Trial reportJournal of behavioral medicine2010
Adherence is a multi-dimensional construct in the POUNDS LOST trial.
Trial report in Journal of behavioral medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 4 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
37 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Reduction in saturated fat intake for cardiovascular disease.The Cochrane database of systematic reviews · 2020Pooled it
- Reduction in saturated fat intake for cardiovascular disease.The Cochrane database of systematic reviews · 2020Pooled it
- Transtheoretical model stages of change for dietary and physical exercise modification in weight loss management for overweight and obese adults.The Cochrane database of systematic reviews · 2014Pooled it
- Rate of weight loss can be predicted by patient characteristics and intervention strategies.Journal of the Academy of Nutrition and Dietetics · 2012Pooled it
- Adherence to Ketogenic and Mediterranean Study Diets in a Crossover Trial: The Keto-Med Randomized Trial.Nutrients · 2021Trial
- Is Dietary Nonadherence Unique to Obesity and Weight Loss? Results From a Randomized Clinical Trial.Obesity (Silver Spring, Md.) · 2020Trial
- Trial
- Markers of dietary protein intake are associated with successful weight loss in the POUNDS Lost trial.Clinical obesity · 2017Trial
- Longitudinal Weight Loss Patterns and their Behavioral and Demographic Associations.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2016Trial
- Neuropeptide Y genotype, central obesity, and abdominal fat distribution: the POUNDS LOST trial.The American journal of clinical nutrition · 2015Trial
- Predicting successful long-term weight loss from short-term weight-loss outcomes: new insights from a dynamic energy balance model (the POUNDS Lost study).The American journal of clinical nutrition · 2015Trial
- In it for the long haul: characteristics of early and late drop out in a self-management intervention for weight control.Journal of behavioral medicine · 2013Trial
- Use of a computerized tracking system to monitor and provide feedback on dietary goals for calorie-restricted diets: the POUNDS LOST study.Journal of diabetes science and technology · 2012Trial
- Using mHealth technology to enhance self-monitoring for weight loss: a randomized trial.American journal of preventive medicine · 2012Trial
- Diet type and changes in food cravings following weight loss: findings from the POUNDS LOST Trial.Eating and weight disorders : EWD · 2012Trial
- Early behavioral adherence predicts short and long-term weight loss in the POUNDS LOST study.Journal of behavioral medicine · 2010Trial
- Review
- Article
- Behavioral and Psychological Factors Affecting Weight Loss Success.Current obesity reports · 2023Review
- Toward Precision Weight-Loss Dietary Interventions: Findings from the POUNDS Lost Trial.Nutrients · 2023Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
13 authors.
Funding
Abstract
Research on the conceptualization of adherence to treatment has not addressed a key question: Is adherence best defined as being a uni-dimensional or multi-dimensional behavioral construct? The primary aim of this study was to test which of these conceptual models best described adherence to a weight management program. This ancillary study was conducted as a part of the POUNDS LOST trial that tested the efficacy of four dietary macronutrient compositions for promoting weight loss. A sample of 811 overweight/obese adults was recruited across two clinical sites, and each participant was randomly assigned to one of four macronutrient prescriptions: (1) Low fat (20% of energy), average protein (15% of energy); (2) High fat (40%), average protein (15%); (3) Low fat (20%), high protein (25%); (4) High fat (40%), high protein (25%). Throughout the first 6 months of the study, a computer tracking system collected data on eight indicators of adherence. Computer tracking data from the initial 6 months of the intervention were analyzed using exploratory and confirmatory analyses. Two factors (accounting for 66% of the variance) were identified and confirmed: (1) behavioral adherence and (2) dietary adherence. Behavioral adherence did not differ across the four interventions, but prescription of a high fat diet (vs. a low fat diet) was found to be associated with higher levels of dietary adherence. The findings of this study indicated that adherence to a weight management program was best conceptualized as being multi-dimensional, with two dimensions: behavioral and dietary adherence.
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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.