"The Change Program" - a pilot feasibility study of a weight management program in Australian general practice

A general practitioner delivered weight management program.The Change Program consists of a GP Handbook, Patient Workbook and a template that is to be integrated into the general practice software. The Program content is based on current Australian guidelines for the management of overweight and obesity in primary care. The program is divided into three sections: Nutrition, Physical Activity and Behavioural Interventions. The Program is flexible in its delivery to suit both the patient and GP, however the suggested appointments are: fortnightly for the first three months, then monthly if the patient is happy with their progress. The full program runs over the course of two years. This pilot study will follow each patient for a minimum of 6 months. The Program provides both GP information and patient factsheets and worksheets in the three domains (nutrition, physical activity and behavioural supports). The information in the factsheets is based on current Australian guidelines for nutrition and physical activity. The behavioural supports are based on cognitive behavioural techniques including goal setting, self monitoring and stimulus control. The worksheets do not all need to be done in session, but can be completed by the patient at home and aid discussion with their GP. The Program also encourages the ongoing recording of the following data: BMI, waist circumference, blood pressure, relevant biochemical profile as well as a patient well-being score. At the completion of the Program the patient can continue to be monitored by their GP as part of the usual GP/patient relationship and ongoing care. Adherence will be monitored via the GP - we will collect information on appointment schedules, timing and interactions with other health professionals as appropriate.