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Revised draft Clinical Practice Guidelines for the Management of Overweight and Obesity in Adults, Children and Adolescents

ID: 
41
Personal Details
Organisation Name: 
Jenny Craig
Additional Information
In regard to your comments, do you have a Conflict of Interest to disclose?: 
Yes
Please specify any real or perceived conflicts in regard to your comments: 
We are a Commercial Weight Loss provider, the comments are contributed by our employed Dietitians and consulting dietitian
Specific questions
Question 2: What would help you implement these recommendations into practice?: 
  • A public presentation and discussion of the guidelines.
  • Keeping the guidelines evidence based, yet practical, with useful examples.
  • Keeping the recommendations simple.
Specific comments
Comments: 
3 Approaches to weight management in primary care

We think Commercial Providers needs to be highlighted, and mention of how to find a reputable Commercial Provider is important.  
 

Recommendation:
Considering that Commercial Providers are a major service that the public turn to, they can be a separate point (i.e. 3.4) following "3.3. Organisational Approaches".  A statement similar to the reference made to the role of commercial providers on page 44 can appear here ("Commercial providers may also be appropriate for people who are "ready for change", without major comorbidities and whose BMI is <35kg/m2"). 
 
 
 
Finding a reputable commercial provider: The Weight Management Code of Practice (administered by the Weight Managment Council Australia) aims to provide a comprehensive guide for the protection of consumer rights and the conduct of weight management businesses.  The code strives to achieve standardised and recognised training and qualifications for those providing weight management products and services (see www.weightcouncil.org).  Members of the Weight Management Council are from commercial weight management businesses that abide by the Weight Management Code of Practice.
 
Jenny Craig is a founding member of the Weight Management Council, and the program is designed and developed by our team of Accredited Practicing Dietitians with the input and approval of our International Medical Advisory Board.  All recommendations reflect evidence based nutrition, weight management and disease prevention guidelines.
6 Assist
Recommendation:
Chapter 6 - Assist (p.19 or p.25)
Mention of commercial programs as an option could be stated in Key Messages on p.19.  The Jenny Craig program is very much consistent with the messages in this chapter, and commercial providers such as Jenny Craig have demonstrated efficacy.
 
Supporting Evidence: 

Jebb SA, Ahern AL, Olson AD et. al. Primary Care Referral to a Commercial Provider for Weight Loss Treatment Versus Standard Care: A Randomised Controlled Trial. Lancet. 2011;378:1485-1492.
 
Rock CL, Flatt SW, Sherwood NE, Karanja N, Pakiz B, Thomson CA. Effect of a Free Prepared Meal and Incentivized Weight Loss Program on Weight Loss and Weight Loss Maintenance in Obese and Overweight Women. JAMA. 2010;304(16)1803-1810.
 
Rock CL, Pakiz B, Flatt SW, Quintana EL. Randomized Trial of a Multifaceted Commercial Weight Loss Program. Obesity. 2007;15(4)939-949.
 
7 Arrange
Recommendations
Chapter 7 - Arrange (p.41)
In the second last point of Key Messages, commercial providers should be included.  i.e. "Overweight and obesity are chronic and relapsing, and regular monitoring and support over the long term are essential.  Longer-term approaches to supporting weight management that include frequent contact with health professionals and/or commercial providers achieve better results". (Jebb et. al, Rock et. al).
 
 
Also, the mention of Commercial Providers' role in Maintenance and Follow-up at the end (Implementation of Guideline Recommendations, p. 106) might fit better in the "Arrange" section in the document.
 
Support 
 
The Jenny Program supports and helps our clients through maintenance of their weight loss to help facilitate long term behaviour change.  Our premium program membership includes ongoing monthly support (visits/one-on-one session with a Consultant) once a client reaches their goal.
 
Jebb SA, Ahern AL, Olson AD et. al. Primary Care Referral to a Commercial Provider for Weight Loss Treatment Versus Standard Care: A Randomised Controlled Trial. Lancet. 2011;378:1485-1492.
 
Rock CL, Flatt SW, Sherwood NE, Karanja N, Pakiz B, Thomson CA. Effect of a Free Prepared Meal and Incentivized Weight Loss Program on Weight Loss and Weight Loss Maintenance in Obese and Overweight Women. JAMA. 2010;304(16)1803-1810.
 
Rock CL, Pakiz B, Flatt SW, Quintana EL. Randomized Trial of a Multifaceted Commercial Weight Loss Program. Obesity. 2007;15(4)939-949.
 
General comments
Comments: 

Overall we value and respect these guidelines and pleased to note that our program aligns well with these guidelines. 

Our comments are suggestions to the guidelines and we are open to discuss these any time.

 

Thank you 

Page reviewed: 6 September, 2012