Table 6Behavior-Based Weight Loss Maintenance Intervention Characteristics (k=9, 15 intervention arms)

Author, year (Study name)ArmBrief descriptionMain mode of deliveryIn-person supportDuration (mos)Weight loss phase componentsMaintenance componentsTotal # of sessions in first 12 mosSettingPCP involved?Provider
Cussler, 2008233

(HW4L)
IG1Web-based monitoring and supportTech12Weekly group meetings (150 min/session) for 4 months

Required weight loss to enter maintenance: None
2 × website orientation sessions (60 min) and ongoing online support groups2NRNoNR
Pekkarinen, 2015282IG1Group counselingGroupX12Week 2-11 included VLCDD followed by a 2-week refeeding phase. 15 weekly group sessions (1.5 hours) during 17-week weight loss phase.

Required weight loss to enter maintenance: None
12 × group sessions (90 min)12Outpatient obesity research clinicNRNutritionist, nurse, and physiotherapist
Perri, 1988284IG1Group counseling plus social influence and increased physical activityGroupX12Weekly 2-hour weekly group sessions for 20 weeks.

Required weight loss to enter maintenance: None
26 × group sessions (120 min)26NRYesClinical psychologist paired with physician or nurse practitioner
IG2Group counseling plus increased physical activityGroupX12Weekly 2-hour weekly group sessions for 20 weeks.

Required weight loss to enter maintenance: None
26 × group sessions (120 min)26NRYesClinical psychologist paired with physician or nurse practitioner
IG3Group counseling plus social influence programGroupX12Weekly 2-hour weekly group sessions for 20 weeks.

Required weight loss to enter maintenance: None
26 × group sessions (120 min)26NRYesClinical psychologist paired with physician or nurse practitioner
IG4Group counselingGroupX12Weekly 2-hour weekly group sessions for 20 weeks.

Required weight loss to enter maintenance: None
26 × group sessions (120 min)26NRYesClinical psychologist paired with physician or nurse practitioner
Sherwood, 2013294

(Keep It Off)
IG1Telephone-based counselingPhoneNo WL intervention given.

Required weight loss to enter maintenance: ≥10% WL in past year
10 × telephone calls (20 min)
14 × telephone calls (15 min)
24HomeNRNR
Simpson, 2015296

(WILMA)
IG1Individual counselingIndividual + PhoneX12No WL intervention given.

Required weight loss to enter maintenance: ≥5% WL in past year
6 × individual MI sessions (60 min)
9 × telephone counseling sessions (20 min)
15NRNRMotivational interviewing practitioner
IG2Individual counselingIndividual + PhoneX12No WL intervention given.

Required weight loss to enter maintenance: ≥5% WL in past year
Two individual sessions (length NR) followed by 2 phone sessions (~20 minutes) (about 6 months apart).4NRNRMotivational interviewing practitioner
Svetkey, 2008303

(WLM)
IG1Individual and telephone counselingIndividual + PhoneX60Weekly group sessions (1.5-2 hours) over approximately 6 months (20 total).

Required weight loss to enter maintenance: ≥4 kg during WL phase
Maintenance, phase 1: 23 × phone sessions (5-15 min) 7 × individual sessions (45-60 min)
Maintenance, phase 2: Continued contact group only: 4 × group sessions (min NR)
26 × phone sessions (5-15 min)
12NRNoResearch interventionist
IG2Web-based monitoringTech30Weekly group sessions (1.5-2 hours) over approximately 6 months (20 total).

Required weight loss to enter maintenance: ≥4 kg during WL phase
No sessions. Web-based monitoring only.0NRNoNA
Voils, 2017309IG1Group and individual counselingMixedX10Biweekly group meetings for 16 weeks (8 sessions total).

Required weight loss to enter maintenance: ≥4 kg during WL phase
3 × group sessions (min NR)
8 × individual phone sessions (min NR)
11University campus & homeNoRegistered dietitian
Wing, 2006313

(STOP)
IG1Group counselingGroupX18No WL intervention given.

Required weight loss to enter maintenance: ≥10% WL in past 2 years
4 × weekly meetings (min NR)
17 × monthly meetings (min NR)
15Hospital clinicNRNutritionist, exercise physiologist, and clinical psychologist
IG2Web-based interventionTech18No WL intervention given.

Required weight loss to enter maintenance: ≥10% WL in past 2 years
1 × introductory session (min NR)
4 × weekly chat-room meetings (min NR)
17 × monthly chat-room meetings (min NR)
16InternetNRNutritionist, exercise physiologist, and clinical psychologist
Young, 2017317IG1Web-based interventionTech6Self-administered weight loss program (DVD, logbooks, and motivational messaging).

Required weight loss to enter maintenance: ≥4kg during WL phase
Web-based self-monitoring program (min NA)0Home (web-based)NRResearch staff

Abbreviations: HW4L = Healthy Weight for Life; IG = intervention group; kg = kilograms; min = minute(s); mos = months; NA = not applicable; NR = not reported; PCP = primary care provider; STOP = Study to Prevent Regain; Tech = technology-based; WILMA = Weight Loss Maintenance in Adults; WL = weight loss; WLM = Weight Loss Maintenance

From: Chapter 3, Results

Cover of Behavioral and Pharmacotherapy Weight Loss Interventions to Prevent Obesity-Related Morbidity and Mortality in Adults: An Updated Systematic Review for the U.S. Preventive Services Task Force
Behavioral and Pharmacotherapy Weight Loss Interventions to Prevent Obesity-Related Morbidity and Mortality in Adults: An Updated Systematic Review for the U.S. Preventive Services Task Force [Internet].
Evidence Synthesis, No. 168.
LeBlanc EL, Patnode CD, Webber EM, et al.

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