Obesity

Weight‐Related Self‐Esteem, Group Behavioral Therapy, and Weight Loss

Obesity (Silver Spring)Published Secondary analysis of a cluster randomised controlled trial

Authors' conclusion

People may benefit more from group than individual intervention if their self-esteem is above an IWQOL-L score of 60 when starting an intensive behavioral intervention for weight loss.

Study context

Population
Rural primary care patients with obesity in a 24-month cluster RCT; baseline weight-related self-esteem (Impact of Weight on Quality of Life-Lite (IWQOL-L), 0–100)
Participants
1,220 patients
Comparison
Group vs individual visits for intensive behavioral weight loss, by baseline weight-related self-esteem
Primary endpoint
Weight loss by baseline weight-related self-esteem, group vs individual treatment
Follow-up
24 months
Methodological detailsBayesian normal dynamic linear model with changepoint
  • Bayesian normal dynamic linear model with changepoint

Primary result

As reported in the abstract

Weight loss

Posterior probability that group lost more weight than individual, for self-esteem scores >60

> 0.999

Further findings

Weight loss, highest self-esteem (scores 80-100) · 24 months

Original publication

Weight‐Related Self‐Esteem, Group Behavioral Therapy, and Weight Loss. Obesity (Silver Spring). Published 8 July 2026. doi:10.1002/oby.70257

Composed by AI from the published abstract and checked against it. How Briefs are made →

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