基于选择实验法的流域中下游居民生态补偿支付意愿及其偏好研究——以渭河流域为例

在流域生态补偿机制的建设中,相关利益主体的生态补偿意愿和行为的分析对政策的管理和执行至关重要。运用选择实验法对渭河流域中下游居民的支付意愿进行考察,通过构建Mixed Logit模型对城乡居民的支付意愿及其偏好进行实证分析。研究发现,城镇和农村居民的选择显著受到水质、河流面积/水量、水土流失情况、动物种类/数量这4个属性变量的正向影响,支付金额的负向影响;其次,城镇和农村居民对水质这一属性具有最高的支付意愿,对河流面积/水量这一属性具有次高的支付意愿,而对动物种类/数量这一属性具有最低的支付意愿;最后,城镇和农村居民的平均支付意愿分别为13.168元月^-1人^-1和9.050元月^-1人^-1,前者的支付意愿明显高于后者。     

Maintenance of Weight Loss: A Needs Assessment

This study identified facilitators and obstacles to maintenance of weight loss following a very-low-calorie-diet and behavior modification program. A survey was mailed to a random sample of 178 program completers and received a 61% response rate; the most frequent follow-up period was more than 2 years. Twenty-nine percent reported weighing the same (within 10 lbs) or less than the end of their participation in the treatment program (maintainers), while 71% reported their present weight was a mean of 65% higher than their initial weight loss (regainers). Maintainers were significantly more likely to report engaging in regular aerobic exercise, attending a maintenance support group, and confidence in their ability to manage their weight in the future, while regainers were more likely to report stress and motivation as frequent weight management obstacles. Respondents consistently identified the need for low/no cost ongoing support. Maintainers and relapsers reported similar challenges in managing their weight, yet with different results, suggesting the need to identify subgroups for which different post-treatment support options could be applied.     

Weight and BMI over 6 years in Korean Children: Relationships to Body Image and Weight Loss Efforts

Objective: To investigate the relationships among longitudinal weight status, body dissatisfaction, and attitude to weight loss among Korean children from the age of 7‐8 to 13‐14 years old. Research Methods and Procedures: 351 Korean school children's heights and weights were measured at the ages of 7‐8 and 13‐14 years old; at the age of 13‐14, they completed a questionnaire about body dissatisfaction and weight loss efforts. Results: At the age of 7‐8, 15.7% of children were overweight by International Obesity Task Force standards, as compared with 26.2% at the age of 13‐14. Of the 55 7‐ to 8‐year‐old overweight children, 85.5% were still overweight at the age of 13‐14 years old. Greater concerns about body image and stronger desires to be thinner were observed among stable overweight children and among those in whom there had been a rapid increase in BMI over the 6‐year study period. Girls favored thinner shapes than did boys, regardless of their weight status or BMI changes. In girls, the level of body dissatisfaction was related only to weight loss desire, regardless of weight status or changes in BMI. In boys, however, weight loss desire was related only to weight loss attempts and was independent of weight status, BMI changes, and level of body dissatisfaction. Discussion: Regardless of weight status, changes in BMI should be considered when dealing with body dissatisfaction and attitudes to weight loss in children.     

Longitudinal Relationship between Elapsed Time in the Action Stages of Change and Weight Loss

Objective: The objective of this study was to examine the longitudinal relationship between the elapsed time in the action and maintenance stages of change for multiple target behaviors and weight loss or gain. Research Methods and Procedures: The research design was a prospective cohort study of overweight and obese primary care patients randomized to an obesity management intervention based on the Transtheoretical Model and a chronic disease paradigm. The target behaviors included increased planned exercise and usual physical activity, decreased dietary fat, increased fruit and vegetable consumption, and increased dietary portion control. The participants were 329 middle‐aged men and women with elevated body mass indices recruited from 15 primary care practices in Northeastern Ohio; 28% of the participants were African Americans. The main outcomes were weight loss (5% or more) or weight gain (5% or more) after 18 or 24 months of follow‐up. Results: There were significant (p < 0.05) longitudinal relationships between the number of periods (0 to 4) in action or maintenance for each of the five target behaviors, or a composite score taken across the five target behaviors, and weight loss. In all cases, there was a significant (p < 0.05) stepped (graded) relationship between the time in action or maintenance and weight loss (or gain). Discussion: The data support the concept of applying the Transtheoretical Model to the problem of managing obesity in primary care settings. The remaining challenge is to identify those factors that reliably move patients into the action and maintenance stages for long periods.     

