Goal 1: Promote Human Health

dose-response relationship for behavioral treatment of obesity

As a member of the NHLBI panel updating the obesity treatment guidelines, it was clear that there has not been much systematic work on the relationship between the frequency of intervention contacts and the short and long-term effects on weight change and maintenance of weight change. The general finding that more frequent contacts with professional weight loss counselors, and a longer series of contacts, are more effective, there has been little systematic work in this area. Some grant application reviewers take the attitude that "we already know", but quite frankly, the field would greatly benefit from some parametric studies to clarify these issues.

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Is this idea a Compelling Question (CQ) or Critical Challenge (CC)? : Compelling Question (CQ)

Details on the impact of addressing this CQ or CC :

The sad truth is that many short-term weight loss treatment programs are still being offered by health care organizations. Although experienced weight loss researchers agree that such programs are ineffective and therefore a waste of resources. the definitive research on the does-response relationship between number of intervention contacts, and duration of intervention programs has not been done.

Feasibility and challenges of addressing this CQ or CC :

Such a study could easily be done, but would probably require an RFA mechanism to get past prejudices of some peer reviewers.

Name of idea submitter and other team members who worked on this idea : Victor J. Stevens

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Idea No. 978