Custom Writing Essay Service Paper on Weight Management in Group Intervention against One to One Individuals

WEIGHT MANAGEMENT IN GROUP INTERVENTION AGAINST ONE TO ONE INDIVIDUALS

Introduction

Weight management is one of the main challenges in the 21st century. Short-term or long-term changes in weight management can be attributed either group or one to one interventions. The interventions in weight management focus on physical activity and the nutritional values. It is pointed out that professionally trained personnel’s are best suited in offering motivational engagement with the people at individual level to provide methodologies for self-monitoring and getting support from other people (Wallek, 2005). Achieving primary weight management requires direct involvement with the person so that the individuals can be advised on the approach to follow on behavior change.

The provision for behavior change requires motivational consultations at personal or group level. This level of engagement will enable the affected persons to soul search and develop a positive attitude towards attaining individual goals and improving self-esteem. The necessity in the evaluation of an efficient services and intervention are attributed in weight management (Roberts, 2009).

   Professional health care practitioners are tasked with the responsibility to assist in health care and risk-related services. The practitioners are the first to be consulted in the case of obesity or overweight case. The expectations from health professionals are to provide an evident based approach and consistency in engaging patients, either through short interventions or rather advanced services. The “effective interventions in weight management will help those at high risk of acquiring chronic health problems; through the provision of limited but adequate information on the relevance individual or group intercessions (Yoo & Oda, 2013).”

Discussion

Overweight and obesity has currently been on the rise in the world’s population hence contributing to a significantincrease in chronic ailment and mortality rate. In the 2003 report, the specification on overweight and obesity according to the institute of US medicine stands at ≥25BMI and ≥30 BMI respectively. The significance of the intervention period is for the efficient acceptability by the patient to accept and adapt to changes that will bring improvement in health risk contributed by overweight, poor nutrition and physical indolence. 

It is important for those suffering from illness due to obesity and overweight to introduce change through face-to-face interventions. Individual interventions have a limited number of people hence the level of engagement may be adequate. Group interventions may have an impact on the affected person involvement in achieving the weight loss and lifestyle changes. The victim may find a substantial proportion of another overweight group in the intervention and fail to get motivated or consider the exercise expensive and unlikely. Contribution by researchers on the weigh down diet, purport that the intervention approaches that have succeeded in a clinical setup can be applied for group health interventions (Shambling, 1997). Programs for weight management in the group-based settings are a good example of adoption and incorporation evidence from irrefutable research for strategic plans.

 In comparing the group v face-to-face interventions, economic evaluation is necessary for the determination for the possible cause of action for implementation cost and efficiency of the outcome. The determination of the outcome efficiency and alternate responses will put into consideration on cost reduction, efficiency, utility, and cost benefits analysis. Financial status of individuals is a contributing factor in weight management and promoting healthy behavior. A pilot study conducted on the effect of different financial class showed that financial incentives resulted to temporary weight reduction (Finkelstein, 2007). Weight management training can be piloted in the form of behavioral or psychological interventions, which involve counseling, medication, exercise, or taking a person through bariatric surgical procedure (Whitlock, 2010).

Group interventions

Group intervention for weight management focus more on physical activities and recommended diet for the people. These recommendations provide adequate evidence that group interventions are more appropriate in providing support and advice for the victims to engage more on physical activities and good diet. The outcome of the group intervention plan,therefore, is more efficient thanan individual approach.

The 2009 review of Psychological interventions for overweight and obesity indicate that obesity victims can benefit more from psychological intervention that involve intellectual interactive strategies, dietary and involving in physical exercise to manage weight. This evidence is mostly applicable in group interventions. The group can engage in motivating each other and gaining one another’s effort and confidence in weight management.    

Short-term changes in weight management through personal or group interventions are achievable if the focus on both physical exercise and diet are administered. The strategy call for well-trained practitioners that is efficient in giving motivational interventions.

Social phobia and work commitment may not be convenient for some patients to take part in-group interventions since they will not fully benefit from the course. At this point, the dietician can arrange to meet a person on one to one session so that the need for a person can be meet away from attending the group sessions. The expectation from one to one intervention for weight management is the high level of intensive engagement of the client as compared to the group meeting (Coulter & Ellins, 2006). The person has to be open-minded and feel free to interact so that adequate consideration can be applied. The level of consultation should depend on the patient and their needs for the exercise even though those in the group session tend to receive more support from each other compared to those in one to one session.

