care and pharmacy. These diaries are reviewed each week with the dietitian either in person, by telephone, or by email.
Rates of treated depression remained unchanged. Those who failed to meet these requirements reverted to standard benefits.
BMI decreased from For members who enrolled in a weight management program, this was the date of first enrollment after the notification letter was sent.
Herman 1, 2, 3. Factors associated with long-term success. Body mass index, blood pressure, lipids, HbA1c or fasting glucose, and per-member per-month costs were assessed one year before and one year after program implementation.
There was a statistically significant decrease in the PMPM cost of laboratory testing and an increase in other costs driven primarily by the wallkingspree of the weight management programs themselves.
Compared wapkingspree non-participants, individuals who participated demonstrated reductions in body mass index, improvements in blood pressure, wqlkingspree levels, and measures of glycemia, and a lower rate of increase in total PMPM health care costs. Conclusions A managed care obesity intervention that offered financial incentives for participation and a variety of programs was associated with excellent program uptake and adherence, improvements in cardiovascular risk factors, and a lower rate of increase in direct medical costs over one year.