Evidence map›Paper›PMID 24636238›Full record

SynthesisObesity reviews : an official journal of the International Association for the Study of Obesity2014

Effect of behavioural techniques and delivery mode on effectiveness of weight management: systematic review, meta-analysis and meta-regression.

J Hartmann-Boyce, D J Johns, S A Jebb, P Aveyard, Behavioural Weight Management Review Group

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Obesity reviews : an official journal of the International Association for the Study of Obesity, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 114 papers, 18 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
114citing papers in PubMed, 18 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.

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

114 citing papers in PubMed, 18 syntheses or guidelines pooled it.

  1. EffectS of Lifestyle Interventions in Older PEople With Obesity (Effective SLOPE): a Systematic Review With Network Meta-Analyses.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
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  7. The impact of adult behavioural weight management interventions on mental health: A systematic review and meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2021
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  9. A systematic review and meta-analysis of the effectiveness of meal replacements for weight loss.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2019
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  10. Behavior Change Techniques Used in Digital Behavior Change Interventions to Reduce Excessive Alcohol Consumption: A Meta-regression.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2018
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  12. Cognitive and behavioural strategies for self-directed weight loss: systematic review of qualitative studies.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2017
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  17. 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
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54 more citing papers are in PubMed but not listed here.

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

5 authors.

J Hartmann-BoyceDepartment of Primary Care Health Sciences, Radcliffe Observatory Quarter, University of Oxford, Oxford, UK.
D J Johns
S A Jebb
P Aveyard
Behavioural Weight Management Review Group

Funding

Medical Research Council MC_U105960389Medical Research Council MR/K023195/1Medical Research Council U105960389
6 · The paper itself

Abstract

A systematic review, meta-analysis and meta-regression were conducted to evaluate the effectiveness of behavioural weight management programmes and examine how programme characteristics affect mean weight loss. Randomized controlled trials of multicomponent behavioural weight management programmes in overweight and obese adults were included. References were obtained through systematic searches of electronic databases (conducted November 2012), screening reference lists and contacting experts. Two reviewers extracted data and evaluated risk of bias. Thirty-seven studies, representing over 16,000 participants, were included. The pooled mean difference in weight loss at 12 months was -2.8 kg (95% confidence interval [CI] -3.6 to -2.1, P < 0.001). I(2) indicated that 93% of the variability in outcome was due to differences in programme effectiveness. Meta-analysis showed no evidence that supervised physical activity sessions (mean difference 1.1 kg, 95% CI -2.65 to 4.79, P = 0.08), more frequent contact (mean difference -0.3 kg, 95% CI -0.7 to 0.2, P = 0.25) or in-person contact (mean difference 0.0 kg, 95% CI -1.8 to 1.8, P = 0.06) were related to programme effectiveness at 12 months. In meta-regression, calorie counting (-3.3 kg, 95% CI -4.6 to -2.0, P = 0.027), contact with a dietitian (-1.5 kg, 95% CI -2.9 to -0.2, P < 0.001) and use of behaviour change techniques that compare participants' behaviour with others (-1.5 kg, 95% CI -2.9 to -0.1, P = 0.032) were associated with greater weight loss. There was no evidence that other programme characteristics were associated with programme effectiveness. Most but not all behavioural weight management programmes are effective. Programmes that support participants to count calories or include a dietitian may be more effective, but the programme characteristics explaining success are mainly unknown.

Indexed as

Behavior TherapyDiet, ReducingWeight LossWeight Reduction ProgramsHumansObesityProgram EvaluationTime FactorsTreatment OutcomeAdultbehaviour therapyobesityweight loss

Identifiers

PMID24636238
PMCPMC4237119

What OpenQuestion holds

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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.