Table 3.
A summary of the three POWER trials.
Study | N | Interventions | Number of treatment visits | Months of post-randomization follow-up | Weight change at month 6, kg | Weight change at follow-up, kg | ≥ 5% loss of initial weight at follow-up, % of subjects | Attrition at follow-up, %* |
---|---|---|---|---|---|---|---|---|
Wadden et al.4 | 390 | 1) Usual care | 8 | 24 | −2.0 ± 0.5a | −1.7 ± 0.7a | 21.5a | 15 |
2) Brief lifestyle counseling (quarterly PCP visits + MA counseling) | 33 | 24 | −3.5 ± 0.5b | −2.9 ± 0.7ab | 26.0ab | 15 | ||
3) Enhanced brief lifestyle counseling (quarterly PCP visits + MA counseling + meal replacements/medication) | 33 | 24 | −6.6 ± 0.5c | −4.6 ± 0.7b | 34.9b | 12 | ||
Bennett et al.5 | 365 | 1) Usual care | 0 | 24 | −0.1 ± 0.4a | −0.5 ± 0.4a | 19.5 | 10 |
2) Telephone + electronic-based + group counseling | 30 | 24 | −1.3 ± 0.4b | −1.5 ± 0.4b | 20.0 | 18 | ||
Appel et al.6 | 415 | 1) Control (self-directed) | 2 | 24 | −1.4 ± 0.4a | −0.8 ± 0.6a | 18.8a | 7 |
2) Remote support only (telephone + electronic-based counseling) | 33 | 24 | −6.1 ± 0.5b | −4.6 ± 0.7b | 38.2b | 5 | ||
3) In-person support (telephone + electronic-based + in-person counseling) | 57 | 24 | −5.8 ± 0.6b | −5.1 ± 0.8b | 41.4b | 4 |
Note: Values shown for weight change are mean ± SEM. For each study, under “weight change” (at month 6 and at follow-up) and “ ≥5% loss of initial weight at follow-up,” values labeled with different letters (a,b,c) are significantly different from each other at p < 0.05; PCP = primary care provider; MA = medical assistant.
Attrition is defined as the percentage of participants who did not contribute an in-person weight at the end of the study. An intention-to-treat analysis was used in these studies.
Weight losses represent percentage weight change.