Accessible Weight Loss: Translating the GLB for people with impaired mobility

People with disabilities remain underserved by public health efforts to address weight loss, despite dramatic weight-related health disparities.  The Group Lifestyle Balance Adapted for Impaired Mobility (GLB-AIM) seeks to promote sustainable weight loss, reduce chronic disease risk, and facilitate adopting a healthy lifestyle among people with impaired mobility. A pilot study funded by the University of Texas School of Public Health tested the feasibility, usability, and effectiveness of a targeted adaptation of the mainstream Group Lifestyle Balance (GLB) program among individuals with permanent mobility impairment.  The GLB, a direct adaptation of the Diabetes Prevention Program for group delivery in the community, has demonstrated effectiveness in multiple community settings. Pilot modifications included delivery by conference call, targeted nutrition and physical activity education, and providing arm-based activity trackers instead of pedometers. Building on the pilot results, a randomized controlled trial (RCT) is testing a more extensively adapted program.  The study is supported by the Disability Research and Dissemination Center (DRDC) through its Grant Number 5U01DD01007-03, FAIN No. U01DD01007 from the Centers for Disease and Prevention. We will present results of the pilot and interim results of the RCT, as well as key lessons for promoting weight loss among people with disabilities.