Evidence map›Paper›PMID 23433966›Full record

Trial reportJournal of nutrition education and behavior

Self-efficacy as a predictor of weight change and behavior change in the PREMIER trial.

Brooks C Wingo, Renee A Desmond, Phillip Brantley, Lawrence Appel, Laura Svetkey, Victor J Stevens, Jamy D Ard

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of nutrition education and behavior. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
5.1field-weighted citation impact, top 4% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Determinants of weight loss maintenance: a systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2019
    Pooled it
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  6. Theoretical and Behavioral Mediators of a Weight Loss Intervention for Men.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2016
    Trial
  7. Longitudinal Weight Loss Patterns and their Behavioral and Demographic Associations.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2016
    Trial
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  9. Review
  10. Article
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  14. 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 · 2025
    Article
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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

7 authors at 6 institutions in 1 country.

Brooks C WingoDepartment of Nutrition Sciences, University of Alabama at Birmingham, Birmingham, AL 35294, USA. bcwingo@uab.edu
Renee A Desmond
Phillip Brantley
Lawrence Appel
Laura Svetkey
Victor J Stevens
Jamy D Ard
University of Alabama at Birmingham · USDuke University · USJohns Hopkins University · USKaiser Permanente Center for Health Research · USPennington Biomedical Research Center · USWake Forest University · US

Funding

University of Alabama at Birmingham's Diabetes Research CenterP30DK079626 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Stuart J Frank · 2013 to 2026
$19.5M
UAB Diabetes Research and Training CenterP60DK079626 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GARVEY, W TIMOTHY · 2008 to 2012
$8.4M
UAB T32 In Comparative Effectiveness ResearchT32HS019463 · AHRQ · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI SAAG, KENNETH G · 2010 to 2010
$564k
AHRQ HHS 1 T32 HS019463AHRQ HHS T32 HS019463NIDDK NIH HHS P30 DK079626NIDDK NIH HHS P60 DK079626
6 · The paper itself

Abstract

objectivesDetermine whether self-efficacy independently predicted weight loss in a behavioral intervention and explore factors that influence the path between self-efficacy and weight change.

designSecondary analysis of the PREMIER trial, a randomized controlled trial testing effects of lifestyle interventions on blood pressure.

settingFour academic medical centers.

participantsPREMIER recruited adults (n = 810) with pre-hypertension/stage 1 hypertension, not currently receiving medication. This analysis excluded participants in the control arm, resulting in n = 537.

interventionsParticipants were randomly assigned to 1 of 3 groups: advice only, established lifestyle recommendations, or established lifestyle recommendations plus Dietary Approaches to Stop Hypertension dietary pattern.

main outcome measuresSelf-efficacy (dietary self-efficacy [DSE], exercise self-efficacy [ESE]), dietary intake, fitness. ANALYSIS: Pearson correlations, 1-way analysis of variance, mediation analyses.

resultsDespite an overall decrease in DSE/ESE, change in DSE/ESE significantly predicted weight change at 6 (β = -.21, P < .01; β = -.19, P < .01, respectively) and 18 months (β = -.19, P < .01; β = -.35, P < .01). Change in percent calories from fat partially mediated the DSE/weight change relationship at 6 months. Change in fitness partially mediated the ESE/weight change relationship at 18 months. CONCLUSIONS AND IMPLICATIONS: Changes in DSE/ESE were not associated with behavior change as hypothesized. Additional research is needed to identify mediators between self-efficacy and adoption of behaviors that influence weight loss.

Indexed as

Health BehaviorSelf EfficacyWeight LossAdultAnalysis of VarianceCohort StudiesFemaleHumansLife StyleMaleMiddle AgedObesitySurveys and Questionnaires

Identifiers

PMID23433966
PMCPMC4114041
OpenAlexW2073727415

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.