Evidence map›Paper›PMID 22561352›Full record

ArticleBMJ open2012

A pragmatic randomised controlled trial in primary care of the Camden Weight Loss (CAMWEL) programme.

Kiran Nanchahal, Tom Power, Elizabeth Holdsworth, Michelle Hession, Annik Sorhaindo, Ulla Griffiths, Joy Townsend, Nicki Thorogood, David Haslam, Anthony Kessel and 3 more

Registry-linked trialAbstract read
In one paragraph

Article in BMJ open, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00891943 (A Randomised Controlled Trial of a One to One Weight Management Intervention in Primary Care), which is not on this map. Cited by 24 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 11 pooled it
–field-weighted citation impact
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.

NCT00891943 naunknown statusnot on this map

A Randomised Controlled Trial of a One to One Weight Management Intervention in Primary Care

TypeinterventionalSponsorLondon School of Hygiene and Tropical MedicineRan2009 to 2010Enrolled380ConditionsObesity, OverweightArmsStructured lifestyle support
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 11 syntheses or guidelines pooled it.

  1. A systematic review of inequalities in the uptake of, adherence to, and effectiveness of behavioral weight management interventions in adults.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2022
    Pooled it
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  4. Therapeutic Treatment for Abdominal Obesity in Adults.Deutsches Arzteblatt international · 2018
    Pooled it
  5. Weight management programmes: Re-analysis of a systematic review to identify pathways to effectiveness.Health expectations : an international journal of public participation in health care and health policy · 2018
    Pooled it
  6. Pooled it
  7. A systematic review of motivational interviewing for weight loss among adults in primary care.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2015
    Pooled it
  8. Pooled it
  9. Pooled it
  10. Behavioural weight management programmes for adults assessed by trials conducted in everyday contexts: systematic review and meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2014
    Pooled it
  11. Effect of behavioural techniques and delivery mode on effectiveness of weight management: systematic review, meta-analysis and meta-regression.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2014
    Pooled it
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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

13 authors.

Kiran NanchahalLondon School of Hygiene & Tropical Medicine, London, UK.
Tom Power
Elizabeth Holdsworth
Michelle Hession
Annik Sorhaindo
Ulla Griffiths
Joy Townsend
Nicki Thorogood
David Haslam
Anthony Kessel
Shah Ebrahim
Mike Kenward
Andrew Haines

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate effectiveness of a structured one-to-one behaviour change programme on weight loss in obese and overweight individuals.

designRandomised controlled trial.

setting23 general practices in Camden, London.

participants381 adults with body mass index ≥25 kg/m(2) randomly assigned to intervention (n=191) or control (n=190) group.

interventionsA structured one-to-one programme, delivered over 14 visits during 12 months by trained advisors in three primary care centres compared with usual care in general practice. OUTCOME MEASURES: Changes in weight, per cent body fat, waist circumference, blood pressure and heart rate between baseline and 12 months.

results217/381 (57.0%) participants were assessed at 12 months: missing values were imputed. The difference in mean weight change between the intervention and control groups was not statistically significant (0.70 kg (0.67 to 2.17, p=0.35)), although a higher proportion of the intervention group (32.7%) than the control group (20.4%) lost 5% or more of their baseline weight (OR: 1.80 (1.02 to 3.18, p=0.04)). The intervention group achieved a lower mean heart rate (mean difference 3.68 beats per minute (0.31 to 7.04, p=0.03)) than the control group. Participants in the intervention group reported higher satisfaction and more positive experiences of their care compared with the control group.

conclusionsAlthough there is no significant difference in mean weight loss between the intervention and control groups, trained non-specialist advisors can deliver a structured programme and achieve clinically beneficial weight loss in some patients in primary care. The intervention group also reported a higher level of satisfaction with the support received. Primary care interventions are unlikely to be sufficient to tackle the obesity epidemic and effective population-wide measures are also necessary. CLINICAL TRIAL REGISTRATION NUMBER: Trial registrationClincaltrials.gov NCT00891943.

Identifiers

PMID22561352
PMCPMC3353130

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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.