Hazelton AG, Corsino L, Eisenson H, Østbye T, Svetkey LP, et al. (2019) Psychosocial Outcomes from an Inter-Professional Worksite Weight Loss Program. J Nutri Med Diet Care 5:033.


© 2019 Hazelton AG, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

ORIGINAL RESEARCH | OPEN ACCESS DOI: 10.23937/2572-3278.1510033

Psychosocial Outcomes from an Inter-Professional Worksite Weight Loss Program

A Garrett Hazelton, PhD1,2, Leonor Corsino, MD, MHS3, Howard Eisenson, MD4,5, Truls Østbye, MD, PhD4, Laura P Svetkey, MD MHS6, Ruth Q Wolever, PhD7,8,9*

1Department of Psychology, University of North Carolina Asheville, USA

2Hendersonville, USA

3Department of Medicine, Division of Endocrinology, Metabolism and Nutrition, Duke University School of Medicine, USA

4Department of Community and Family Medicine, Duke University School of Medicine, USA

5Lincoln Community Health Center, USA

6Department of Medicine, Division of Nephrology, Duke Sarah W. Stedman Nutrition and Metabolism Center, Duke University School of Medicine, USA

7Departments of Physical Medicine & Rehabilitation and Psychiatry & Behavioral Sciences, Vanderbilt University Medical Center, USA

8Director of Vanderbilt Health Coaching, Osher Center for Integrative Medicine, Vanderbilt University, USA

9Vanderbilt University School of Nursing, USA



Management of obesity and overweight, with even modest success, can significantly ameliorate their public health burden and health care costs. Many employers recognize that obesity and the associated comorbidities decrease productivity and increase healthcare costs. They are therefore motivated to help their employees with obesity to manage their health both for financial reasons as well as for improving workplace productivity and morale. Worksite interventions have had some success in targeting weight and related comorbidities; however, there are few studies examining the psychosocial effects of inter-professional worksite interventions. Moreover, obesity is both cause and consequence of many psychosocial and behavioral problems, such as poor eating habits, poor sleep quality, depression, and low quality of life (QoL).


The current study assessed the psychosocial outcomes of an inter-professional worksite intervention that included access to exercise equipment and classes, healthy meals, the expertise of medical, nutrition, psychology staff and other health professionals as well as education related to behavioral factors that can make weight management easier. Program participants took part in a prospective, observational study using a before-after study design. The objective was to assess the psychosocial outcomes of the program at baseline, the conclusion of the intervention, and at follow-up time points.


In addition to achieving similar weight loss [2.7 kg (SD ± 6.35)] as those taking part in other published weight loss interventions, these participants experienced improvements in disordered eating patterns, sleep quality, and weight-related QoL, during the program. Furthermore, binge eating and QoL improvements were sustained 1 year after conclusion of the program.


These findings demonstrate that short and long-term improvements in psychosocial factors can be achieved from an inter-professional worksite wellness program. These findings further support efforts that address psychosocial factors in worksite wellness programs and suggest that a focus on participant QoL may be of particular importance for future evidence-based weight management programs.