Trial reportBMJ (Clinical research ed.)2003
Improving management of obesity in primary care: cluster randomised trial.
Trial report in BMJ (Clinical research ed.), 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 13 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
42 citing papers in PubMed, 13 syntheses or guidelines pooled it.
- A systematic review of inequalities in the uptake of, adherence to, and effectiveness of behavioral weight management interventions in adults.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2022Pooled it
- Effectiveness of weight management interventions for adults delivered in primary care: systematic review and meta-analysis of randomised controlled trials.BMJ (Clinical research ed.) · 2022Pooled it
- Continuing education meetings and workshops: effects on professional practice and healthcare outcomes.The Cochrane database of systematic reviews · 2021Pooled it
- Pooled it
- Interventions to change the behaviour of health professionals and the organisation of care to promote weight reduction in children and adults with overweight or obesity.The Cochrane database of systematic reviews · 2017Pooled it
- Epidemiology of adult overweight recording and management by UK GPs: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017Pooled it
- Effectiveness of behavioural weight loss interventions delivered in a primary care setting: a systematic review and meta-analysis.Family practice · 2014Pooled it
- Pooled it
- A systematic review of behavioural weight-loss interventions involving primary-care physicians in overweight and obese primary-care patients (1999-2011).Public health nutrition · 2013Pooled it
- Obesity educational interventions in U.S. medical schools: a systematic review and identified gaps.Teaching and learning in medicine · 2012Pooled it
- Interventions to change the behaviour of health professionals and the organisation of care to promote weight reduction in overweight and obese people.The Cochrane database of systematic reviews · 2010Pooled it
- Continuing education meetings and workshops: effects on professional practice and health care outcomes.The Cochrane database of systematic reviews · 2009Pooled it
- Primary prevention of CVD: diet and weight loss.BMJ clinical evidence · 2007Pooled it
- Impact of an educational intervention combining clinical obesity preceptorship with electronic networking tools on primary care professionals: a prospective study.BMC medical education · 2020Trial
- Cluster randomised trial of a tailored intervention to improve the management of overweight and obesity in primary care in England.Implementation science : IS · 2016Trial
- Tailored weight loss intervention in obese adults within primary care practice: rationale, design, and methods of Choose to Lose.Contemporary clinical trials · 2014Trial
- A shared-care model of obesity treatment for 3-10 year old children: protocol for the HopSCOTCH randomised controlled trial.BMC pediatrics · 2012Trial
- Comparison of range of commercial or primary care led weight reduction programmes with minimal intervention control for weight loss in obesity: lighten Up randomised controlled trial.BMJ (Clinical research ed.) · 2011Trial
- A Review of the Management of Obesity in Primary Care.Clinical obesity · 2026Review
- Are there inequalities in the attendance at and effectiveness of behavioural weight management interventions for adults in the UK? An individual participant data meta-analysis.BMJ public health · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo evaluate a training programme intended to improve the management of obesity, delivered to general practice teams.
designCluster randomised trial.
settingNorthern and Yorkshire region of England.
participants44 general practices invited consecutively attending obese adults to participate; 843 patients attended for collection of baseline data and were subsequently randomised.
intervention4.5 hour training programme promoting an obesity management model.
main outcome measuresDifference in weight between patients in intervention and control groups at 12 months (main outcome measure) and at 3 months and 18 months; change in practitioners' knowledge and behaviour in obesity management consultations.
resultsTwelve months after training the patients in the intervention group were 1 (95% confidence interval--1.9 to 3.9) kg heavier than controls (P = 0.5). Some evidence indicated that practitioners' knowledge had improved. Some aspects of the management model, including recording weight, target weight, and dietary targets, occurred more frequently in intervention practices after the training, but in absolute terms levels of implementation were low.
conclusionA training package promoting a brief, prescriptive approach to the treatment of obesity through lifestyle modification, intended to be incorporated into routine clinical practice, did not ultimately affect the weight of this motivated and at risk cohort of patients.
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