Description and preliminary results from a structured specialist behavioural weight management group intervention: Specialist Lifestyle Management (SLiM) programme

Adrian Brown; Amy Gouldstone; Emily Fox; Annmarie Field; Wendy Todd; Jayadave Shakher; Srikanth Bellary; Ming Ming Teh; Muhammad Azam; Reggie John; Alison Jagielski; Teresa Arora; G. Neil Thomas; Shahrad Taheri

doi:10.1136/bmjopen-2014-007217

Description and preliminary results from a structured specialist behavioural weight management group intervention: Specialist Lifestyle Management (SLiM) programme

Adrian Brown, Amy Gouldstone, Emily Fox, Annmarie Field, Wendy Todd, Jayadave Shakher, Srikanth Bellary, Ming Ming Teh, Muhammad Azam, Reggie John, Alison Jagielski, Teresa Arora, G. Neil Thomas, Shahrad Taheri^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

Abstract

Background - Specialist Lifestyle Management (SLiM) is a structured patient education and self-management group weight management programme. Each session is run monthly over a 6-month period providing a less intensive long-term approach. The groups are patient-centred incorporating educational, motivational, behavioural and cognitive elements. The theoretical background, programme structure and preliminary results of SLiM are presented.

Subjects/methods - The study was a pragmatic service evaluation of obese patients with a body mass index (BMI) ≥35 kg/m^{2 with comorbidity or ≥40 kg/m²
without comorbidity referred to a specialist weight management service
in the West Midlands, UK. 828 patients were enrolled
within SLiM over a 48-month period.
Trained facilitators delivered the programme. Preliminary anonymised
data were analysed
using the intention-to-treat
principle. The primary outcome measure was weight loss at 3 and 6 months
with comparisons between
completers and non-completers
performed. The last observation carried forward was used for missing
data.}

Results - Of the 828 enrolled within SLiM, 464 completed the programme (56%). The mean baseline weight was 135 kg (BMI=49.1 kg/m^{2) with 87.2% of patients having a BMI≥40 kg/m² and 12.4% with BMI≥60 kg/m².
The mean weight change of all patients enrolled was −4.1 kg (95% CI
−3.6 to −4.6 kg, p=0.0001) at the end of SLiM, with
completers (n=464) achieving −5.5 kg
(95% CI −4.2 to −6.2 kg, p=0.0001) and non-completers achieving −2.3 kg
(p=0.0001). The
majority (78.6%) who attended the
6-month programme achieved weight loss with 32.3% achieving a ≥5% weight
loss.}

Conclusions - The SLiM programme is an effective group intervention for the management of severe and complex obesity.

Original language	English
Article number	e007217
Number of pages	10
Journal	BMJ Open
Volume	5
Issue number	4
DOIs	https://doi.org/10.1136/bmjopen-2014-007217
Publication status	Published - 8 Apr 2015

Bibliographical note

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

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10.1136/bmjopen-2014-007217

Structured specialist behavioural weight management group intervention
This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Final published version, 962 KBLicence: CC BY-NC 3.0

http://bmjopen.bmj.com/content/5/4/e007217

Cite this

Brown, A., Gouldstone, A., Fox, E., Field, A., Todd, W., Shakher, J., Bellary, S., Teh, M. M., Azam, M., John, R., Jagielski, A., Arora, T., Thomas, G. N., & Taheri, S. (2015). Description and preliminary results from a structured specialist behavioural weight management group intervention: Specialist Lifestyle Management (SLiM) programme. BMJ Open, 5(4), Article e007217. https://doi.org/10.1136/bmjopen-2014-007217

@article{38e3b86dad8c4067a12c6b4e939e1ef1,

title = "Description and preliminary results from a structured specialist behavioural weight management group intervention: Specialist Lifestyle Management (SLiM) programme",

abstract = "Background - Specialist Lifestyle Management (SLiM) is a structured patient education and self-management group weight management programme. Each session is run monthly over a 6-month period providing a less intensive long-term approach. The groups are patient-centred incorporating educational, motivational, behavioural and cognitive elements. The theoretical background, programme structure and preliminary results of SLiM are presented. Subjects/methods - The study was a pragmatic service evaluation of obese patients with a body mass index (BMI) ≥35 kg/m2 with comorbidity or ≥40 kg/m2 without comorbidity referred to a specialist weight management service in the West Midlands, UK. 828 patients were enrolled within SLiM over a 48-month period. Trained facilitators delivered the programme. Preliminary anonymised data were analysed using the intention-to-treat principle. The primary outcome measure was weight loss at 3 and 6 months with comparisons between completers and non-completers performed. The last observation carried forward was used for missing data. Results - Of the 828 enrolled within SLiM, 464 completed the programme (56%). The mean baseline weight was 135 kg (BMI=49.1 kg/m2) with 87.2% of patients having a BMI≥40 kg/m2 and 12.4% with BMI≥60 kg/m2. The mean weight change of all patients enrolled was −4.1 kg (95% CI −3.6 to −4.6 kg, p=0.0001) at the end of SLiM, with completers (n=464) achieving −5.5 kg (95% CI −4.2 to −6.2 kg, p=0.0001) and non-completers achieving −2.3 kg (p=0.0001). The majority (78.6%) who attended the 6-month programme achieved weight loss with 32.3% achieving a ≥5% weight loss. Conclusions - The SLiM programme is an effective group intervention for the management of severe and complex obesity. ",

