Dissemination of the Look AHEAD Intensive Lifestyle Intervention in the United States Military: A Randomized Controlled Trial |
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| Authors: | Rebecca A. Krukowski Marion E. Hare Gerald W. Talcott Leslie A. Gladney Karen C. Johnson Phyllis A. Richey Mehmet Kocak Patrick L. Keller Ann Hryshko‐Mullen Robert C. Klesges |
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| Affiliation: | 1. Department of Preventive Medicine, University of Tennessee Health Science Center, Memphis, Tennessee, USA;2. Department of Pediatrics, University of Tennessee Health Science Center, Memphis, Tennessee, USA;3. University of Tennessee Health Science Center, Lackland Air Force Base, San Antonio, Texas, USA;4. Department of Public Health Sciences, School of Medicine, University of Virginia, Charlottesville, Virginia, USA;5. Defense Institute for Medical Operations, Joint Base San Antonio, Lackland Air Force Base, San Antonio, Texas, USA;6. Department of Mental Health, Wilford Hall Ambulatory Surgical Center, San Antonio, Lackland Air Force Base, San Antonio, Texas, USA |
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| Abstract: | Objective The purpose of this study, “Fit Blue,” was to compare a translation of the Look AHEAD (Action for Heath in Diabetes) intensive lifestyle intervention with a self‐paced version of the same intervention among active duty military personnel. Methods Active duty military personnel (N = 248; 49% male, 34% racial minority) with overweight or obesity were randomized to 12‐month distance‐based (i.e., phone and email) parallel programs, counselor‐initiated (CI) condition or self‐paced (SP) condition, from 2014 to 2016. Trained lay interventionists were retired military personnel or had extensive familiarity with the military. Results The CI condition had greater weight loss at 4 months (CI: mean ± SD = ?3.2 ± 3.4 kg; SP: ?0.6 ± 2.9 kg; P < 0.0001) and at 12 months (CI: mean ± SD = ?1.9 ± 4.1 kg; SP: ?0.1 ± 3.8 kg; P < 0.001). Participants in the CI condition also had a greater percent weight loss at both 4 months (CI: 3.5% ± 3.8, SP: 0.6% ± 3.1; P < 0.0001) and 12 months (CI: 2.1% ± 4.7, SP: 0.0% ± 4.0; P < 0.001). In addition, a greater proportion of CI participants lost 5% or more at 4 months (CI: 29.8%, SP: 10.5%; P < 0.001) and at 12 months (CI: 29.5%, SP: 15.6%; P < 0.05). Conclusions The CI behavioral weight loss intervention translated from Look AHEAD was well received and is a promising approach for managing weight in an active duty military population. |
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