Trial reportThe Permanente journal2012
Supported exercise improves controlled eating and weight through its effects on psychosocial factors: extending a systematic research program toward treatment development.
Trial report in The Permanente journal, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01693913 (Effects of a Cognitive-behavioral Weight Loss Treatment), which is not on this map. Cited by 40 papers, 6 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.
Effects of a Cognitive-behavioral Weight Loss Treatment
Who cites it
40 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Comparative effectiveness of a low-calorie diet combined with acupuncture, cognitive behavioral therapy, meal replacements, or exercise for obesity over different intervention periods: A systematic review and network meta-analysis.Frontiers in endocrinology · 2022Pooled it
- Does exercise training augment improvements in quality of life induced by energy restriction for obese populations? A systematic review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2017Pooled it
- Successful behavior change in obesity interventions in adults: a systematic review of self-regulation mediators.BMC medicine · 2015Pooled it
- Pooled it
- A Systematic Review Exploring the Social Cognitive Theory of Self-Regulation as a Framework for Chronic Health Condition Interventions.PloS one · 2015Pooled it
- What are the most effective techniques in changing obese individuals' physical activity self-efficacy and behaviour: a systematic review and meta-analysis.The international journal of behavioral nutrition and physical activity · 2013Pooled it
- Moderators of a Diet and Physical Activity Intervention: who Responds Best to Sequential vs. Simultaneous Approaches.International journal of behavioral medicine · 2025Trial
- Mental health and quality of life during weight loss in females with clinically severe obesity: a randomized clinical trial.Journal of behavioral medicine · 2023Trial
- Eating behaviors and weight loss outcomes in a 12-month randomized trial of diet and/or exercise intervention in postmenopausal women.The international journal of behavioral nutrition and physical activity · 2019Trial
- Effects of a Group Protocol on Physical Activity and Associated Changes in Mood and Health Locus of Control in Adults with Parkinson Disease and Reduced Mobility.The Permanente journal · 2019Trial
- Perceived Self-Efficacy and Financial Incentives: Factors Affecting Health Behaviors and Weight Loss in a Workplace Weight Loss Intervention.Journal of occupational and environmental medicine · 2017Trial
- Psychosocial predictors of emotional eating and their weight-loss treatment-induced changes in women with obesity.Eating and weight disorders : EWD · 2016Trial
- Weight Loss and the Prevention of Weight Regain: Evaluation of a Treatment Model of Exercise Self-Regulation Generalizing to Controlled Eating.The Permanente journal · 2016Trial
- Changes in self-efficacy for exercise and improved nutrition fostered by increased self-regulation among adults with obesity.The journal of primary prevention · 2015Trial
- Theory-based psychosocial factors that discriminate between weight-loss success and failure over 6 months in women with morbid obesity receiving behavioral treatments.Eating and weight disorders : EWD · 2015Trial
- Weight-loss study in African-American Women: lessons learned from project take HEED and future, technologically enhanced directions.The Permanente journal · 2013Trial
- Trial
- Feasibility, acceptability and effectiveness of digitally delivered multimodal prehabilitation for cancer patients: A mixed-methods systematic review.PLOS digital health · 2026Article
- Breaking boundaries: integration of sports and medicine in the community elderly service model.BMC public health · 2025Article
- Contrasting Temporal Sequencing Effects of Self-Regulation, Mood, and Self-Efficacy Changes Within National Cancer Institute-Certified Obesity Intervention Processes Targeting Multiple Weight-Loss Behaviors in Community Settings.Behavioral sciences (Basel, Switzerland) · 2025Article
Corrections and comments
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBehavioral weight-loss treatments have been overwhelmingly unsuccessful. Many inadequately address both behavioral theory and extant research--especially in regard to the lack of viability of simply educating individuals on improved eating and exercise behaviors.
objectiveThe aim was to synthesize research on associations of changes in exercise behaviors, psychosocial factors, eating behaviors, and weight; and then conduct further direct testing to inform the development of an improved treatment approach.
methodsA systematic program of health behavior-change research based on social cognitive theory, and extensions of that theory applied to exercise and weight loss, was first reviewed. Then, to extend this research toward treatment development and application, a field-based study of obese adults was conducted. Treatments incorporated a consistent component of cognitive-behaviorally supported exercise during 26 weeks that was paired with either standard nutrition education (n = 183) or cognitive-behavioral methods for controlled eating that emphasized self-regulatory methods such as goal setting and caloric tracking, cognitive restructuring, and eating cue awareness (n = 247).
resultsBoth treatment conditions were associated with improved self-efficacy, self-regulation, mood, exercise, fruit and vegetable consumption, weight, and waist circumference; with improvements in self-regulation for eating, fruit and vegetable consumption, weight, and waist circumference significantly greater in the cognitive-behavioral nutrition condition. Changes in exercise- and eating-related self-efficacy and self-regulation were associated with changes in exercise and eating (R(2) = 0.40 and 0.17, respectively), with mood change increasing the explanatory power to R(2) = 0.43 and 0.20. Improved self-efficacy and self-regulation for exercise carried over to self-efficacy and self-regulation for controlled eating (β= 0.53 and 0.68, respectively).
conclusionsDevelopment and longitudinal testing of a new and different approach to behavioral treatment for sustained weight loss that emphasizes exercise program-induced psychosocial changes preceding the facilitation of improved eating and weight loss should be guided by our present research.
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