Results-Based Accountability (RBA) and Outcomes-Based Accountability (OBA)
        

 

The Little Book of Results-Based Dieting

 

Press Release Graphics

Front Cover   Back Cover   Author Picture    Other Graphics

                         

 

Additional narrative and background information:

Why did I write this book? 

Throughout most of my life up into my 40's I didn't have much of a problem with weight. But things changed dramatically after my heart surgery in 1998. Before the surgery, my eating habits were terrible by any standard. I ate fast food often and without regard to calories or cholesterol. There is no doubt that the fat and cholesterol in this diet were what clogged up my arteries. But after the surgery, I had brand new heart plumbing and I solemnly promised everyone that I would change my ways. But I didn't. After a few weeks of half-hearted attempts I gradually went back to the old bad habits. But this time, my body didn't react the same way. One day, after a few months, I looked in the mirror and was shocked at what I saw. My weight had gone over 190 lbs, far more than I had ever weighed in my life, and my face looked puffy and unhealthy. Pictures of my father's beer belly flashed through my head. I was not going to go down that path. This was NOT OK.

I had spent the previous five years developing a set of methods to help people change conditions in their community and work life. The methods called Results-Based Accountability™ or RBA showed communities how to work together to improve the lives of children and families. And a variation showed program managers how to improve the quality of their government or nonprofit services. If I could help people tackle huge challenges like reducing teen pregnancy or improving school performance, surely I could figure out how to reduce and control my own weight.

So I began to use the RBA methods to bring my weight down. I weighed myself twice a day, morning and evening and kept the weight data on a computer spreadsheet in both table and graph form. I bought a book that enabled me to count calories. (Corrinne Netzer's The Complete Book of Food Counts). I wasn't sure exactly what calorie total would bring my weight down, but I made a guess and adjusted it over time. It turned out to be about 2,000 calories per day. I had to decide what combinations of foods would get me below 2,000 calories. I started reading food labels and Netzer's book. I kept track of everything I ate or drank and tallied it up at the end of the day. Gradually I learned what worked and what didn't. In just a few months I was able to bring my weight below my target of 178.

Maintaining this discipline over months and years is not easy to do. As Winston Churchill said, "I can resist everything except temptation." So I would overindulge at holiday meals and my weight would go up. But now I knew what to do and could quickly bring my weight back down again. I realized that weight loss would never be a straight line affair. My weight would zigzag. What I wanted was for it to zigzag down when losing weight and to zigzag horizontally in the weight maintenance stage. In July, 2006, I started my most recent round of using results-based methods. On April 18, 2009, I will have been on the diet for 1,000 consecutive days. With some zigs and zags I have maintained my weight below 178 lbs. In fact 88% of the days have been below this weight. (See the graph below.) I am now resetting the target to 176 lbs.

I realized that if these methods worked for me, then maybe they could help other people. I didn't want to write a lengthy tome. I didn't want to write a cook book. Everything I had to tell people could fit into a very small space. And maybe people who have struggled with all the lengthy books and complicated fads could find these simple straightforward methods easier to use and maintain. Hence, a 45 page book.

There are some people who have suggested that it is vaguely undignified for me to have strayed from the high purpose of social change into what is clearly a matter of popular culture. But I don't think so. In addition to helping people lose weight, I hope the book will introduce people to the RBA thinking process, and perhaps inspire them to take what they've learned from losing weight and help their neighbors work together to make a difference in their community.

Most Recent Weight Graph

 

Check out some other writing by Mark Friedman