Evidence map›Paper›PMID 25298016›Full record

Trial reportObesity (Silver Spring, Md.)2014

A randomized controlled trial comparing scalable weight loss treatments in primary care.

Rachel D Barnes, Marney A White, Steve Martino, Carlos M Grilo

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Obesity (Silver Spring, Md.), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01558297 (Internet Treatment for Weight Loss in Primary Care), which is not on this map. Cited by 31 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 8 pooled it
5.8field-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.

NCT01558297 nacompletednot on this map

Internet Treatment for Weight Loss in Primary Care

TypeinterventionalSponsorYale UniversityRan2012 to 2013Enrolled89ConditionsOverweight, ObeseArmsMotivational Interviewing, Nutritional Counseling, Treatment as usual with primary care physician
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 8 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. Pooled it
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  4. Eating disorder risk during behavioral weight management in adults with overweight or obesity: A systematic review with meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2023
    Pooled it
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  6. 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
    Pooled it
  7. Pooled it
  8. A systematic review of motivational interviewing for weight loss among adults in primary care.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2015
    Pooled it
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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

4 authors at 2 institutions in 1 country.

Rachel D BarnesDepartment of Psychiatry, Yale School of Medicine, Connecticut, USA.
Marney A White
Steve Martino
Carlos M Grilo
Yale University · USConnecticut Department of Public Health · US

Funding

Mid-Career Investigator Award in Eating and WeightK24DK070052 · NIDDK · YALE UNIVERSITY · PI GRILO, CARLOS M · 2005 to 2015
$1.4M
Examining Innovative Obesity Treatment and Related Novel ConstructsK23DK092279 · NIDDK · YALE UNIVERSITY · PI BARNES, RACHEL D · 2011 to 2015
$780k
NIDDK NIH HHS K23 DK092279NIDDK NIH HHS K23-DK092279NIDDK NIH HHS K24 DK070052NIDDK NIH HHS K24-DK070052
6 · The paper itself

Abstract

objectivePrimary-care (PC) settings may be an opportune place to deliver obesity interventions. Scalable interventions utilizing motivational interviewing (MI), supported by Internet resources, may overcome obstacles to effective obesity treatment dissemination. This study was a randomized controlled trial testing two Web-supported interventions, motivational interviewing (MIC) and nutrition psychoeducation (NPC), an attention-control intervention, in comparison with usual care (UC).

methodsEighty-nine overweight/obese patients, with and without binge eating disorder (BED), were randomly assigned to MIC, NPC, or UC for 3 months in PC. Patients were assessed independently at post-treatment and at 3-month follow-up.

resultsWeight, triglyceride levels, and depression scores decreased significantly in NPC when compared to UC but not MIC; UC and MIC did not differ significantly. Weight loss results maintained at 3-month follow-up: approximately 25% MIC and NPC patients achieved at least 5% weight loss which did not differ by BED status. Fidelity ratings were high and treatment adherence was associated with weight loss.

conclusionsThis is the first randomized controlled trial in PC testing MI for weight loss to include an attention-control intervention (NPC). NPC, but not MIC, showed a consistent pattern of superior benefits relative to UC. BED status was not associated, but treatment adherence was associated, with weight loss outcomes.

Indexed as

InternetAdultAttentionBinge-Eating DisorderBody WeightComorbidityFemaleFollow-Up StudiesHumansMaleMiddle AgedMotivational InterviewingNutrition PolicyObesityOverweightPatient Education as Topic

Identifiers

PMID25298016
PMCPMC4236282
OpenAlexW1517390653

What OpenQuestion holds

Textmetadata
LicenceTDM
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.