Topic: Obesity, Nutrition/Diet, Physical Activity
Target Population: Adults
Sector: Community-Based
This program is for adults living in the United Kingdom who are overweight or obese.
Counterweight®, a community-based weight-loss program, is designed to provide participants with tools to change their eating habits, physical-activity levels, and health behaviors.
Several pre/post-design research studies have been published. Of the adults who participated in this program for at least 12 months, approximately 30% to 40% lost 5% or more of their starting body weight. Lack of comparison to a control group limits the final conclusions that can be drawn about the effectiveness of this program.
Healthcare practitioners who are trained in the Counterweight program meet with clients in groups or individually to help participants make long-term changes to their eating and physical activity habits.
Counterweight provides services to address the following:
Participants may choose from three different weight-loss approaches:
*A separate fact sheet is available for this program.
Counterweight was founded in 2000; however, the extent to which the program has been implemented is unclear.
This program is facilitated by Counterweight dietitians. Information on training was not located. Please use details in the Contact section to learn more.
Considerations for implementing this program include understanding this program is currently only available in the United Kingdom, acquiring buy-in and commitment from participants, and ensuring participants have access to the program’s mobile app.
The Clearinghouse can help address these considerations. Please call 1-877-382-9185 or email Clearinghouse@psu.edu
If you are interested in implementing Counterweight, the Clearinghouse is interested in helping you!
Please call 1-877-382-9185 or email Clearinghouse@psu.edu
Fertility services are generally provided during prenatal, pregnancy, and post-natal periods and can last as long as needed. Weight-loss services are provided for 1 year.
Information on implementation costs was not located.
To move Counterweight to the Promising category on the Clearinghouse Continuum of Evidence, at least one evaluation should be performed demonstrating positive effects lasting at least one year from the beginning of the program or at least six months from program completion.
The Clearinghouse can help you develop an evaluation plan to ensure the program components are meeting your goals. Please call 1-877-382-9185 or email Clearinghouse@psu.edu
Contact the Clearinghouse with any questions regarding this program.
Phone: 1-877-382-9185 Email: Clearinghouse@psu.edu
You may also contact Counterweight by phone 020 3026 8800 or visit https://www.counterweight.org/pages/get-in-touch
Bell-Higgs, A. E., Brosnahan, N. T., Clarke, A. M., Dow, M. S. A., Haynes, S. M., Lyons, G. F., … Counterweight Project Team. (2012). The implementation of the Counterweight Programme in Scotland, UK. Family Practice, 29(Suppl. 1), i139-i144. https://doi.org/10.1093/fampra/cmr074
Morrison, D., McLoone, P., Brosnahan, N., McCombie, L., Smith, A., & Gordon, J. (2013). A community pharmacy weight management programme: An evaluation of effectiveness. BMC Public Health, 13(1), 282-282. https://doi.org/10.1186/1471-2458-13-282
Ross, H. M., Laws, R., Reckless, J., Lean, M., McQuigg, M., Noble, P., … Counterweight Project Team. (2008). Evaluation of the counterweight programme for obesity management in primary care: A starting point for continuous improvement. British Journal of General Practice, 58(553), 548-554. https://doi.org/10.3399/bjgp08X319710
Counterweight Project Team. (2004). A new evidence‐based model for weight management in primary care: the Counterweight Programme. Journal of Human Nutrition and Dietetics, 17(3), 191-208.
Counterweight Project Team. (2004). Current approaches to obesity management in UK primary care: The Counterweight Programme. Journal of Human Nutrition and Dietetics, 17(3), 183-190.
Gray, J., Hoon, E. A., Afzali, H. H. A., Spooner, C., Harris, M. F., & Karnon, J. (2017). Is the Counterweight Program a feasible and acceptable option for structured weight management delivered by practice nurses in Australia? A mixed-methods study. Australian Journal of Primary Health, 23(4), 348-363. https://doi.org/10.1071/PY16105
Hudson, A. J. (2004). The Counterweight Programme: Tackling obesity in primary care. Professional Nurse, 19(9), 484-486.
Lean, M., Brosnahan, N., McLoone, P., McCombie, L., Higgs, A. B., Ross, H., … Morrison, D. (2013). Feasibility and indicative results from a 12-month low-energy liquid diet treatment and maintenance programme for severe obesity. British Journal of General Practice, 63(607), e115-e124. https://doi.org/10.3399/bjgp13X663073
Lyons, F. (2005). Weight management in primary care: The Counterweight Project. The Journal of Family Health Care, 15(3), 77-79.
McQuigg, M., Brown, J. E., Broom, J., Laws, R. A., Reckless, J. P. D., Noble, P. A., … Counterweight Project Team. (2008). The Counterweight Programme: Prevalence of CVD risk factors by body mass index and the impact of 10% weight change. Obesity Research & Clinical Practice, 2(1), 15-27. https://doi.org/10.1016/j.orcp.2008.01.002
McQuigg, M., Brown, J., Broom, J., Laws, R. A., Reckless, J. P. D., Noble, P. A., … The Counterweight Project Team. (2005). Empowering primary care to tackle the obesity epidemic: The Counterweight Programme. European Journal of Clinical Nutrition, 59(S1), S93-S101. https://doi.org/10.1038/sj.ejcn.1602180
Tigbe, W. W., Briggs, A. H., & Lean, M. E. J. (2013). A patient-centred approach to estimate total annual healthcare cost by body mass index in the UK counterweight programme. International Journal of Obesity, 37(8), 1135-1139. https://doi.org10.1038/ijo.2012.186