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Background.  Worksite wellness programs typically produce modest weight losses. We examined whether an efficacious Internet behavioral weight loss program could be successfully implemented in a worksite setting.  Methods.  Participants were 75 overweight or obese employees/dependents of a large healthcare system who were given access to a 12-week Internet-based, multicomponent behavioral weight loss program. Assessments occurred at baseline, Month 3 (end of intervention), and Month 6 (follow-up).  Results.  Retention was excellent (93% at Month 3 and 89% at Month 6). Intent-to-treat analyses demonstrated that participants lost an average (±SE) of −5.8 ± .60 kg from baseline to Month 3 and regained 1.1 ± .31 kg from Month 3 to Month 6; overall, weight loss from baseline to Month 6 was −4.7 ± .71 kg,  p  < .001. Men lost more weight than women,  p  = .022, and individuals who had a college degree or higher lost more weight than those with less education,  p  = .005. Adherence to viewing lessons (8 of 12) and self-monitoring (83% of days) was excellent and significantly associated with weight loss,  p s < .05.  Conclusions.  An Internet-based behavioral weight management intervention can be successfully implemented in a worksite setting and can lead to clinically significant weight losses. Given the low costs of offering this program, it could easily be widely disseminated.

Implementation of an Internet Weight Loss Program in a Worksite Setting