Trina M Histon

• PhD
• Consultant at Kaiser Permanente

Background Experience suggests that some physicians view obesity as a purely lifestyle condition rather than a chronic metabolic disease. Physicians may not be aware of the role of biological factors in causing weight regain after an initial weight loss. Methods A questionnaire was administered at continuing medical education conferences, both pri...

Healthcare systems are challenged by steady increases in the number of patients who are overweight and obese. Large-scale, evidence-based behavioral approaches for addressing overweight and obesity have been successfully implemented in systems such as the Veterans Health Administration (VHA). These population-based interventions target reduction in...

This article summarizes outcomes of the behavioral interventions work group for the Veterans Health Administration (VHA) State of the Art Conference (SOTA) for Weight Management. Sixteen VHA and non-VHA subject matter experts, representing clinical care delivery, research, and policy arenas, participated. The work group reviewed current evidence of...

Kaiser Permanente, an integrated health care delivery system in the USA, takes a “whole systems” approach to the chronic disease of obesity that begins with efforts to prevent it by modifying the environment in communities and schools. Aggressive case-finding and substantial investment in intensive lifestyle modification programs target individuals...

In 2002, as a response to the increasing rates of overweight and obesity among its members and its communities, Kaiser Permanente (KP), through its Care Management Institute (KP-CMI), launched the Weight Management Initiative (WMI). The WMI is a comprehensive, multifaceted approach that emphasizes wellness with both prevention and treatment strateg...

To assist health professionals who counsel patients with overweight and obesity, a systematic review was undertaken to determine types of weight-loss interventions that contribute to successful outcomes and to define expected weight-loss outcomes from such interventions. A search was conducted for weight-loss-focused randomized clinical trials with...

To the Editor: In their Commentary, Drs Alonso-Alonso and Pascual-Leone¹ discussed the right brain hypothesis for obesity. We agree that there is a great deal of basic science research needed to understand the complex etiology of obesity and to untangle the biological, cognitive, psychological, and environmental issues that may contribute. However,...

We review what is known about the effects of obesity in the Kaiser Permanente (KP) population and discuss outcomes for two nationally available effective online programs, HealthMedia Balance(®) (Balance) and 10,000 Steps(®). Obese KP patients often have health problems related to overweight and report difficulties with self-care, yet with the prope...

Objective: To describe a comprehensive, population-based weight management program. • Setting: A large, not-for-profit integrated health care delivery system. • Program: The initiative focuses efforts in 5 areas: (1) clinical management, (2) community partner-ships, (3) legislation/public policy, (4) successful practices dissemination, and (5) rese...