Weight Loss and Gender: An Examination of Physician Attitudes

Objective: The purpose of this study was to investigate physician attitudes toward the treatment of overweight and obese individuals and to evaluate potential gender differences in treatment recommendations. Research Methods and Procedures: A survey describing several hypothetical patients was sent to 700 randomly selected physicians; 209 (29.9%) returned the survey. Two versions of the questionnaire (one for men and one for women) described three hypothetical patients at three levels of body mass index (BMI) (32, 28, and 25 kg/m²). One‐half of the physicians received a version of the questionnaire describing the patients as women, and one‐half received a version describing the patients as men. Respondents answered questions about attitudes toward treatment and specific interventions and referrals they would view as appropriate. Results: Physicians were more likely to encourage women with a BMI of 25 kg/m² to lose weight than men with the same BMI, and indicated that they would suggest more treatment referrals for women than men. Men with a BMI of 32 kg/m² were more likely to be encouraged to lose weight than women with the identical BMI. Physicians were more likely to encourage weight loss and see treatment referrals as appropriate for patients with higher BMIs. Discussion: This study indicates that physicians treat male and female patients differently, with physicians more likely to encourage weight loss and provide referrals for women with a BMI of 25 kg/m² than for men with an identical BMI and less likely to encourage weight loss for women than men with a BMI of 32 kg/m².     

基于陈述性偏好法的三江平原湿地生态保护价值比较

陈述性偏好法是当前用于评估环境物品非市场价值的主要方法,包括条件价值评估法(CVM)和选择实验(CE).本文利用陈述性偏好法对三江平原湿地的生态保护价值进行评估,基于随机效用理论构建陈述性偏好方法的支付意愿评价模型,求出基于CVM与CE的三江平原湿地生态保护价值的支付意愿(WTP).结果表明: 基于CE的平均支付意愿为每年379元,不同选择属性的边际支付意愿分别是水源涵养为每年114.00元,湿地面积为每年72.55元,自然景观为每年59.55元,生物多样性为每年37.09元;CVM的平均支付意愿为每年134元.分析支付意愿的影响因素,并对受访者拒绝支付原因进行探讨.CE方法得到受访者的支付意愿显著高于CVM方法,社会经济属性中受教育程度和个人平均年收入与受访者的支付意愿呈显著正相关,而拒绝支付原因没有显著差异.CE可以进行多属性、多水平分析,求出湿地各选择属性的支付意愿,因此CE比CVM更能揭示受访者的偏好信息,其评估结果更接近于实际.     

An Initial Evaluation of a Commercial Weight Loss Program: Short-Term Effects on Weight,Eating Behavior,and Mood

LOWE, MICHAEL R, KAREN MILLER-KOVACH, NEMA FRYE, AND SUZANNE PHELAN. An initial evaluation of a commercial weight loss program: short-term effects on weight, eating behavior, and mood. Obes Res. 1999;7:51–59. Objective : This paper describes an initial, 4-week evaluation of a commercial weight loss program. Research Methods and Procedures : Respondents (n = 985) to newspaper advertisements in two metropolitan areas were assigned to 4 weeks of either the Weight Watchers program or to a Self-Help condition. Weight loss, psychological vitality, and eating behavior were evaluated before and after the 4-week intervention. Results : Weight Watchers participants showed greater improvements than Self-Help participants on all measures; weight losses averaged 1.87 and 0.77 kg, respectively. The superior outcomes shown by Weight Watchers participants on measures of vitality and eating behavior were still evident when extent of weight loss was controlled. Weight losses across different sites, incomes, and levels of obesity were similar. Discussion : Although the present study's intervention and outcome assessments were short-term, the promising results obtained suggest that longer term studies should be undertaken.     

