Evidence map›Paper›PMID 21320331›Full record

Trial reportBMC public health2011

Evaluating clinic and community-based lifestyle interventions for obesity reduction in a low-income Latino neighborhood: Vivamos Activos Fair Oaks Program.

Rebecca L Drieling, Jun Ma, Randall S Stafford

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC public health, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01242683 (Case-Management & Environmental Support to Sustain Weight Loss & Reduce CHD Risk), which is not on this map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
3.8field-weighted citation impact, top 7% 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.

NCT01242683 phase2completednot on this map

Case-Management & Environmental Support to Sustain Weight Loss & Reduce CHD Risk

TypeinterventionalSponsorStanford UniversityRan2008 to 2013Enrolled207ConditionsObesityArmsVivamos Activos Fair Oaks Program
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Interventions for improving health literacy in migrants.The Cochrane database of systematic reviews · 2023
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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

3 authors at 2 institutions in 1 country.

Rebecca L DrielingProgram on Prevention Outcomes and Practices, Stanford Prevention Research Center, Stanford School of Medicine, Stanford, CA, USA.
Jun Ma
Randall S Stafford
Stanford Medicine · USPalo Alto Institute · US

Funding

Case-Management & Environmental Support to Sustain Weight Loss & Reduce CHD RiskR01HL089448 · NHLBI · STANFORD UNIVERSITY · PI STAFFORD, RANDALL SCOTT · 2008 to 2012
$3.7M
NHLBI NIH HHS HL089448
6 · The paper itself

Abstract

backgroundObesity exerts an enormous health impact through its effect on coronary heart disease and its risk factors. Primary care-based and community-based intensive lifestyle counseling may effectively promote weight loss. There has been limited implementation and evaluation of these strategies, particularly the added benefit of community-based intervention, in low-income Latino populations.

designThe Vivamos Activos Fair Oaks project is a randomized clinical trial designed to evaluate the clinical and cost-effectiveness of two obesity reduction lifestyle interventions: clinic-based intensive lifestyle counseling, either alone (n = 80) or combined with community health worker support (n = 80), in comparison to usual primary care (n = 40). Clinic-based counseling consists of 15 group and four individual lifestyle counseling sessions provided by health educators targeting behavior change in physical activity and dietary practices. Community health worker support includes seven home visits aimed at practical implementation of weight loss strategies within the person's home and neighborhood. The interventions use a framework based on Social Cognitive Theory, the Transtheoretical Model of behavior change, and techniques from previously tested lifestyle interventions. Application of the framework was culturally tailored based on past interventions in the same community and elsewhere, as well as a community needs and assets assessment. The interventions include a 12-month intensive phase followed by a 12-month maintenance phase. Participants are obese Spanish-speaking adults with at least one cardiovascular risk factor recruited from a community health center in a low-income neighborhood of San Mateo County, California. Follow-up assessments occur at 6, 12, and 24 months for the primary outcome of percent change in body mass index at 24 months. Secondary outcomes include specific cardiovascular risk factors, particularly blood pressure and fasting glucose levels. DISCUSSION AND

conclusionsIf successful, this study will provide evidence for broad implementation of obesity interventions in minority populations and guidance about the selection of strategies involving clinic-based case management and community-based community health worker support. CLINICAL

trial registrationClinicalTrials.gov: NCT01242683.

Indexed as

Community NetworksHispanic or LatinoPovertyRisk Reduction BehaviorAdolescentAdultCaliforniaCommunity Health CentersCost of IllnessHealth PromotionHumansMiddle AgedObesityProgram EvaluationSurveys and QuestionnairesYoung Adult

Identifiers

PMID21320331
PMCPMC3042942
OpenAlexW2164570119

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.