{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T03:30:34Z","timestamp":1793158234253,"version":"4.5.0"},"reference-count":59,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2014,12,29]]},"published-print":{"date-parts":[[2015,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Specialist Lifestyle Management (SLiM) is a structured patient education and self-management group weight management programme. Each session is run monthly over a 6-month period providing a less intensive long-term approach. The groups are patient-centred incorporating educational, motivational, behavioural and cognitive elements. The theoretical background, programme structure and preliminary results of SLiM are presented.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Subjects\/methods<\/jats:title>\n                    <jats:p>\n                      The study was a pragmatic service evaluation of obese patients with a body mass index (BMI) \u226535\u2005kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      with comorbidity or \u226540\u2005kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      without comorbidity referred to a specialist weight management service in the West Midlands, UK. 828 patients were enrolled within SLiM over a 48-month period. Trained facilitators delivered the programme. Preliminary anonymised data were analysed using the intention-to-treat principle. The primary outcome measure was weight loss at 3 and 6\u2005months with comparisons between completers and non-completers performed. The last observation carried forward was used for missing data.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the 828 enrolled within SLiM, 464 completed the programme (56%). The mean baseline weight was 135\u2005kg (BMI=49.1\u2005kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ) with 87.2% of patients having a BMI\u226540\u2005kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      and 12.4% with BMI\u226560\u2005kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      . The mean weight change of all patients enrolled was \u22124.1\u2005kg (95% CI \u22123.6 to \u22124.6\u2005kg, p=0.0001) at the end of SLiM, with completers (n=464) achieving \u22125.5\u2005kg (95% CI \u22124.2 to \u22126.2\u2005kg, p=0.0001) and non-completers achieving \u22122.3\u2005kg (p=0.0001). The majority (78.6%) who attended the 6-month programme achieved weight loss with 32.3% achieving a \u22655% weight loss.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The SLiM programme is an effective group intervention for the management of severe and complex obesity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2014-007217","type":"journal-article","created":{"date-parts":[[2015,4,8]],"date-time":"2015-04-08T22:22:39Z","timestamp":1428531759000},"page":"e007217","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":23,"title":["Description and preliminary results from a structured specialist behavioural weight management group intervention: Specialist Lifestyle Management (SLiM) 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