Browsing by Author "Clark, Daniel"

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    Screening, referral, and participation in a weight management program implemented in five CHCs
    (Johns Hopkins University Press, 2010-05) Clark, Daniel; Chrysler, Lisa; Perkins, Anthony; Keith, Nicole R.; Willis, Deanna R.; Abernathy, Greg; Smith, Faye; Department of Medicine, IU School of Medicine
    Community health centers have the potential to lessen obesity. We conducted a retrospective evaluation of a quality improvement program that included electronic body mass index (BMI) screening with provider referral to an in-clinic lifestyle behavior change counselor with weekly nutrition and exercise classes. There were 26,661 adult patients seen across five community health centers operating the weight management program. There were 23,593 (88%) adult patients screened, and 12,487 (53%) of these patients were overweight or obese (BMI >or=25). Forty percent received a provider referral, 15.6% had program contact, and 2.1% had more than 10 program contacts. A mean weight loss of seven pounds was observed among those patients with more than 10 program contacts. No significant weight change was observed in patients with less contact. Achieving public health impact from guideline recommended approaches to CHC-based weight management will require considerable improvement in patient and provider participation.
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    Self-Weighing in Weight Management Interventions: A Systematic Review of Literature
    (Elsevier, 2016) Shieh, Carol; Knisely, Mitchell R.; Clark, Daniel; Carpenter, Janet S.; IU School of Nursing
    Background Self-weighing increases a person's self-awareness of current weight and weight patterns. Increased self-weighing frequency can help an individual prevent weight gain. Literature, however, is limited in describing variability in self-weighing strategies and how the variability is associated with weight management outcomes. Aim This review analyzed self-weighing in weight management interventions and the effects of self-weighing on weight and other outcomes. Methods Twenty-two articles from PubMed, CINAHL, Medline, PsychInfo, and Academic Search Premier were extracted for review. Results These 22 articles reported findings from 19 intervention trials, mostly on weight loss or weight gain prevention. The majority of the reviewed articles reported interventions that combined self-weighing with other self-monitoring strategies (64%), adopted daily self-weighing frequency (84%), and implemented interventions up to six months (59%). One-half of the articles mentioned that technology-enhanced or regular weight scales were given to study participants. Of the articles that provided efficacy data, 75% of self-weighing-only interventions and 67% of combined interventions demonstrated improved weight outcomes. No negative psychological effects were found. Conclusions Self-weighing is likely to improve weight outcomes, particularly when performed daily or weekly, without causing untoward adverse effects. Weight management interventions could consider including this strategy.