Comparison of Obese NIDDM and Nondiabetic Women: Short- and Long-Term Weight Loss

Previous research suggests that overweight patients with diabetes lose less weight than non diabetics. We compared the response of obese women with NIDDM to non diabetic controls, matched for age and weight, to a behavior weight loss program. Forty-three overweight women (20 NIDDM, 23 non diabetic) participated in the study. NIDDM and non diabetic subjects were treated together and received the same 16-week behavioral weight loss program. Dependent measures included weight, 3-day food records, physical activity, fasting plasma glucose, and questionnaires assessing eating behavior and depressive symptomatology. Weight loss of NIDDM and non diabetic subjects at posttreatment was comparable (-7.4 ± 5.3 kg vs. ?6.4 ± 3.8 kg, respectively). Changes in caloric intake, eating behavior, exercise and depressive symptomatology were also similar between the two groups. However, during the 1-year follow-up period, NIDDM subjects regained 5.4 ± 6.1 kg compared to 1.0 ± 6.7 kg for nondiabetics (p=.058). These data indicate that NIDDM subjects can lose as much weight as their nondiabetic peers during active treatment Once treatment terminated, however, NIDDM subjects demonstrated poor weight loss maintenance. Thus the added motivation that comes from having diabetes and seeing improvements in glycemic control with weight loss were not sufficient to improve long term weight loss in diabetic subjects. A continuous care model of weight control may be particularly necessary for overweight patients with type II diabetes.     

哀牢山亚热带常绿阔叶林土壤温度时空分布对模拟增温的响应

为把握森林不同深度的土壤温度对区域气候变暖的响应,评估气候变暖对亚热带森林土壤呼吸的影响,利用在哀牢山亚热带常绿阔叶林中设置的土壤增温和土壤呼吸人工控制实验,对2011—2013年的对照样地和增温样地不同深度的土壤温度实测数据进行了分析,结果表明:区域气候变暖导致的温度升高不改变土壤温度的年变化和日变化特征;干季的增温效应大于雨季;同一深度增温效应具有一定的年变化,但日变化不明显;增温效应在土壤表层较大,1—4月明显,2月最高,增温可达3℃;5 cm深度的平均增温效应在2℃左右,且年变化较小;随着深度的增加,增温效应呈现对数降低趋势;如果以0.5℃为增温效应的阈值,推算可得出:干季的影响深度为3.82 m,雨季可达12.04 m,年均为6.58 m。     

宁夏中宁枸杞林地粉壤土阳离子交换量空间分布预测方法对比

土壤阳离子交换量(CEC)是土壤施肥、改良的主要依据和土壤质量的评价指标,研究土壤CEC的空间分布及模型预测可为土壤养分监测、管理及精准农业实施提供科学依据。本研究以中宁枸杞林地粉壤土为对象,在自相关、交互相关等分析基础上,采用协同克里格(CoKriging)、普通最小二乘法(OLS)、地理加权回归(GWR)和随机森林(RF)模型对土壤CEC进行回归分析,比较了制图效果及模型预测精度。结果表明:中宁枸杞林地粉壤土CEC平均值为13.12 cmol·kg^-1,属中等肥力;土壤CEC的空间分布具有自相关性,并与土壤pH、有机质、黏粒和电导率在不同滞后距离上存在不同的空间相互关系; RF模型预测图避免了CoKriging、OLS和GWR模型预测图中土壤CEC图斑边界两侧破碎程度大、突变明显的缺陷,使土壤CEC在空间变化上表现为自然、平缓的过渡; RF模型RMSE值分别比CoKriging、OLS和GWR模型减少33.82%、20.55%和19.81%,R²分别提高8.84%、51.92%和7.69%。RF模型考虑了样点空间位置,明显提高了插值精度且...     

Costs and benefits of cervical screening IV: valuation by women of the cervical screening programme

OBJECTIVES: To assess the value of the cervical smear test to women, taking account of the positive and negative aspects of the cervical screening service. DESIGN: A postal survey. SETTING: Tayside Health Board region of Scotland. PARTICIPANTS: A sample of 2000 women aged 20-59. MAIN OUTCOME MEASURES: Maximum willingness to pay (WTP) for a cervical smear test. RESULTS: Women were prepared to pay 50.20 British pounds per smear on a 3-yearly basis. Willingness to pay was positively related to income, but unrelated to age and whether or not the respondent had previously had a smear. CONCLUSIONS: Previous studies have estimated the cost per screen or cost per life year saved by cervical screening. This study used the economic instrument of WTP to take account of other potential (dis)benefits to women. The value women place on having a smear was more than the cost to the National Health Service (NHS) of providing the service. The output of a WTP study is potentially useful at the policy level. Future work should explore both the value of alternative approaches to cervical screening, and the value of competing health care interventions.     

