Evidence map›Paper›PMID 25376396›Full record

Trial reportObesity (Silver Spring, Md.)2014

Comparative effectiveness of three doses of weight-loss counseling: two-year findings from the rural LITE trial.

Michael G Perri, Marian C Limacher, Kristina von Castel-Roberts, Michael J Daniels, Patricia E Durning, David M Janicke, Linda B Bobroff, Tiffany A Radcliff, Vanessa A Milsom, Chanmin Kim and 1 more

Registry-linked trialOpen access · bronzeAbstract readComparative StudyRandomized 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 NCT00912652 (Rural Lifestyle Intervention Treatment Effectiveness Trial), which is not on this map. Cited by 35 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 6 pooled it
4.5field-weighted citation impact, top 6% 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.

NCT00912652 nacompletednot on this map

Rural Lifestyle Intervention Treatment Effectiveness Trial

TypeinterventionalSponsorUniversity of FloridaRan2008 to 2014Enrolled612ConditionsObesityArmslifestyle intervention, Health Education Control
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 6 syntheses or guidelines pooled it, 62 citations in OpenAlex.

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  5. Understanding the impact of rural weight loss interventions: A systematic review and meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2019
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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

11 authors at 4 institutions in 1 country.

Michael G PerriDepartment of Clinical and Health Psychology, University of Florida College of Public Health and Health Professions, Gainesville, Florida, USA.
Marian C Limacher
Kristina von Castel-Roberts
Michael J Daniels
Patricia E Durning
David M Janicke
Linda B Bobroff
Tiffany A Radcliff
Vanessa A Milsom
Chanmin Kim
A Daniel Martin
Florida College · USUniversity of Florida · USThe University of Texas at Austin · USTexas A&M University · US

Funding

University of Florida Older Americans Independence Center (OAIC)P30AG028740 · NIA · UNIVERSITY OF FLORIDA · PI Stephen D Anton · 2007 to 2026
$22.8M
Rural Lifestyle Intervention Treatment Effectiveness Trial (Rural LITE)R01HL087800 · NHLBI · UNIVERSITY OF FLORIDA · PI PERRI, MICHAEL G · 2010 to 2012
$2.2M
Rural Lifestyle Intervention Treatment Effectiveness Trial (Rural LITE)R18HL087800 · NHLBI · UNIVERSITY OF FLORIDA · PI PERRI, MICHAEL G · 2008 to 2009
$1.4M
NHLBI NIH HHS R01 HL087800NHLBI NIH HHS R18 HL087800NHLBI NIH HHS R18HL87800NIA NIH HHS P30 AG028740
6 · The paper itself

Abstract

objectiveTo evaluate the effects and costs of three doses of behavioral weight-loss treatment delivered via Cooperative Extension Offices in rural communities.

methodsObese adults (N = 612) were randomly assigned to low, moderate, or high doses of behavioral treatment (i.e., 16, 32, or 48 sessions over two years) or to a control condition that received nutrition education without instruction in behavior modification strategies.

resultsTwo-year mean reductions in initial body weight were 2.9% (95% Credible Interval = 1.7-4.3), 3.5% (2.0-4.8), 6.7% (5.3-7.9), and 6.8% (5.5-8.1) for the control, low-, moderate-, and high-dose conditions, respectively. The moderate-dose treatment produced weight losses similar to the high-dose condition and significantly larger than the low-dose and control conditions (posterior probability > 0.996). The percentages of participants who achieved weight reductions ≥ 5% at two years were significantly higher in the moderate-dose (58%) and high-dose (58%) conditions compared with low-dose (43%) and control (40%) conditions (posterior probability > 0.996). Cost-effectiveness analyses favored the moderate-dose treatment over all other conditions.

conclusionsA moderate dose of behavioral treatment produced two-year weight reductions comparable to high-dose treatment but at a lower cost. These findings have important policy implications for the dissemination of weight-loss interventions into communities with limited resources.

Indexed as

AdultAgedBehavior TherapyCost-Benefit AnalysisCounselingFemaleHumansMaleMiddle AgedObesityPatient Education as TopicRural PopulationTreatment OutcomeWeight LossYoung Adult

Identifiers

PMID25376396
PMCPMC4225635
OpenAlexW1858536314

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.