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

Lauren Holland-Carter, Peter W. Tuerk, Thomas A. Wadden, Ken N. Fujioka, Lynne E. Becker, Karen Miller-Kovach, Priscilla L. Hollander, W. Timothy Garvey, Daniel Weiss, Domenica M. Rubino, Robert F. Kushner, Robert J. Malcolm, William J. Raum, Kathie L. Hermayer, Jan L. Veliko, Stephanie L. Rost, Nicoleta D. Sora, Jonny L. Salyer, Patrick M. O'Neil*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)891-897
Number of pages7
JournalJournal of Diabetes and Its Complications
Volume31
Issue number5
DOIs
StatePublished - May 2017

Keywords

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

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Endocrinology

Fingerprint Dive into the research topics of 'Impact on psychosocial outcomes of a nationally available weight management program tailored for individuals with type 2 diabetes: Results of a randomized controlled trial'. Together they form a unique fingerprint.

Cite this