密云水库流域“稻改旱”生态补偿农户参与意愿分析

近年来,北京市政府在密云水库上游实施"稻改旱"生态补偿项目,确保城市供水安全,而上游农户能否积极参与,是该项目成功的关键。基于农户调查数据,运用选择实验模型分析了密云水库上游河北省丰宁县3个乡镇农户"稻改旱"项目的参与意愿特征。定量估计了"合同期限"、"是否可以中途退出"、"参与项目土地比例"、"化肥减量使用"、"是否可以浇水"和"补贴金额"共6个选择属性对农户参与意愿的影响。除"参与项目土地比例"外,其余属性均对农户项目参与意愿有显著影响。以此为基础,估计出各个具有显著影响选择属性的边际效应和边际接受意愿。结果表明:(1)农户青睐"可以中途退出"和"短合同期"的选择属性,反映出项目蕴藏的可持续性风险。可通过创造更多符合本地劳动力特点的非农就业机会加以解决;(2)"不可以浇水"和"减少化肥使用"已成为阻碍农户参与的两个因素。现阶段可先通过技术培训的方式,从改善农户环境意识入手,以减少农户生产行为对项目成效的不利影响;(3)补偿金额对于动员农户参与的效果较为有限,而其它几个选择属性却表现出较好的农户动员参与特性。因此,可尝试增强农户自主参与决策,并引入弹性合同机制,以有效吸引农户参与,同时节约补偿资金使用;(4)不同乡镇对"稻改旱"项目表现出差异化的参与意愿。与农业乡镇相比,非农产业乡镇的补偿期望相对较高。因此,今后应考虑改变以往不分区域"一刀切"的做法,设计多样化的补偿策略。     

Use of Very Low-Calorie Diet in Preoperative Weight Loss: Efficacy and Safety

PEKKARINEN, TUULA, PERTTI MUSTAJOKI. Use of very low-calorie diet in preoperative weight loss: Efficacy and Safety. We report the efficacy of a very low-calorie diet (VLCD)-based weight reduction program in patients with morbid obesity whose elective surgery had been postponed because of being overweight. The safety of weight loss on the immune system will also be evaluated. Thirty patients (mean age, 50 years; weight, 125 kg; BMI, 44 kg/m2) were treated. The program consisted of a 7-week to 24-week VLCD period, supported by individual sessions with a therapist, and of a refeeding period of 1 month before surgery. Two patients discontinued, and the mean weight loss of the remaining 28 patients was 19. 6 kg (15% of initial weight). In 23 patients, weight loss was 10% or more of the initial weight. After weight loss, 15 patients underwent surgery, 4 patients did not need an operation, and the remaining 9 patients were not operated on for various reasons. The numbers of circulating leukocytes, neutrophils, basophils, monocytes, CD3+, CD4+, CD8+, and natural killer cells did not change significantly by the ninth week on VLCD or by the end of the program. However, there was a significant (p<0. 05) decrease in the immunoglobulinM serum concentration during the program. In conclusion, a VLCD program is suitable for preoperative weight reduction in morbid obesity and seems not to compromise the immune system.     

Gender Differences in the Response of Plasma Leptin Concentrations to Weight Loss in Obese Older Individuals

Plasma leptin concentration is directly related to the degree of obesity and is higher in women than in men of the same body mass index (BMI). We hypothesized that fasting plasma leptin concentrations and the response of leptin to weight loss would differ in older men and women of a similar fat mass. Plasma leptin concentrations (radioimmunoassay) and fat mass (DXA) were measured in 47 older, obese (BMI=30 ± 4 kg/m²) women and 23 older, obese (BMI=31 ± 3 kg/m²) men after a 2 to 4 week period of weight and dietary stabilization, and then in 22 of the women and 18 of the men after a 6-month weight loss intervention (250–350 kcal/d deficit). Leptin correlated with fat mass in men and women (r=0.75 and r=0.77, respectively; p values<0.0001), but women had 3-fold higher leptin levels for a given fat mass than men (p=0.01). In response to the 6-month hypocaloric diet, men and women lost a similar percentage of fat mass (?13% and ?16%, respectively), but the relative decline in circulating leptin was greater in women than men (-45% and ?21%, respectively; p<0.0001). In addition, when leptin was normalized for fat mass using the ratio method, the decrease in leptin per kilogram of fat mass was greater in women than men (-0.37 ± 0.34 vs. ?0.04 ± 0.06 ng/mL/kg; p<0.01). After weight loss, the change in leptin concentrations correlated positively with the change in fat mass in men (r=0.60; p<0.01), but not in women (r=0.31; p=0.17). Furthermore, the loss in fat mass correlated negatively with baseline leptin levels in women (r=-0.47; p<0.05), but not in men (r=0.03, p=NS). These results indicate that the decline in leptin concentration with weight loss correlates with the loss in fat mass in men; but, in women, other factors affect the decrease in leptin concentration. This suggests that the role of leptin in the regulation of obesity is gender-specific and may account for gender differences in response to hypocaloric treatment and maintenance of lost weight.     

