Trial reportBMJ (Clinical research ed.)2013
Shared care obesity management in 3-10 year old children: 12 month outcomes of HopSCOTCH randomised trial.
Trial report in BMJ (Clinical research ed.), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 10 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
33 citing papers in PubMed, 10 syntheses or guidelines pooled it.
- A Systematic Review and Meta-Analysis of Randomized Controlled Trials of Behavioral Interventions for the Management of Overweight and Obesity in Children That Are Delivered or Referred to by Health Providers in Primary Care.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026Pooled it
- The Effects of Teleinterventions on Pediatric Weight Control: Systematic Review and Meta-Analysis of Randomized Controlled Trials.Journal of medical Internet research · 2025Pooled it
- Digital health, technology-driven or technology-assisted interventions for the management of obesity in children and adolescents.The Cochrane database of systematic reviews · 2025Pooled it
- Pooled it
- Pooled it
- Layperson-Led vs Professional-Led Behavioral Interventions for Weight Loss in Pediatric Obesity: A Systematic Review and Meta-analysis.JAMA network open · 2020Pooled it
- Interventions to change the behaviour of health professionals and the organisation of care to promote weight reduction in children and adults with overweight or obesity.The Cochrane database of systematic reviews · 2017Pooled it
- Diet, physical activity and behavioural interventions for the treatment of overweight or obese children from the age of 6 to 11 years.The Cochrane database of systematic reviews · 2017Pooled it
- Multicomponent Lifestyle Interventions for Treating Overweight and Obesity in Children and Adolescents: A Systematic Review and Meta-Analyses.Journal of obesity · 2017Pooled it
- Effect of multidisciplinary interventions on quality of life in obese children: a systematic review and meta-analysis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2015Pooled it
- Trial
- Cost-Effectiveness of a Clinical Childhood Obesity Intervention.Pediatrics · 2017Trial
- Two Pilot Randomized Trials To Examine Feasibility and Impact of Treated Parents as Peer Interventionists in Family-Based Pediatric Weight Management.Childhood obesity (Print) · 2017Trial
- A Community Resource Map to Support Clinical-Community Linkages in a Randomized Controlled Trial of Childhood Obesity, Eastern Massachusetts, 2014-2016.Preventing chronic disease · 2017Trial
- Pediatric Primary Care-Based Obesity Prevention for Parents of Preschool Children: A Pilot Study.Childhood obesity (Print) · 2015Trial
- Trial
- The challenges of real-world implementation of web-based shared care software: the HopSCOTCH Shared-Care Obesity Trial in Children.BMC medical informatics and decision making · 2014Trial
- Single versus multiple-family intervention in childhood overweight--Finnmark Activity School: a randomised trial.Archives of disease in childhood · 2014Trial
- Treating Childhood Obesity: Building and Evaluating Evidence-Based Models of Integrated Care.Journal of the Endocrine Society · 2025Review
- Investigating Countermovement and Horizontal Jump Asymmetry in Female Football Players: Differences Across Age Categories.Journal of functional morphology and kinesiology · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine whether general practice surveillance for childhood obesity, followed by obesity management across primary and tertiary care settings using a shared care model, improves body mass index and related outcomes in obese children aged 3-10 years.
designRandomised controlled trial.
setting22 family practices (35 participating general practitioners) and a tertiary weight management service (three paediatricians, two dietitians) in Melbourne, Australia.
participantsChildren aged 3-10 years with body mass index above the 95th centile recruited through their general practice between July 2009 and April 2010.
interventionChildren were randomly allocated to one tertiary appointment followed by up to 11 general practice consultations over one year, supported by shared care, web based software (intervention) or "usual care" (control). Researchers collecting outcome measurements, but not participants, were blinded to group assignment.
main outcome measuresChildren's body mass index z score (primary outcome), body fat percentage, waist circumference, physical activity, quality of diet, health related quality of life, self esteem, and body dissatisfaction and parents' body mass index (all 15 months post-enrolment).
results118 (60 intervention, 56 control) children were recruited and 107 (91%) were retained and analysed (56 intervention, 51 control). All retained intervention children attended the tertiary appointment and their general practitioner for at least one (mean 3.5 (SD 2.5, range 1-11)) weight management consultation. At outcome, children in the two trial arms had similar body mass index (adjusted mean difference -0.1 (95% confidence interval -0.7 to 0.5; P=0.7)) and body mass index z score (-0.05 (-0.14 to 0.03); P=0.2). Similarly, no evidence was found of benefit or harm on any secondary outcome. Outcomes varied widely in the combined cohort (mean change in body mass index z score -0.20 (SD 0.25, range -0.97-0.47); 26% of children resolved from obese to overweight and 2% to normal weight.
conclusionsAlthough feasible, not harmful, and highly rated by both families and general practitioners, the shared care model of primary and tertiary care management did not lead to better body mass index or other outcomes for the intervention group compared with the control group. Improvements in body mass index in both groups highlight the value of untreated controls when determining efficacy.
trial registrationAustralian New Zealand Clinical Trials Registry ACTRN12608000055303.
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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.