Evidence map›Paper›PMID 20117554›Full record

Trial reportAmerican journal of preventive medicine2010

Step ahead a worksite obesity prevention trial among hospital employees.

Stephenie C Lemon, Jane Zapka, Wenjun Li, Barbara Estabrook, Milagros Rosal, Robert Magner, Victoria Andersen, Amy Borg, Janet Hale

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in American journal of preventive medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 14 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 14 pooled it
8.1field-weighted citation impact, top 3% of its field
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

44 citing papers in PubMed, 14 syntheses or guidelines pooled it, 97 citations in OpenAlex.

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  5. Workplace pedometer interventions for increasing physical activity.The Cochrane database of systematic reviews · 2020
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  6. Lifestyle interventions in the maritime settings: a systematic review.Environmental health and preventive medicine · 2020
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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 at 2 institutions in 1 country.

Stephenie C LemonUniversity of Massachusetts Medical School, Worcester, 01655, USA. Stephenie.Lemon@umassmed.edu
Jane Zapka
Wenjun Li
Barbara Estabrook
Milagros Rosal
Robert Magner
Victoria Andersen
Amy Borg
Janet Hale
University of Massachusetts Chan Medical School · USMedical University of South Carolina · US

Funding

Active Living and Healthy Diet at the WorkplaceR01HL079483 · NHLBI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI LEMON, STEPHENIE C. · 2004 to 2007
$2.3M
NHLBI NIH HHS 5R01HL079483NHLBI NIH HHS R01 HL079483
6 · The paper itself

Abstract

backgroundThe worksite represents a promising venue in which to address the issue of obesity.

designPair-matched, cluster-RCT. Data were collected from 2005 to 2008 and analyzed in 2008. SETTING/

participantsA random sample of 806 employees was selected to represent the workforce of six hospitals in central Massachusetts.

interventionThe 2-year ecologic intervention sought to prevent weight gain through changes in worksite weight-related norms using strategies targeted at the organization, interpersonal environment, and employees.

main outcome measuresThe primary outcome was change in BMI at the 12- and 24-month follow-ups. Change in perceptions of organizational commitment to employee health and normative coworker behaviors were secondary outcomes.

resultsThere was no impact of the intervention on change in BMI from baseline to 12 (beta=0.272; 95% CI=-0.271, 0.782) or 24 months (beta=0.276; 95% CI=-0.338, 0.890) in intention-to-treat analysis. When intervention exposure (scale=0 to 100) was used as the independent variable, there was a decrease of 0.012 BMI units (95% CI=-0.025, 0.001) for each unit increase in intervention participation at the 24-month follow-up. Employees in intervention sites reported significantly greater improvements in perceptions of organizational commitment to employee health at 12 and 24 months compared to control sites, but there was no impact on perceptions of normative coworker behaviors.

conclusionsThe intervention had a dose-response relationship with BMI, with positive effects proportional to extent of participation. Although the intervention was able to change organizational perceptions, successfully improving changes in actual and perceived social norms may be needed to achieve population-level impact in complex worksite organizations.

Indexed as

Occupational HealthPersonnel, HospitalAdolescentAdultBody Mass IndexCluster AnalysisDelivery of Health CareFemaleHumansMaleMassachusettsMiddle AgedObesityYoung Adult

Identifiers

PMID20117554
PMCPMC2818976
OpenAlexW2159095488

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.