Evidence map›Paper›PMID 25384463›Full record

Trial reportObesity (Silver Spring, Md.)2015

Benefits of adding small financial incentives or optional group meetings to a web-based statewide obesity initiative.

Tricia M Leahey, Leslee L Subak, Joseph Fava, Michael Schembri, Graham Thomas, Xiaomeng Xu, Katie Krupel, Kimberly Kent, Katherine Boguszewski, Rajiv Kumar and 2 more

2 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Obesity (Silver Spring, Md.), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 53 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 7 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.

NCT03157713 nacompletednot on this mapstarted 2017, after this paper: background citation

Financial Incentive Strategies for Weight Loss in Obese Patients Living in Socioeconomically Disadvantaged Neighborhoods

TypeinterventionalSponsorUniversity of California, Los AngelesRan2017 to 2021Enrolled668ConditionsObeseArmsGoal-Directed Financial Incentives, Enhanced Usual Care, Outcome-based Financial Incentives
NCT03834194 nacompletednot on this mapstarted 2019, after this paper: background citation

Effect of Incentives for Self-weighing, Weight Management Goals and Physical Activity Goals on Gaining Weight Healthily During Pregnancy

TypeinterventionalSponsorUniversity of TennesseeRan2019 to 2020Enrolled40ConditionsGestational Weight GainArmsLottery + Monthly Weight, Lottery + Overall Weight + Exercise, Lottery + Overall Weight, Loss + Overall Weight, Loss + Overall Weight + Exercise
3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Enhancing Weight Loss Programs: A Meta-Analysis of Financial Incentives and Behavior Change Techniques.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
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  18. Randomized trial comparing group size of periodic in-person sessions in a remotely delivered weight loss intervention.The international journal of behavioral nutrition and physical activity · 2017
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  20. Self-Expansion is Associated with Better Adherence and Obesity Treatment Outcomes in Adults.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2017
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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

12 authors.

Tricia M LeaheyUniversity of Connecticut; Alpert Medical School of Brown University.
Leslee L Subak
Joseph Fava
Michael Schembri
Graham Thomas
Xiaomeng Xu
Katie Krupel
Kimberly Kent
Katherine Boguszewski
Rajiv Kumar
Brad Weinberg
Rena Wing

Funding

A State-Wide Initiative to Spread Effective Behavioral Weight Loss StrategiesR18DK083248 · NIDDK · MIRIAM HOSPITAL · PI WING, RENA R · 2010 to 2013
$1.8M
NIDDK NIH HHS R18 DK083248
6 · The paper itself

Abstract

objectiveTo examine whether adding either small, variable financial incentives or optional group sessions improves weight losses in a community-based, Internet behavioral program.

methodsParticipants (N = 268) from Shape Up Rhode Island 2012, a 3-month Web-based community wellness initiative, were randomized to: Shape Up+Internet behavioral program (SI), Shape Up+Internet program+incentives (SII), or Shape Up+Internet program+group sessions (SIG).

resultsAt the end of the 3-month program, SII achieved significantly greater weight losses than SI (SII: 6.4% [5.1-7.7]; SI: 4.2% [3.0-5.6]; P = 0.03); weight losses in SIG were not significantly different from the other two conditions (SIG: 5.8% [4.5-7.1], P's ≥ 0.10). However, at the 12-month no-treatment follow-up visit, both SII and SIG had greater weight losses than SI (SII: 3.1% [1.8-4.4]; SIG: 4.5% [3.2-5.8]; SI: 1.2% [-0.1-2.6]; P's ≤ 0.05). SII was the most cost-effective approach at both 3 (SII: $34/kg; SI: $34/kg; SIG: $87/kg) and 12 months (SII: $64/kg; SI: $140/kg; SIG: $113/kg).

conclusionsModest financial incentives enhance weight losses during a community campaign, and both incentives and optional group meetings improved overall weight loss outcomes during the follow-up period. However, the use of the financial incentives is the most cost-effective approach.

Indexed as

Fees and ChargesGroup ProcessesHealth PromotionInternetMotivationAdultBehavior TherapyCost-Benefit AnalysisFemaleHumansMaleMiddle AgedObesityPatient ComplianceRhode IslandWeight Loss

Identifiers

PMID25384463
PMCPMC4448964

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.