   One statement on individual verses group therapy for obesity say that; in the group sessions, the patients will not have a conventional figure or level of obesity hence it would be best suited for overweight patients to communicate and gain positive experience through others (Renjilian, 2001). The group sessions provide understanding and the experiences others have had and that provide a learning experience for the whole team.

Group sessions may be an efficient response, but some of the patients can be confused and lost during the course. Just like in an organization setting, not everyone is a leader, there are subjects too, and that is reason for participants getting lost during group intervention sessions (Hakala, 1993). Some of the patients are not assertive while others are shy hence are unable to speak out in the meeting. Group interventions are also considered cost effective and give good health return when taking care of overweight individuals as compared to one on one intervention.

One to one intervention

One on one intervention is recommended for those that are not free to interact in groups to ensure that they also gain from processes. To some extent, the group interventions can be too structured and may take the teacher class format. The patients may become reluctant to speak during the meeting and may not give comments of questions to personal effects they are experiencing. Some of the overweight patients may choose to have one to one sittings with dieticians rather than going for a group meeting (Katz, 2002). The choice of dietician having patients in one session depends on the complexity of a person. For example, a patient may have social phobia.

In some group session cases, some males may not feel relaxed being in the same group with the female counterparts. Some of the males may not be keen on nutritional information and methodologies to help them reduce weight, but rather focus of finding positions that best fit the overweight lifestyles (Purath & Miller, 2005). 

Weight management issues and strategies address that Group interventions are dynamic hence are very motivating for patients in the same category with almost if not similar complications (Gallagher & Davidson, 2012).The older members of the group interventions can easily absorb new members and gain positive assistance on weight management by learning from each other. The advantage of being in a group intervention is the element of competition to lose weight by the members as a way of self and collective motivation. However, members who do not get motivated in losing weight can irritate members that have the passion to lose and manage their weight. Members who are also shy in speaking in the group can also forward their personal problems through secret questions addressed to the medical of nutritional practitioner.

One on one engagement by one dietician can become monotonous hence; the effective level of information being provided may sound inappropriate. Obesity patients may lack exposure from diverse personalities by being limited to only one practitioner (Gallagher & Davidson, 2012). On the other hand, group interventions receive various kind of dietician with different approaches that they can use to help the patients manage overweight and obesity effectively. The category of staff plays an important role in gaining the required positive attitude towards weight management. Although some patient prefer being attended to by one dietician, being attended by different dieticians expose the clients different form of advice, ways of perceptions and techniques in tackling the challenges.

For an effective weight management, the patients need to engage themselves in several forms of intervention that are conducted over a long period.The practitioners should collaborate in their work programs to ensure adequacy in their activities. the approach that is offered to the client in the first consultation should consist of motivational interviews and behavioral counselling that is aimed at making the patient have the willingness to change. One on one intervention is the best step for the initial consultation because the patient will collaborate and provide personal challenges that will drive the motivation towards change.

The initial intervention should be used to examine the weight of the patient and identify the urge to change (Anderson, 2007).The level and desire to change varies among patients. Therefore, it is the responsibility of the nutritional practitioner to assess the patient in details and determine whether the client is only ready to make a change in diet or begin taking part in physical activities. The level of engagement also varies according to some investigative demonstrations. The evidence from these demonstrations suggest that group intervention is more effective compared to one on one interventions.

Rigsby and Gropper conducted a research on overweight clients who acquired social support and those that engaged in physical activities for a period of eight weeks. The selected participants took an optional consideration of either being in group or one on one intervention. The realization made identified that there was a significant weight reduction in participants who engaged in group intervention than those that opted for one on one intervention.

Conclusion

In conclusion, the choice of intervention depends on the nature of the patient and the level of engagement that a client desires. Patients can chose from a group session with all other patients with the same condition or opt to go one on one session with the nutritionist. The patients that go for one on one session with the practitioners are often regarded as those with complex situations that need a more detailed care plan (Macdonald, 2005). Reports on technical stills in weight management show that the requirement to participate in group intervention is cost appraisal and a legalized treatment that is compatible to all individuals in the same category (Katz et al., 2001).   

Consideration for group intervention is the level of attention that one desire to get. Some patients may consider one on one intervention due to the full attention that is being provided, hence giving the practitioner the full understanding of the affected patient. On the treatment of disorders, the group intervention may not always offer a detailed analysis of any personal opinion on weight management approach (Grilo & Mitchell, 2009). The level of engagement can be interfered with by the presence of disruptive members of the group that can influence personal point of view.

