Trial reportJournal of consulting and clinical psychology2013
Promoting healthy weight with "stability skills first": a randomized trial.
Trial report in Journal of consulting and clinical psychology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00626457 (Promoting Healthy Weight With 'Stability Skills First'), which is not on this map. Cited by 48 papers, 3 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.
Promoting Healthy Weight With 'Stability Skills First' (Fresh Start Weight Loss Study)
Who cites it
48 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Interventions implemented through sporting organisations for promoting healthy behaviour or improving health outcomes.The Cochrane database of systematic reviews · 2025Pooled it
- Health-promotion interventions targeting multiple behaviors: A meta-analytic review of general and behavior-specific processes of change.Psychological bulletin · 2024Pooled it
- A Systematic Review Exploring the Social Cognitive Theory of Self-Regulation as a Framework for Chronic Health Condition Interventions.PloS one · 2015Pooled it
- Switching diets after 6-months does not result in renewed weight loss: a secondary analysis of a 12-month crossover randomized trial.Scientific reports · 2024Trial
- Reach, acceptability, and perceived success of a telehealth diabetes prevention program among racially and ethnically diverse patients with gestational diabetes: the GEM cluster-randomized trial.Translational behavioral medicine · 2022Trial
- Novel behavioral interventions to improve long-term weight loss: A randomized trial of acceptance and commitment therapy or self-regulation for weight loss maintenance.Journal of behavioral medicine · 2021Trial
- Trial
- A Mobile Phone App Designed to Support Weight Loss Maintenance and Well-Being (MotiMate): Randomized Controlled Trial.JMIR mHealth and uHealth · 2019Trial
- Comparing Self-Monitoring Strategies for Weight Loss in a Smartphone App: Randomized Controlled Trial.JMIR mHealth and uHealth · 2019Trial
- Maintenance of Weight Loss After Initiation of Nutrition Training: A Randomized Trial.Annals of internal medicine · 2017Trial
- Trial
- Effects of a mindfulness-based weight loss intervention in adults with obesity: A randomized clinical trial.Obesity (Silver Spring, Md.) · 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
- The SELF trial: A self-efficacy-based behavioral intervention trial for weight loss maintenance.Obesity (Silver Spring, Md.) · 2015Trial
- The Stanford Leisure-Time Activity Categorical Item (L-Cat): a single categorical item sensitive to physical activity changes in overweight/obese women.International journal of obesity (2005) · 2013Trial
- Greater intrinsic motivation for engaging in healthy lifestyle behaviors is associated with reduced postpartum weight.Obesity (Silver Spring, Md.) · 2025Article
- Yes I can! Exploring the impact of self-efficacy in a digital weight loss intervention.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025Article
- Digital health outreach to promote postpartum screening after gestational diabetes: A randomized factorial pilot study.PEC innovation · 2024Article
- Does intervention sequence impact self-regulatory and behavioral outcomes in an adaptive trial among adults with prediabetes?Health psychology and behavioral medicine · 2024Article
- Intrinsic motivation for physical activity, healthy eating, and self-weighing in association with corresponding behaviors in early pregnancy.Preventive medicine reports · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
objectiveAlthough behavioral weight-loss interventions produce short-term weight loss, long-term maintenance remains elusive. This randomized trial examined whether learning a novel set of "stability skills" before losing weight improved long-term weight management. Stability skills were designed to optimize individuals' current satisfaction with lifestyle and self-regulatory habits while requiring the minimum effort and attention necessary.
methodOverweight/obese women (N = 267) were randomly assigned to one of two 6-month interventions and assessed at baseline and at 6, 12, and 18 months. Maintenance First women participated first in an 8-week stability skills maintenance module and then in a standard 20-week behavioral weight-loss program. Weight Loss First women participated first in a standard 20-week behavioral weight-loss program and then in a standard 8-week problem-solving skills maintenance module. There was no intervention staff contact during the 12-month follow-up period (6-18 months).
resultsAs designed, Maintenance First participants lost the same percentage of initial weight during the 6-month intervention period as Weight Loss First participants (M = -8.6%, SD = 5.7, vs. M = -9.1%, SD = 6.9; t = -0.6, p = .52). However, Maintenance First participants regained significantly less weight during the 12-month follow-up period (6-18 months) than Weight Loss First participants (M = 3.2 lb, SD = 10.4, vs. M = 7.3 lb, SD = 9.9 [M = 1.4 kg, SD = 4.7, vs. M = 3.3 kg, SD = 4.5]; t = 3.3, p = .001, d = 0.4).
conclusionLearning stability skills before losing weight was successful in helping women to maintain weight loss without intervention staff contact during follow-up. These results can inform the study design of future innovative interventions.
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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.