Bupropion for Weight Loss: An Investigation of Efficacy and Tolerability in Overweight and Obese Women

Objective: On the basis of the clinical observations that bupropion facilitated weight loss, we investigated the efficacy and tolerability of this drug in overweight and obese adult women. Research Methods and Procedures: A total of 50 overweight and obese (body mass index: 28.0 to 52.6 kg/m²) women were included. The core component of the study was a randomized, double‐blind, placebo‐controlled comparison for 8 weeks. Bupropion or placebo was started at 100 mg/d with gradual dose increase to a maximum of 200 mg twice daily. All subjects were prescribed a 1600 kcal/d balanced diet and compliance was monitored with food diaries. Responders continued the same treatment in a double‐blind manner for an additional 16 weeks to a total of 24 weeks. There was additional single‐blind follow‐up treatment for a total of 2 years. Results: Subjects receiving bupropion achieved greater mean weight loss (last‐observation‐carried‐forward analysis) over the first 8 weeks of the study (p = 0.0001): 4.9% ± 3.4% (n = 25) for bupropion treatment compared with 1.3% ± 2.4% (n = 25) for placebo treatment. For those who completed the 8 weeks, the comparison was 6.2% ± 3.1% (n = 18) vs. 1.6% ± 2.9% (n = 13), respectively(p = 0.0002), with 12 of 18 of the bupropion subjects (67%) losing over 5% of baseline body weight compared with 2 of 13 in the placebo group (15%; p = 0.0094). In the continuation phase, 14 bupropion responders who completed 24 weeks achieved weight loss of 12.9% ± 5.6% with fat accounting for 73.5% ± 3.7% of the weight lost and no change in bone mineral density as assessed by DXA. Bupropion was generally well‐tolerated in this sample. Discussion: Bupropion was more effective than placebo in achieving weight loss at 8 weeks in overweight and obese adult women in this preliminary study. Initial responders to bupropion benefited further in the continuation phase.     

The Fen-Phen Finale: A Study of Weight Loss and Valvular Heart Disease

Objective : To assess weight loss, as well as the prevalence of valvular heart disease, in 21 obese women who completed 2 years of treatment by fenfluramine and phentermine (fen-phen) in June 1997. Research Methods and Procedures : Patients were 21 of 22 women who had completed a 1-year, open-label trial of fen-phen combined with lifestyle modification. This study describes the results of a second year of treatment. The presence of valvular heart disease, defined as aortic regurgitation of mild or greater severity and/or mitral regurgitation of moderate or greater severity, was assessed using two-dimensional, color Doppler and pulsed- and continuouswave Doppler examinations. Results : At 2 years, the 21 patients had a mean reduction in initial weight of 13.9 ±10.1%, which was significantly (p<<0.001) smaller than their 1-year loss of 17.1 ±8.7%. Nine of 21 patients reported that they took fen-phen irregularly during the last 4 months of the study because of fears of developing health complications. These nine patients had a 2-year weight loss of 8.7 ± 7.5%, compared with a significantly (p<0.04) larger loss of 17.6 ± 10.5% for participants who reported taking medication regularly. Six of 20 (30%) patients met criteria for valvular heart disease. None of the six had signs or symptoms of this condition. Discussion : Fenfluramine was withdrawn from the market on September 15, 1997 because of concerns that it was associated with valvular heart disease. The present findings are discussed in terms of the potentially favorable long-term benefits of combining lifestyle modification with weight loss medications that are both safe and effective.     

