Description, utilisation and results from a telehealth primary care weight management intervention for adults with obesity in South Carolina

被引:18
作者
Brown, Joshua D. [1 ]
Hales, Sarah [2 ]
Evans, T. Ed [3 ]
Turner, Tonya [2 ]
Sword, David O. [2 ]
O'Neil, Patrick M. [2 ]
Ballentine, Sara [4 ]
Lovelace, Oscar [4 ]
DuBose-Morris, Ragan Aleise [2 ]
机构
[1] Wake Forest Baptist Hlth, 4614 Country Club Rd, Winston Salem, NC 27104 USA
[2] Med Univ South Carolina, Charleston, SC 29425 USA
[3] Seneca Lakes Family Med, Seneca, SC USA
[4] Lovelace Family Med, Prosperity, SC USA
关键词
Telemedicine; weight management; obesity; primary care; access; PEDIATRIC OBESITY; TELEMEDICINE; TECHNOLOGY; TRIAL;
D O I
10.1177/1357633X18789562
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Introduction In the US, obesity rates are higher in rural areas than in urban areas. Rural access to treatment of obesity is limited by a lack of qualified clinicians and by transportation and financial barriers. We describe a telemedicine weight management programme, Wellness Connect, developed through a partnership of academic clinicians and rural primary care providers in South Carolina, and present utilisation and weight outcomes from seven patient cohorts. Methods Eight bi-weekly sessions were provided via telemedicine videoconferencing for groups of patients at these rural primary care clinics. Protocol-based sessions were led by registered dietitians, exercise physiologists and clinical psychologists at a central urban location. Results Of 138 patients who started the programme, 62% (N = 86) of patients met the criteria for completion. Completers lost an average of 3.5% (standard deviation (SD) = 3.9%) body weight, which was statistically significant (p < .001) and corresponded with an average loss of 3.8 kg (SD = 4.5 kg). There were no differences in weight change among clinics (p = .972). Overall, patients and providers reported satisfaction with the programme and identified several challenges to sustainability. Discussion The use of innovative telemedicine interventions continues to be necessary to alleviate barriers to accessing evidence-based services to reduce chronic diseases and decrease obesity rates among rural populations.
引用
收藏
页码:28 / 35
页数:8
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