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A motivation-focused weight loss maintenance program is an effective alternative to a skill-based approach.

OBJECTIVE: Maintaining weight loss is a major challenge in obesity treatment. Individuals often indicate that waning motivation prompts cessation of effective weight management behaviors. Therefore, a novel weight loss maintenance program that specifically targets motivational factors was evaluated. DESIGN: Overweight women (N=338; 19% African American) with urinary incontinence were randomized to lifestyle obesity treatment or control and followed for 18 months. All participants in lifestyle (N=226) received the same initial 6-month group behavioral obesity treatment and were then randomized to (1) a novel motivation-focused maintenance program (N=113) or (2) a standard skill-based maintenance approach (N=113). MAIN OUTCOME MEASURE: Weight assessed at baseline, 6 and 18 months. RESULTS: Both treatment groups (motivation-focused and skill-based) achieved comparable 18-month weight losses (-5.48% for motivation-focused vs -5.55% in skill-based, P=0.98), and both groups lost significantly more than controls (-1.51%; P=0.0012 in motivation-focused and P=0.0021 in skill-based). CONCLUSIONS: A motivation-focused maintenance program offers an alternative, effective approach to weight maintenance expanding available evidence-based interventions beyond traditional skill-based programs.

Pubmed ID: 20680012


  • West DS
  • Gorin AA
  • Subak LL
  • Foster G
  • Bragg C
  • Hecht J
  • Schembri M
  • Wing RR
  • Program to Reduce Incontinence by Diet and Exercise (PRIDE) Research Group


International journal of obesity (2005)

Publication Data

February 15, 2011

Associated Grants

  • Agency: NIDDK NIH HHS, Id: K24 DK080775
  • Agency: NIDDK NIH HHS, Id: U01 DK067860
  • Agency: NIDDK NIH HHS, Id: U01 DK067860-03
  • Agency: NIDDK NIH HHS, Id: U01 DK067861
  • Agency: NIDDK NIH HHS, Id: U01 DK067861
  • Agency: NIDDK NIH HHS, Id: U01 DK067861-03
  • Agency: NIDDK NIH HHS, Id: U01 DK067862
  • Agency: NIDDK NIH HHS, Id: U01 DK067862-02
  • Agency: NIDDK NIH HHS, Id: U01DK067860

Mesh Terms

  • Behavior Therapy
  • Diet, Reducing
  • Female
  • Humans
  • Middle Aged
  • Motivation
  • Obesity
  • Patient Compliance
  • Risk Reduction Behavior
  • Self Concept
  • Treatment Outcome
  • Urinary Incontinence
  • Weight Loss