利益相关者视角下的濒危物种价值评估与生态补偿——以翅果油树为例

濒危物种价值评估可为生物多样性保护提供重要的政策支撑。本文以国家二级重点保护植物翅果油树为例,从利益相关者视角作为切入点,基于选择实验法评价其偏好和支付意愿(WTP),进而探讨生态补偿机制。基于管理部门、企业和农户三方利益相关者的利益诉求,分析确定了5个翅果油树的物种属性,即种植面积、产品分类、树苗品种、保护投入和农户收益。运用随机参数Logit模型分析了利益相关者对不同物种属性变量的偏好和支付意愿。结果表明: 受访者对“保护增加投入”偏好最强和支付意愿最高,每户为331.00 yuan·a^-1;对产品开发的“高低端产品同时开发”和“高端产品开发为主”变量偏好次之,WTP分别为每户242.71和227.57 yuan·a^-1;对“农户收益”、“保护投入不变”、“树苗品种”和“种植面积”由强到弱依次表现出一定的偏好及支付意愿;而对“保护不投入”和“低端产品开发为主”偏好最弱且WTP为负值。通过直接和间接补偿方式对补偿客体(翅果油树及其生境)实施生态补偿,得到的补偿剩余价值为每户每年285.62元。     

Costs of Caregiving: Weight Loss in Captive Adult Male Cotton-Top Tamarins (Saguinus oedipus) Following the Birth of Infants

We examined changes in weight for 10 captive adult male cotton-top tamarins (Saguinus oedipus) from before the birth of infants through the first 16 weeks of infant life. Compared to before birth, males weighed significantly less in Weeks 1–4, 5–8, and 9–12 following the birth. Weights in Weeks 13–16 did not differ significantly from prebirth weights. Maximum weight loss for individual males ranged from 1.3 to 10.8% of prebirth body weight. Males in groups with fewer helpers lost significantly more weight than ones in groups with more helpers. For the 3 males that had no helper other than their mates, weight loss was particularly striking, ranging from 10.0 to 10.8% of their prebirth body weight. These results suggest that caring for infants is energetically costly, and that in this cooperatively breeding species, the presence of more individuals to share the burden of infant carrying reduces the cost to individual caregivers.     

Effect of Internet Support on the Long‐Term Maintenance of Weight Loss

Objective: To investigate the efficacy of an Internet weight maintenance program. Research Methods and Procedures: Two hundred fifty‐five healthy overweight and obese adults (mean ± SD BMI, 31.8 ± 4.1 kg/m²) men (18%; mean ± SD age, 45.8 ± 8.9 yrs) participated in a 6‐month behavioral weight control program conducted over interactive television. Treatment was followed by a 12‐month weight maintenance program with three conditions: frequent in‐person support (F‐IPS), minimal in‐person support (M‐IPS) and internet support (IS). Main outcome measures included body weight, program adherence, and social influence components. Results: There were no significant differences among the groups in weight loss (mean ± SD) from baseline to 18 months (7.6 ± 7.3 kg vs. 5.5 ± 8.9 kg vs. 5.1 ± 6.5 kg, p = 0.23 for the IS, M‐IPS, and F‐IPS, respectively). Discussion: Participants assigned to an internet‐based weight maintenance program sustained comparable weight loss over 18 months compared with individuals who continued to meet face‐to‐face. Therefore, the internet appears to be a viable medium for promoting long‐term weight maintenance.     

Assessing Dietary and Exercise Stage of Change to Optimize Weight Loss Interventions

Objective : According to the Transtheoretical Model (TM), tailoring interventions to patients’ readiness to change can enhance patient progress and help patients use therapeutic resources more effectively. However, tailoring an intervention depends on accurate assessment of patients’ stage of change (SOC). This study describes a multi‐item algorithm of SOC (M‐SOC) for weight loss‐related behaviors that attempts to overcome some of the conceptual and methodological difficulties encountered in previously SOC assessments. Research Methods: Data were collected from participants randomly assigned to the treatment arm of a clinical trial comparing a TM‐based, cognitive‐behavioral intervention with enhanced usual care for weight loss. Results : The stair‐step relationships hypothesized by the TM between assessed SOC and key behavioral measures were found for all algorithms (p < 0.05), indicating that the M‐SOC algorithm performs as well as single item algorithms. However, 50% fewer patients were classified in action or maintenance for dietary fat intake and portion control (p < 0.05) by the multiple‐item algorithms, providing staging more consistent with the clinical presentation of obese individuals. In addition, logistic regression analyses indicated that the single‐item algorithms were not sufficient predictors of these behavioral domains. Discussion : To the extent that treatment is guided by assessed SOC, there is potential for a considerable variability in interventions with different approaches to staging. For weight‐loss interventions that target portion control and decreased fat intake, the multi‐item SOC algorithms seem to be better guides for matching treatments to SOC.