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The aim of this process evaluation was to explore the feasibility of conducting a full\u2010scale clinical trial of the TAKE 5 multi\u2010component weight management programme.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study was a 12\u2010month pilot cluster\u2010randomised controlled trial. Adults with intellectual disabilities and obesity were randomised to either TAKE 5, which included an energy deficit diet (EDD) or Waist Winners Too, based on health education principles. A mixed\u2010methods process evaluation was conducted focussing on the reach, recruitment, fidelity, implementation, dose (delivered\/received) and context.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study successfully recruited adults with intellectual disabilities. Both weight management programmes were delivered with high fidelity and implemented as intended. Only one weight management programme, TAKE 5, demonstrated potential efficacy in reducing body weight and body composition. The effectiveness was largely attributed to the EDD and social support from carers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The extensive process evaluation illustrated that a full\u2010scale trial of a multi\u2010component programme including an EDD is feasible and an acceptable approach to weight management for adults with intellectual disabilities and obesity.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jir.12563","type":"journal-article","created":{"date-parts":[[2018,11,12]],"date-time":"2018-11-12T07:09:49Z","timestamp":1542006589000},"page":"49-63","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Process evaluation of a cluster\u2010randomised controlled trial of multi\u2010component weight management programme in adults with intellectual disabilities and obesity"],"prefix":"10.1111","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7926-3422","authenticated-orcid":false,"given":"L.","family":"Harris","sequence":"first","affiliation":[{"name":"College of Medical Veterinary and Life Sciences, Institute of Mental Health and Wellbeing University of Glasgow  Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Hankey","sequence":"additional","affiliation":[{"name":"College of Medical Veterinary and Life Sciences, Institute of Mental Health and Wellbeing University of Glasgow  Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N.","family":"Jones","sequence":"additional","affiliation":[{"name":"College of Medical Veterinary and Life Sciences, Institute of Mental Health and Wellbeing University of Glasgow  Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"Murray","sequence":"additional","affiliation":[{"name":"Robertson Centre for Biostatistics, Institute of Health and Wellbeing University of Glasgow  Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Pert","sequence":"additional","affiliation":[{"name":"Learning Disability Psychology NHS Greater Glasgow and Clyde  Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Tobin","sequence":"additional","affiliation":[{"name":"Glasgow City CHP North East Sector Eastbank Conference Training Centre  Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Boyle","sequence":"additional","affiliation":[{"name":"Consultant Clinical Psychologist NHS Greater  Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Shearer","sequence":"additional","affiliation":[{"name":"Glasgow and Clyde Specialist Weight Management Service  Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C. 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