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Does a group-based weight management program work for people with severe obesity?

moderate confidence  ·  Last reviewed May 18, 2026

People with severe obesity, defined as a BMI of 40 or higher, often face significant mental health challenges like depression and shame. Traditional treatments often focus on individuals, but new group-based approaches are being tested. Research suggests these group settings can effectively address both weight and emotional health.

What the research says

A feasibility study evaluated a new group-based program called PROGROUP designed for patients with severe obesity. This study tested whether the program components could produce intended outcomes and if the intervention could be practically delivered in a healthcare setting 35. The research involved comparing assumptions with data from a pre-randomized controlled trial feasibility study conducted in NHS sites 3.

Another study specifically looked at Compassion Focused Therapy (CFT), a group-based intervention for people with severe obesity. This trial found that adding CFT to standard care improved self-compassion, reduced depressive symptoms, and decreased emotional eating 4. The program consisted of 10 weekly sessions aimed at promoting self-compassion as a way to manage emotions 4.

What to ask your doctor

  • Is a group-based weight management program like PROGROUP appropriate for my specific health needs?
  • Could adding a therapy like Compassion Focused Therapy help address my emotional eating or depression alongside weight loss?
  • What are the costs and time commitments for attending a group program versus individual therapy?
  • How does this program fit with my current treatment plan, such as medication or surgery?

This question is drawn from common patient questions about Nutrition & Obesity Medicine and answered using cited medical research. We do not provide individualized advice.