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Roopal Pujara Lalaji, PsyD; Lydia Alexander, MD, ABOM, Monnika Lozada, Rami Bailony, M.D.
Enara Health
ABSTRACT:
Ready for Change: Impact of Evidence Based Early Psychoeducation Webinar on Engagement and Weight Loss in a Multidisciplinary Telehealth Obesity Program
Roopal Pujara Lalaji, PsyD; Lydia Alexander, MD, ABOM, Monnika Lozada, Rami Bailony, M.D.
Background: Obesity is a complex global health issue impacting overall health, well-being, and longevity. Multidisciplinary weight management, including medical, nutritional, physical, and behavioral interventions, is essential for effective treatment. However, education regarding the many factors that impact obesity, the importance of building motivation, identifying obstacles, and sharing helpful strategies, is often overlooked in care. This study evaluates the impact of early psychoeducation and support via a telemedicine-based weight management program on adherence and weight loss outcomes.
Methods: Enrollees in the same clinic location of the Enara Health obesity program were invited to a free, single-session webinar led by a medical provider and clinical psychologist. The webinar covered readiness for change, motivation, medical and psychological influences on weight, barriers to weight management, cognitive-behavioral strategies, and building support systems. Participants who attended the Ready for Change Webinar (RFC) were retrospectively matched with non-attendees (Controls). Baseline metrics included weight, BMI, A1c, FSBG, fasting insulin, lipid profile, and HsCRP. Paired t-tests assessed weight loss, program engagement, and cardiometabolic changes at 6 months.
Results: Demographic and biometric characteristics were comparable between RFC (n=110) and Control (n=110) groups. Although cardiometabolic improvements were not statistically significant, trends favored the RFC group. Throughout the 6 months study period, RFC participants experienced significantly greater weight loss. For example, at 6 months the intervention group lost an average of 9.8% vs 8.3% for the control group. In regards to program engagement, at the end of the 6 month study period the intervention group was more engaged at 94.2 % vs 88,1% of the control group attending at least one individual or group appt with an Enara provider during their 6th month in program. Qualitative feedback from attendees was positive, supporting the quantitative results. Webinar limitations included availability only in English and a single clinic location.
Conclusion: ntroductory psychoeducation via a telemedicine-based weight management program significantly enhances weight loss outcomes and program engagement. Early in program medical, psychological, and motivational information along with actionable strategies can serve to empathize with, empower, and engage members. These findings underscore the value of incorporating psychological and educational components early in obesity care. Future efforts should focus on expanding accessibility and evaluating long-term impacts.
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