Impact on psychosocial outcomes of a nationally available weight management program tailored for individuals with type 2 diabetes: Results of a randomized controlled trial,☆☆

https://doi.org/10.1016/j.jdiacomp.2017.01.022Get rights and content
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Abstract

Aims

Type 2 diabetes mellitus (T2DM) can substantially decrease quality of life (QOL). This study examined the effects on QOL-relevant psychosocial measures of a widely available commercial weight loss program enhanced for individuals with T2DM.

Methods

A year-long multi-site randomized clinical trial compared the Weight Watchers (WW) approach, supplemented with phone and email counseling with a certified diabetes educator (CDE), to brief standard diabetes nutrition counseling and education (Standard Care; SC). Participants were 400 women and 163 men (N = 279 WW; 284 SC) with T2DM [mean (± SD) HbA1c 8.32 ± 1%; BMI = 37.1 ± 5.7 kg/m2; age = 55.1 ± 9.1 years]. Psychosocial outcomes were assessed at baseline, month 6, and month 12 using a diabetes specific psychosocial measure (Diabetes Distress Scale [DDS]), Impact of Weight on Quality of Life-Lite scale (IWQOL), a generic QOL measure (SF-36), and a depression screen (PHQ-9).

Results

WW participants showed significantly greater improvements than did SC participants on all DDS subscales and total score and on IWQOL total score and physical function, sex life and work domains (all ps < .05). There was no significant treatment effect on SF-36 scores or PHQ-9.

Conclusions

WW enhanced for individuals with T2DM was superior to SC in improving psychosocial outcomes most specific to T2DM and obesity. Available commercial WL programs, combined with scalable complementary program-specific diabetes counseling, may have benefits that extend to diabetes-related distress and weight-relevant QOL.

Keywords

Diabetes
Weight loss
Psychosocial
Diabetes distress
Commercial weight loss programs
Quality of life

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TRIAL REGISTRATION: ClinicalTrials.gov Identifier NCT01601574.

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FUNDING: This work was supported by a grant from Weight Watchers International (WWI) to the Medical University of South Carolina (MUSC).

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NOTE: Karen Miller-Kovach, Stephanie Rost, and Jan Veliko are no longer with Weight Watchers International.