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The relative efficacy of directive and nondirective treatment in behavioral weight control
James JE, May Hampton BA
Behavior Therapy 1982 Sep;13(4):463-475
clinical trial
3/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: No. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

In view of recently expressed concerns over the possibility that highly directive interventions may elicit client resistance, the efficacy of a behavioral weight-reduction regimen was examined under conditions which systematically varied the level of task direction given by a therapist. Eighty overweight women were assigned at random to one of four groups: no contact, or treatment which was minimally, partially, or highly directive. Measures ofweight, skinfold, and physical fitness indicated that subjects who received the highly directivetreatment showed the greatest overall improvements, and this superiority was most evident at follow-up. Within the range of procedures investigated, no support was provided for the suggestion that treatmentefficacy is likely to be affected adversely by highly directive interventions.

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