Evidence map›Paper›PMID 22555246›Full record

Trial reportJournal of medical Internet research2012

A 12-week commercial web-based weight-loss program for overweight and obese adults: randomized controlled trial comparing basic versus enhanced features.

Clare E Collins, Philip J Morgan, Penelope Jones, Kate Fletcher, Julia Martin, Elroy J Aguiar, Ashlee Lucas, Melinda J Neve, Robin Callister

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

Trial report in Journal of medical Internet research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03435445 (Use of Web as a Tool to Promote Weight Loss in Overweight and Obese Adults), which is not on this map. Cited by 55 papers, 17 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 17 pooled it
20.3field-weighted citation impact, top 1% 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.

NCT03435445 nacompletednot on this mapstarted 2017, after this paper: background citation

Use of Web as a Tool to Promote Weight Loss in Overweight and Obese Adults

TypeinterventionalSponsorFederal University of Minas GeraisRan2017 to 2018Enrolled1,276ConditionsObesity, OverweightArmsOnline platform group, Online dietitian coaching, Control group
3 · Its place in the literature

Who cites it

55 citing papers in PubMed, 17 syntheses or guidelines pooled it, 108 citations in OpenAlex.

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  12. Systematic review and meta-analysis of internet-delivered interventions providing personalized feedback for weight loss in overweight and obese adults.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2016
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  13. Is self-weighing an effective tool for weight loss: a systematic literature review and meta-analysis.The international journal of behavioral nutrition and physical activity · 2015
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  17. Technology-assisted weight management interventions: systematic review of clinical trials.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2014
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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 1 institution in 1 country.

Clare E CollinsThe University of Newcastle, Callaghan, NSW, Australia. clare.collins@newcastle.edu.au
Philip J Morgan
Penelope Jones
Kate Fletcher
Julia Martin
Elroy J Aguiar
Ashlee Lucas
Melinda J Neve
Robin Callister
University of Newcastle Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe development and use of Web-based programs for weight loss is increasing rapidly, yet they have rarely been evaluated using randomized controlled trials (RCTs). Interestingly, most people who attempt weight loss use commercially available programs, yet it is very uncommon for commercial programs to be evaluated independently or rigorously.

objectiveTo compare the efficacy of a standard commercial Web-based weight-loss program (basic) versus an enhanced version of this Web program that provided additional personalized e-feedback and contact from the provider (enhanced) versus a wait-list control group (control) on weight outcomes in overweight and obese adults.

methodsThis purely Web-based trial using a closed online user group was an assessor-blinded RCT with participants randomly allocated to the basic or enhanced 12-week Web-based program, based on social cognitive theory, or the control, with body mass index (BMI) as the primary outcome.

resultsWe enrolled 309 adults (129/309, 41.8% male, BMI mean 32.3, SD 4 kg/m(2)) with 84.1% (260/309) retention at 12 weeks. Intention-to-treat analysis showed that both intervention groups reduced their BMI compared with the controls (basic: -0.72, SD 1.1 kg/m(2), enhanced: -1.0, SD 1.4, control: 0.15, SD 0.82; P < .001) and lost significant weight (basic: -2.1, SD 3.3 kg, enhanced: -3.0, SD 4.1, control: 0.4, SD 2.3; P < .001) with changes in waist circumference (basic: -2.0, SD 3.5 cm, enhanced: -3.2, SD 4.7, control: 0.5, SD 3.0; P < .001) and waist-to-height ratio (basic: -0.01, SD 0.02, enhanced: -0.02, SD 0.03, control: 0.0, SD 0.02; P < .001), but no differences were observed between the basic and enhanced groups. The addition of personalized e-feedback and contact provided limited additional benefits compared with the basic program.

conclusionsA commercial Web-based weight-loss program can be efficacious across a range of weight-related outcomes and lifestyle behaviors and achieve clinically important weight loss. Although the provision of additional personalized feedback did not facilitate greater weight loss after 12 weeks, the impact of superior participant retention on longer-term outcomes requires further study. Further research is required to determine the optimal mix of program features that lead to the biggest treatment impact over time.

trial registrationAustralian New Zealand Clinical Trials Registry (ANZCTR): 12610000197033.

Indexed as

InternetAdultBody Mass IndexFemaleHumansMaleObesityOverweightTreatment Outcome

Identifiers

PMID22555246
PMCPMC3376507
OpenAlexW2070943279

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.