author = "Adrian Brown and Amy Gouldstone and Emily Fox and Annmarie Field and Wendy Todd and Jayadave Shakher and Srikanth Bellary and Teh, {Ming Ming} and Muhammad Azam and Reggie John and Alison Jagielski and Teresa Arora and Thomas, {G. Neil} and Shahrad Taheri",

note = "This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/",

year = "2015",

month = apr,

day = "8",

doi = "10.1136/bmjopen-2014-007217",

language = "English",

volume = "5",

journal = "BMJ Open",

issn = "2044-6055",

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Brown, A, Gouldstone, A, Fox, E, Field, A, Todd, W, Shakher, J, Bellary, S, Teh, MM, Azam, M, John, R, Jagielski, A, Arora, T, Thomas, GN & Taheri, S 2015, 'Description and preliminary results from a structured specialist behavioural weight management group intervention: Specialist Lifestyle Management (SLiM) programme', BMJ Open, vol. 5, no. 4, e007217. https://doi.org/10.1136/bmjopen-2014-007217

TY - JOUR

T1 - Description and preliminary results from a structured specialist behavioural weight management group intervention

T2 - Specialist Lifestyle Management (SLiM) programme

AU - Brown, Adrian

AU - Gouldstone, Amy

AU - Fox, Emily

AU - Field, Annmarie

AU - Todd, Wendy

AU - Shakher, Jayadave

AU - Bellary, Srikanth

AU - Teh, Ming Ming

AU - Azam, Muhammad

AU - John, Reggie

AU - Jagielski, Alison

AU - Arora, Teresa

AU - Thomas, G. Neil

AU - Taheri, Shahrad

N1 - This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

PY - 2015/4/8

Y1 - 2015/4/8

N2 - Background - Specialist Lifestyle Management (SLiM) is a structured patient education and self-management group weight management programme. Each session is run monthly over a 6-month period providing a less intensive long-term approach. The groups are patient-centred incorporating educational, motivational, behavioural and cognitive elements. The theoretical background, programme structure and preliminary results of SLiM are presented. Subjects/methods - The study was a pragmatic service evaluation of obese patients with a body mass index (BMI) ≥35 kg/m2 with comorbidity or ≥40 kg/m2 without comorbidity referred to a specialist weight management service in the West Midlands, UK. 828 patients were enrolled within SLiM over a 48-month period. Trained facilitators delivered the programme. Preliminary anonymised data were analysed using the intention-to-treat principle. The primary outcome measure was weight loss at 3 and 6 months with comparisons between completers and non-completers performed. The last observation carried forward was used for missing data. Results - Of the 828 enrolled within SLiM, 464 completed the programme (56%). The mean baseline weight was 135 kg (BMI=49.1 kg/m2) with 87.2% of patients having a BMI≥40 kg/m2 and 12.4% with BMI≥60 kg/m2. The mean weight change of all patients enrolled was −4.1 kg (95% CI −3.6 to −4.6 kg, p=0.0001) at the end of SLiM, with completers (n=464) achieving −5.5 kg (95% CI −4.2 to −6.2 kg, p=0.0001) and non-completers achieving −2.3 kg (p=0.0001). The majority (78.6%) who attended the 6-month programme achieved weight loss with 32.3% achieving a ≥5% weight loss. Conclusions - The SLiM programme is an effective group intervention for the management of severe and complex obesity.

AB - Background - Specialist Lifestyle Management (SLiM) is a structured patient education and self-management group weight management programme. Each session is run monthly over a 6-month period providing a less intensive long-term approach. The groups are patient-centred incorporating educational, motivational, behavioural and cognitive elements. The theoretical background, programme structure and preliminary results of SLiM are presented. Subjects/methods - The study was a pragmatic service evaluation of obese patients with a body mass index (BMI) ≥35 kg/m2 with comorbidity or ≥40 kg/m2 without comorbidity referred to a specialist weight management service in the West Midlands, UK. 828 patients were enrolled within SLiM over a 48-month period. Trained facilitators delivered the programme. Preliminary anonymised data were analysed using the intention-to-treat principle. The primary outcome measure was weight loss at 3 and 6 months with comparisons between completers and non-completers performed. The last observation carried forward was used for missing data. Results - Of the 828 enrolled within SLiM, 464 completed the programme (56%). The mean baseline weight was 135 kg (BMI=49.1 kg/m2) with 87.2% of patients having a BMI≥40 kg/m2 and 12.4% with BMI≥60 kg/m2. The mean weight change of all patients enrolled was −4.1 kg (95% CI −3.6 to −4.6 kg, p=0.0001) at the end of SLiM, with completers (n=464) achieving −5.5 kg (95% CI −4.2 to −6.2 kg, p=0.0001) and non-completers achieving −2.3 kg (p=0.0001). The majority (78.6%) who attended the 6-month programme achieved weight loss with 32.3% achieving a ≥5% weight loss. Conclusions - The SLiM programme is an effective group intervention for the management of severe and complex obesity.

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DO - 10.1136/bmjopen-2014-007217

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SN - 2044-6055

VL - 5

JO - BMJ Open

JF - BMJ Open

IS - 4

M1 - e007217

ER -

Description and preliminary results from a structured specialist behavioural weight management group intervention: Specialist Lifestyle Management (SLiM) programme

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