Evidence map›Paper›PMID 23229890›Full record

Trial reportJAMA internal medicine2013

Integrating technology into standard weight loss treatment: a randomized controlled trial.

Bonnie Spring, Jennifer M Duncan, E Amy Janke, Andrea T Kozak, H Gene McFadden, Andrew DeMott, Alex Pictor, Leonard H Epstein, Juned Siddique, Christine A Pellegrini and 2 more

3 registry-linked trialsAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in JAMA internal medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 133 papers, 16 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
133citing papers in PubMed, 16 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.

NCT00371462 naterminatednot on this map

PDA+: A Personal Digital Assistant for Obesity Treatment

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2007 to 2011Enrolled70ConditionsObesity, PainArmsUse of PDA + support to reduce weight and pain, MOVE! level 2 group weight loss counseling
NCT03491930 nawithdrawnnot on this mapstarted 2018, after this paper: background citation

What is the Effect of a Feedback Device on Weight Loss and Metabolic Measurements in Obese People With the Metabolic Syndrome?

TypeinterventionalSponsorRockefeller UniversityRan2018 to 2018Enrolled0ConditionsWeight Loss, Obesity, Pre-Diabetes, Metabolic SyndromeArmsVA MOVE! Coach app, Telephone Coaching, Standard of Care for weight loss.
NCT05394779 nacompletednot on this mapstarted 2022, after this paper: background citation

Evaluation of Performance and Safety of DTXO App, an Innovative Digital Therapy, in Improving Weight Loss and Weight-Loss Maintenance of Patients With Obesity by Increasing Their Adherence to Dietary, Exercise Regimens and Psycho-Behavioral Program

TypeinterventionalSponsorAdvice Pharma Group srlRan2022 to 2024Enrolled246ConditionsObesity, Health Behavior, Life Style, Dietary HabitsArmsDTXO APP, PLACEBO APP - Control group
3 · Its place in the literature

Who cites it

133 citing papers in PubMed, 16 syntheses or guidelines pooled it.

  1. Systematic Review of Loneliness and Social Isolation Interventions in Obesity and Obesity-Related Complications.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
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  7. Guideline
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  11. Remote Patient Monitoring via Non-Invasive Digital Technologies: A Systematic Review.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2017
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  14. 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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73 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Bonnie SpringDepartment of Preventive Medicine, Northwestern University Feinberg School of Medicine, 680 N Lake Shore Dr, Ste 1220, Chicago, IL 60611, USA. bspring@northwestern.edu
Jennifer M Duncan
E Amy Janke
Andrea T Kozak
H Gene McFadden
Andrew DeMott
Alex Pictor
Leonard H Epstein
Juned Siddique
Christine A Pellegrini
Joanna Buscemi
Donald Hedeker

Funding

Multidisciplinary Clinical and Translational Science (MCTS) Program (UL1)UL1TR000150 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI LLOYD-JONES, DONALD M · 2012 to 2013
$10.1M
Research Design, Data, and Analytics CoreP30DK092949 · NIDDK · UNIVERSITY OF CHICAGO · PI ELBERT S. HUANG · 2011 to 2026
$10.0M
Multiple Behavior Change in Diet and ActivityR01HL075451 · NHLBI · UNIVERSITY OF ILLINOIS AT CHICAGO · PI SPRING, BONNIE · 2004 to 2014
$6.6M
Real Time Analysis of Diet and Activity DataK07CA154862 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI SIDDIQUE, JUNED · 2011 to 2015
$585k
NCATS NIH HHS UL1 TR000150NCI NIH HHS K07 CA154862NHLBI NIH HHS HL075451NHLBI NIH HHS R01 HL075451NIDDK NIH HHS P30 DK092949
6 · The paper itself

Abstract

backgroundA challenge in intensive obesity treatment is making care scalable. Little is known about whether the outcome of physician-directed weight loss treatment can be improved by adding mobile technology.

methodsWe conducted a 2-arm, 12-month study (October 1, 2007, through September 31, 2010). Seventy adults (body mass index >25 and ≤40 [calculated as weight in kilograms divided by height in meters squared]) were randomly assigned either to standard-of-care group treatment alone (standard group) or to the standard and connective mobile technology system (+mobile group). Participants attended biweekly weight loss groups held by the Veterans Affairs outpatient clinic. The +mobile group was provided personal digital assistants to self-monitor diet and physical activity; they also received biweekly coaching calls for 6 months. Weight was measured at baseline and at 3-, 6-, 9-, and 12-month follow-up.

resultsSixty-nine adults received intervention (mean age, 57.7 years; 85.5% were men). A longitudinal intent-to-treat analysis indicated that the +mobile group lost a mean of 3.9 kg more (representing 3.1% more weight loss relative to the control group; 95% CI, 2.2-5.5 kg) than the standard group at each postbaseline time point. Compared with the standard group, the +mobile group had significantly greater odds of having lost 5% or more of their baseline weight at each postbaseline time point (odds ratio, 6.5; 95% CI, 2.5-18.6).

conclusionsThe addition of a personal digital assistant and telephone coaching can enhance short-term weight loss in combination with an existing system of care. Mobile connective technology holds promise as a scalable mechanism for augmenting the effect of physician-directed weight loss treatment.

trial registrationclinicaltrials.gov Identifier: NCT00371462.

Indexed as

Computers, HandheldTelephoneWeight LossAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedObesityTechnologyWeight Reduction Programs

Identifiers

PMID23229890
PMCPMC3684245

What OpenQuestion holds

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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.