Evidence map›Paper›PMID 18244892›Full record

Trial reportJournal of medical Internet research2008

Design and implementation of an interactive website to support long-term maintenance of weight loss.

Victor J Stevens, Kristine L Funk, Phillip J Brantley, Thomas P Erlinger, Valerie H Myers, Catherine M Champagne, Alan Bauck, Carmen D Samuel-Hodge, Jack F Hollis

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of medical Internet research, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00054925 (Weight Loss Maintenance), which is not on this map. Cited by 39 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 6 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.

NCT00054925 nacompletednot on this map

Weight Loss Maintenance (WLM)

TypeinterventionalSponsorDuke UniversityRan2003 to 2009Enrolled1,685ConditionsCardiovascular Diseases, Heart Diseases, Obesity, Diabetes Mellitus, Non-insulin DependentArmsPersonal contact (PC), Interactive technology (IT)
3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Behavioral mediators of treatment effects in the weight loss maintenance trial.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2013
    Trial
  13. Trial
  14. Trial
  15. Trial
  16. Trial
  17. Trial
  18. Trial
  19. Trial
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Victor J StevensKaiser Permanente, Center for Health Research, Portland, OR 97227, USA.
Kristine L Funk
Phillip J Brantley
Thomas P Erlinger
Valerie H Myers
Catherine M Champagne
Alan Bauck
Carmen D Samuel-Hodge
Jack F Hollis

Funding

WEIGHT LOSS MAINTENANCE TRIALU01HL068676 · NHLBI · KAISER FOUNDATION RESEARCH INSTITUTE · PI STEVENS, VICTOR J · 2003 to 2009
$7.4M
WEIGHT LOSS MAINTENANCE TRIALU01HL068734 · NHLBI · DUKE UNIVERSITY · PI SVETKEY, LAURA P · 2003 to 2007
$3.1M
WEIGHT LOSS MAINTENANCE TRIALU01HL068790 · NHLBI · KAISER FOUNDATION RESEARCH INSTITUTE · PI HOLLIS, JACK F · 2003 to 2007
$2.4M
WEIGHT LOSS MAINTENANCE TRIALU01HL068920 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI APPEL, LAWRENCE JOHN · 2003 to 2007
$2.4M
WEIGHT LOSS MAINTENANCE TRIALU01HL068955 · NHLBI · LSU PENNINGTON BIOMEDICAL RESEARCH CTR · PI BRANTLEY, PHILLIP J · 2003 to 2007
$2.3M
NHLBI NIH HHS 5- HL68955NHLBI NIH HHS 5-U01 HL68676NHLBI NIH HHS 5-U01 HL68734NHLBI NIH HHS 5-U01 HL68790NHLBI NIH HHS 5-U01 HL68920NHLBI NIH HHS U01 HL068676NHLBI NIH HHS U01 HL068734NHLBI NIH HHS U01 HL068790NHLBI NIH HHS U01 HL068920NHLBI NIH HHS U01 HL068955
6 · The paper itself

Abstract

backgroundFor most individuals, long-term maintenance of weight loss requires long-term, supportive intervention. Internet-based weight loss maintenance programs offer considerable potential for meeting this need. Careful design processes are required to maximize adherence and minimize attrition.

objectiveThis paper describes the development, implementation and use of a Web-based intervention program designed to help those who have recently lost weight sustain their weight loss over 1 year.

methodsThe weight loss maintenance website was developed over a 1-year period by an interdisciplinary team of public health researchers, behavior change intervention experts, applications developers, and interface designers. Key interactive features of the final site include social support, self-monitoring, written guidelines for diet and physical activity, links to appropriate websites, supportive tools for behavior change, check-in accountability, tailored reinforcement messages, and problem solving and relapse prevention training. The weight loss maintenance program included a reminder system (automated email and telephone messages) that prompted participants to return to the website if they missed their check-in date. If there was no log-in response to the email and telephone automated prompts, a staff member called the participant. We tracked the proportion of participants with at least one log-in per month, and analyzed log-ins as a result of automated prompts.

resultsThe mean age of the 348 participants enrolled in an ongoing randomized trial and assigned to use the website was 56 years; 63% were female, and 38% were African American. While weight loss data will not be available until mid-2008, website use remained high during the first year with over 80% of the participants still using the website during month 12. During the first 52 weeks, participants averaged 35 weeks with at least one log-in. Email and telephone prompts appear to be very effective at helping participants sustain ongoing website use.

conclusionsDeveloping interactive websites is expensive, complex, and time consuming. We found that extensive paper prototyping well in advance of programming and a versatile product manager who could work with project staff at all levels of detail were essential to keeping the development process efficient.

trial registrationclinicaltrials.gov NCT00054925.

Indexed as

Social SupportWeight LossAdultElectronic MailFemaleFollow-Up StudiesHealth BehaviorHumansInternetMaleMiddle AgedObesityPatient Education as TopicPatient ParticipationProfessional-Patient RelationsProgram Evaluation

Identifiers

PMID18244892
PMCPMC2483846

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.