Behavioral Approaches to Treating Obesity. Birgitta Adolfsson

      

      Director, Book Publishing, Abe Ogden; Managing Editor, Greg Guthrie; Acquisitions Editor, Victor Van Beuren; Editor, Greg Guthrie; Production Manager, Melissa Sprott; Composition, ADA; Cover Design, ADA; Printer, Data Reproductions Corporation.

      ©2006 by Metabolic Books. ©2011 by the American Diabetes Association, Inc.® All Rights Reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including duplication, recording, or any information storage and retrieval system, without the prior written permission of the American Diabetes Association.

      Printed in the United States of America

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      The suggestions and information contained in this publication are generally consistent with the Clinical Practice Recommendations and other policies of the American Diabetes Association, but they do not represent the policy or position of the Association or any of its boards or committees. Reasonable steps have been taken to ensure the accuracy of the information presented. However, the American Diabetes Association cannot ensure the safety or efficacy of any product or service described in this publication. Individuals are advised to consult a physician or other appropriate health care professional before undertaking any diet or exercise program or taking any medication referred to in this publication. Professionals must use and apply their own professional judgment, experience, and training and should not rely solely on the information contained in this publication before prescribing any diet, exercise, or medication. The American Diabetes Association—its officers, directors, employees, volunteers, and members—assumes no responsibility or liability for personal or other injury, loss, or damage that may result from the suggestions or information in this publication.

      

The paper in this publication meets the requirements of the ANSI Standard Z39.48-1992 (permanence of paper).

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      American Diabetes Association

      1701 North Beauregard Street

      Alexandria, Virginia 22311

      DOI: 10.2337/9781580404631

      Library of Congress Cataloging-in-Publication Data

      Adolfsson, Birgitta.

       Behavioral approaches to treating obesity: helping your patients make changes that last / Birgitta Adolfsson, Marilynn S. Arnold. -- 2nd ed.

       p. ; cm.

       Includes bibliographical references and index.

       ISBN 978-1-58040-463-1 (alk. paper)

       I. Arnold, Marilynn S. II. American Diabetes Association. III. Title.

       [DNLM: 1. Obesity--prevention & control. 2. Patient Education as Topic--methods. 3. Health Behavior. 4. Life Style. 5. Obesity--psychology. 6. Professional-Patient Relations. WD 210]

       LC classification not assigned

       616.3’98--dc23

       2011030864

      eISBN: 978-1-58040-486-0

      Contents

       Foreword to the Second Edition

       Acknowledgments

       Why This Book?

      Part I: Assessing the Problem Chapter 1: The Global Challenge of Obesity Chapter 2: The Burden on Society Chapter 3: A Complex Mix of Factors Chapter 4: Treatment Options Chapter 5: The Paradigm of Care

      Part II: Designing Care to Address Obesity Chapter 6: Changing Roles Chapter 7: Building the Team Chapter 8: Create a Supportive Environment Chapter 9: Structuring the Care Process

      Part III: Tools to Facilitate Self-Care Chapter 10: Problem Solving: An Introduction Chapter 11: Step One: Identify the Problem Chapter 12: Step Two: Explore Feelings Chapter 13: Step Three: Set a Long-Term Goal Chapter 14: Step Four: Make a Plan Chapter 15: Step Five: Evaluate the Result Chapter 16: Useful Models and Methods Chapter 17: Practical Information Chapter 18: Maintenance

       Appendix

       Resources

       References

Foreword to the Second Edition

      In the past five years, problems related to obesity have grown despite medical, organizational, and environmental improvements designed to offer better treatments and more support. We hope that within the next five years, serious attention and creative problem solving will yield substantial improvement in each of those arenas.

      However, serious attention and creative problem solving is also required of individuals who seek long-term weight reduction and improved health. This book continues to offer suggestions for teaching patients how to solve problems, a most powerful gift.

      For this second edition, we are indebted to our astute reviewers and the supportive ADA editorial staff for guiding us through the revision process.

      Birgitta Adolfsson, PhD

      Marilynn S. Arnold, MS, RD

      March 2011

Acknowledgments

      Although we’ve never met in person, we chose to author this book together because we were linked by colleagues who have been powerful mentors for each of us. The personal and professional lives of Bob Anderson, Marti Funnell, and the late Anita Carlson personify the philosophical foundation of this book. Many people have read about their philosophy of care, but experiencing firsthand the kind of relationship they advocate confirms the power of everything they have written. Our core agreement with our colleagues’ approach to patient-provider relationships made it often possible to understand each other’s intent while we worked on the language needed to describe it to others.

      To our other colleagues working with the problem-solving model, collaborative care, and lifestyle change, we thank Barbara Anderson, Ingalena