LEARNING OUTCOME: To understand the value of incorporating a psychosocial indicator with traditional outcome measures for obesity intervention. Traditional outcome measurements for weight management programs have focused on anthropometric changes such as body weight and body fat measures exclusively. The Institute Of Medicine report, Weighing the Options, underlined the importance of monitoring global outcome measures due to the multi-factorial nature of obesity. The Behavioral Modification Weight Management Program at Malcolm Grow Medical Center incorporates principles of sustainable lifestyle changes, healthy attitudes, increased physical activity, healthy food choices, and supportive relationships. Patterned largely after the LEARN® program developed by Kelly Brownell at Yale University, a registered dietitian and a clinical health psychologist conduct the 17 week course. After program completion, clients are encouraged to attend monthly follow-up sessions. The Quality of Life Inventory (QOLI), a comprehensive measure of life and health satisfaction, was incorporated in addition to more traditional outcome measures. Baseline, post-treatment, and quarterly follow-up data were collected for the following: Body Mass Index (BMI), waist to hip ratio, blood pressure, total cholesterol, and QOLI. The dietitian reviewed weekly food and exercise diaries during the program. The clients set weekly goals and perceived adherence to the goals was monitored. Sixty-six participants have completed this program in three separate groups, attending an average of 10 sessions. The mean age was 44 years old and 83 percent were women. Mean reduction in BMI was 1.79; total cholesterol was 16.67 mg/dL; weight loss was 11 lb. Well-being, as measured by the QOLI, improved by an average T-score of 6.66. These physical and psychosocial changes indicated a clinically significant increase in satisfaction with health and quality of life as well as a decreased health risk. Follow-up assessments indicate maintenance of these outcomes. Further research is needed to determine if these positive changes resulted from the content of the program, the frequency of contact, or compliance monitoring techniques utilized by the instructors.