Elements of effective weight control programs: Implications for exercise and sport psychology

Abstract

Research on elements of effective weight control programs may have important implications for applied exercise and sport psychology. Eight of 11 elements were derived from the scientific literature: (1) quality of the initial assessment; (2) completeness of the cognitive-behavior therapy component; (3) completeness of the nutritional component; (4) emphasis on exercise; (5) training and skills of staff; (6) frequency of sessions and duration of the program; (7) management of the weight losers' social environments; (8) use of protein sparing modified fasting. The remaining 3 elements were selected based on clinical judgment; (9) reasonableness of costs; (10) ethics (including the use of scientific knowledge); and (11) flexibility of treatment. The gestalt of these elements represents a very comprehensive, intensive, and long-term approach to treating obesity. When all of these elements are operational, a treatment program can help many obese clients develop the super-normal self-regulatory skills that seem necessary to overcome the formidable psychological and behavioral barriers to permanent weight control. The implications of this perspective for cognitive-behavioral interventions designed to promote adherence to exercise and training regimens and to improve sport performance are considered. The primary conclusion is that more complete assessments and much longer and more intensive interventions and evaluations may be needed to promote robust changes in applied exercise and sport contexts.