Phase | Measurement |
---|---|
Baseline | |
Patient | Date of birth; gender; stature; weight; waist circumference; ethnicity; educational level; diet history; reasons for weight loss; referral; treatment expectations; self-reported morbidities including: type 2 diabetes mellitus; hypertension; dyslipidaemia; osteoarthritis; sleep apnoea; stomach pains; chronically obstructive pulmonary disease (COPD); hypothyroidism; epilepsy; mental retardation; depression, psychiatric illness and cancer [12–14]; medication, smoking habits |
Dietitian | Years of experience, number of patients treated per year; skills and training. |
Management | Several questions on food habits; type of treatment; exercise (frequency and duration); used folders and other materials; stage of change; patients own estimation of motivation and success. |
Follow-up 6 months | |
Patient | Weight; waist circumference. If working and social situation has changed; if comorbidities have changed; referral to other health workers; smoking habits; what patients do to maintain their weight loss. |
Dietitian | Counselling techniques used; judgement of dietitian if and how much the type of treatment, exercise, personal effectiveness, social support, and mental condition have contributed to successful weight loss. |
Management | Type of treatment; exercise in frequency and duration; number of consultations; duration of treatment. Which parts of the treatment have been successful: changes in eating behaviour; more exercise; better physical condition; coping with emotions or social environment; improvement of mental wellbeing and/or personal effectiveness? Is treatment continued or has it ended; why treatment has ended; if relapse has occurred. |
Follow-up 12 and 24 months | |
Patient | Weight; waist circumference. If working and social situation has changed; if comorbidities have changed; referral to other health workers; smoking habits; what patients do to maintain their weight loss. |
Dietitian | Counselling techniques; judgement of dietitian if and how much the type of treatment, exercise, personal effectiveness, social support, and mental condition have contributed to successful weight loss. If the dietitian has taken up education to improve her skills in counselling |
Management | Type of treatment; exercise in frequency and duration; number of consultations; duration of treatment. Which parts of the treatment have been successful: changes in eating behaviour; more exercise; better physical condition; coping with emotions or social environment; improvement of mental wellbeing and/or personal effectiveness? Is treatment continued or has it ended; why treatment has ended; if relapse has occurred |