Studies that have been conducted in weight management provide evidence that group therapy should be in the forefront to promoting weight loss among overweight patients. To provide good result in weight reduction, patients must practice good diet, engage in physical exercise, and develop positive attitude in weight management. Overweight individuals should participate in weight management with practitioners who induce less effort on attitude and independent mind-set as a way of increasing participant intents and perception on behavior change (Wadden, 2001).

References

BOLGER, N., &LAURENCEAU, J.-P., 2013: Intensive longitudinal methods: an introduction to diary and experience sampling research.New York, NY, Guilford Press. 16:88-283

BUCHWALD, H., COWAN, G. S. M., &PORIES, W. J., 2007: Surgical management of obesity. Philadelphia, Saunders Elsevier.

CHRISTIE, D., &CHANNON, S., 2014: The potential for motivational interviewing to improve outcomes in the management of diabetes and obesity in pediatric and adult populations: a clinical review. Diabetes, Obesity and Metabolism.16, 381-387.

DUNN C, DEROO L, and RIVARA FP., 2001: The use of brief interventions adapted from motivational interviewing across behavioral domains: a systematic review. Addiction.2001 Dec; 96(12):1725–42.

GALLAGHER R, KIRKNESS A, ARMARI E, & DAVIDSON PM., 2012: Weight management issues and strategies for people with high cardiovascular risk undertaking an Australian weight loss program: a focus group study. Nursing & Health Sciences.14, 18-24.

GRILO, C., & MITCHELL, J., 2009: Treatment of Eating Disorders a Clinical Handbook. New York, Guilford Publications.

GRIMSHAW J, CAMPBELL M, ECCLES M, STEEN N, 2000: Experimental and quasi-experimental designs for evaluating guideline implementationstrategies.FamPract, 17:11–6.

HAMILTON S, HANKEY CA, MILLER S, BOYLE S, and MELVILLE CA, 2007: A review of weightloss interventions for adults with intellectual disabilities.8:339–345.

 INSTITUTE OF MEDICINE (U.S.). 2003: Weight management state of the science and opportunities for military programs. Washington, DC, National Academies Press

MACDONALD, G., 2005: Massage for the hospital patient and medically frail client. Philadelphia, Lippincott Williams, & Wilkins

RENJILIAN DA, PERRI MG, NEZU AM, MCKELVEYWF, SHERMERRL, AND ANTON SD, 2001: Individual versus group therapy for obesity: effects of matchingparticipants to their treatment preferences. J Consult Clin Psychol. 69:717–21.

RIGSBY A, GROPPER DM, and GROPPER SS, 2009: Success of women in a worksite weight loss program: Does being part of a group help. Eat Behav. 10(2):128-30.

ROBERTS K, CAVILL N, RUTTER H., 2009: Standard Evaluation Framework for weight management interventions. England, Oxford

SHAMBLIN, G., 1997: The weigh down diet. New York, Doubleday

SHAW, K.A., O‟ROURKE, P., DEL MAR, C., KENARDY, J., 2009: Psychological Interventions for Overweight or Obesity (Review). Public Health, 2(2).

SWANTON K., 2008. Healthy weight, healthy lives: a toolkit for developing local strategies. London: Dept. of Health.

 WHITLOCK, E. P., 2010: Effectiveness of primary care interventions for weight management in children and adolescents an updated, targeted systematic review for the USPSTF. Rockville, MD, Agency for Healthcare Research and Quality.

SHAW, K.A., O‟ROURKE, P., DEL MAR, C., KENARDY, J. 2009: Psychological Interventions for Overweight or Obesity (Review). Public Health, 2(2).

WADDEN T, BERKOWITZ R, SARWER D, PRUS-WISNIEWSKI R, and STEINBERG C., 2001: Benefits of lifestyle modification in the pharmacologic treatment of obesity: a randomized trial. Arch Intern Med 2001; 161(2):218—27.

WHITLOCK, E. P., 2010: Effectiveness of primary care interventions for weight management in children and adolescents an updated, targeted systematic review for the USPSTF. Rockville, MD, Agency for Healthcare Research and Quality.

YOO, G. J., LE, M.-N., &ODA, A. Y., 2013: Handbook of Asian American health. New York.