Obesity Prevention and Control: Provider-Oriented Interventions, Multicomponent Provider Interventions with Client Interventions

Multicomponent interventions are designed to increase knowledge and change attitudes and practices of healthcare providers in addressing overweight and obesity among clients. These interventions use more than one of the following strategies: education, feedback, reminders, or office systems and support mechanisms. The interventions in this review also include components directed at clients themselves (e.g., lifestyle education, behavioral interventions).

Summary of Task Force Recommendations & Findings

The Community Preventive Services Task Force finds insufficient evidence to determine the effectiveness of the combination of multicomponent provider-oriented interventions with client interventions to prevent and control obesity among child, adolescent, or adult clients based on the lack of any data on provider behavior change and moderate effects on patient weight.

Results from the Systematic Reviews

Interventions for providers with adult patients:

• Three studies qualified for the review.
• No studies reported outcomes related to provider behavior.
• Patient outcomes:
  • Weight: median decrease of 5.72 lbs (3 studies)
  • Blood pressure: one study reported a decrease
  • Blood lipid measures: one study reported improvements
  • No behavior change outcomes reported

Interventions for providers with child and adolescent patients:

• The single study identified for the review found small and inconsistent effects on BMI, physical activity, and nutrition outcomes.

Economic efficiency is not reviewed for interventions for which there is insufficient evidence to determine effectiveness.

These results were based on a systematic review of all available studies, conducted on behalf of the Task Force by a team of specialists in systematic review methods, and in research, practice and policy related to obesity prevention and control.

Publications

The findings and results of this systematic review have not been published. Read other Community Guide publications about Obesity Prevention and Control in our library. You may also subscribe to be notified as new materials on this topic become available.

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Sample Citation

The content of publications of the Guide to Community Preventive Services is in the public domain. Citation as to source, however, is appreciated. Sample citation: Guide to Community Preventive Services. Obesity prevention and control: provider-oriented interventions, multicomponent provider interventions with client interventions. www.thecommunityguide.org/obesity/Multicomponent_client.html. Last updated: MM/DD/YYYY.

Review completed: February 2008