Evidence map›Paper›PMID 16531453›Full record

ArticleArchives of disease in childhood2006

WATCH IT: a community based programme for obese children and adolescents.

M Rudolf, D Christie, S McElhone, P Sahota, R Dixey, J Walker, C Wellings

Abstract read
In one paragraph

Article in Archives of disease in childhood, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  9. Review
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  13. An investigation into the dental health of children with obesity: an analysis of dental erosion and caries status.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2014
    Article
  14. Article
  15. An initial evaluation of a family-based approach to weight management in adolescents attending a community weight management group.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2012
    Article
  16. Article
  17. No pain, no gain? Integrating QoL assessment in paediatrics.Archives of disease in childhood · 2007
    Review
  18. Tackling the obesity epidemic: new approaches.Archives of disease in childhood · 2006
    Review
  19. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

M RudolfUniversity of Leeds and East Leeds PCT, Leeds, UK. mary.rudolf@leedsth.nhs.uk
D Christie
S McElhone
P Sahota
R Dixey
J Walker
C Wellings

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe WATCH IT programme was developed to address the needs of obese children from disadvantaged communities in Leeds and has been running since January 2004. Results of the pilot phase, prior to a randomised controlled trial, are presented.

methodsA process evaluation to assess success of implementation was conducted in December 2004. User views (parent and child) were obtained by semi-structured interviews and focus groups. Change in BMI SD score was calculated for children attending between January 2004 and November 2005.

resultsA total of 94 children (49 girls, 45 boys), mean age (SD) 12.2 (2.0) years attended. They were moderately to severely obese (mean BMI SDS 3.09 (0.45), with low quality of life and self-image scores. There was a significant reduction in overweight at 6 months (DeltaBMI SD -0.07), especially for teenagers (DeltaBMI SD -0.13) and girls (DeltaBMI SD -0.07). The programme was successfully implemented. By December 2004 mean attendance was 2.1 (0.7) clinics per month, and sports sessions 3.3 (1.7) sessions per month. Fourteen children dropped out and non-attendance was low (only 7.5% sessions missed in 12 months). Qualitative research indicated significant appreciation of the service, with reported increase in self-confidence and friendships, and reduction in self-harm.

conclusionWATCH IT offers a model for a community based service for obese children. The programme suggests that effective care can be delivered by health trainers supervised by health professionals, and so potentially provides a cost effective programme within children's communities. These findings are encouraging, and need to be substantiated by extension to other locations and evaluation by randomised controlled trial.

Indexed as

AdolescentBody Mass IndexChildCommunity Health ServicesEnglandExerciseFemaleHumansMaleObesityPatient SatisfactionPilot ProjectsPoverty AreasProgram EvaluationQuality of LifeSelf Concept

Identifiers

PMID16531453
PMCPMC2082903

What OpenQuestion holds

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Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.