Evidence map›Paper›PMID 26026649›Full record

Trial reportPatient education and counseling2015

Satisfaction with primary care provider involvement is associated with greater weight loss: Results from the practice-based POWER trial.

Wendy L Bennett, Nae-Yuh Wang, Kimberly A Gudzune, Arlene T Dalcin, Sara N Bleich, Lawrence J Appel, Jeanne M Clark

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Patient education and counseling, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
–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

27 citing papers in PubMed.

  1. Exercise and QUality Diet after Leukemia: A Randomized Weight Loss Trial among Adult Survivors of Childhood Leukemia in the Childhood Cancer Survivor Study.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2024
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  17. Patient perception matters in weight management.Primary health care research & development · 2018
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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

7 authors.

Wendy L BennettWelch Center for Prevention, Epidemiology and Clinical Research, The Johns Hopkins University, Baltimore, MD, USA; Department of Medicine, Division of General Internal Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address: wendy.bennett@jhmi.edu.
Nae-Yuh WangWelch Center for Prevention, Epidemiology and Clinical Research, The Johns Hopkins University, Baltimore, MD, USA; Department of Medicine, Division of General Internal Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address: naeyuh@jhmi.edu.
Kimberly A GudzuneWelch Center for Prevention, Epidemiology and Clinical Research, The Johns Hopkins University, Baltimore, MD, USA; Department of Medicine, Division of General Internal Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address: gudzune@jhu.edu.
Arlene T DalcinWelch Center for Prevention, Epidemiology and Clinical Research, The Johns Hopkins University, Baltimore, MD, USA; Department of Medicine, Division of General Internal Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address: adalcin1@jhmi.edu.
Sara N BleichDepartment of Health Policy and Management, The Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. Electronic address: sbleich@jhsph.edu.
Lawrence J AppelWelch Center for Prevention, Epidemiology and Clinical Research, The Johns Hopkins University, Baltimore, MD, USA; Department of Medicine, Division of General Internal Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address: lappel@jhmi.edu.
Jeanne M ClarkWelch Center for Prevention, Epidemiology and Clinical Research, The Johns Hopkins University, Baltimore, MD, USA; Department of Medicine, Division of General Internal Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address: jmclark@jhmi.edu.

Funding

Institute for Clinical and Translational ResearchUL1TR001079 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2013 to 2017
$60.1M
JHU-UMD Diabetes Research CenterP30DK079637 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI BRANCATI, FREDERICK L · 2013 to 2017
$9.7M
Institute for Clinical and Translational ResearchUL1TR000424 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2012 to 2012
$6.0M
Integrated Clinical-Behavioral Interventions to Accomplish Weight LossU01HL087085 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI APPEL, LAWRENCE JOHN · 2006 to 2010
$5.7M
Reducing Cardiovascular Risk in Women with Hypertension or Diabetes in PregnancyK23HL098476 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI BENNETT, WENDY LYNET · 2010 to 2014
$697k
NCATS NIH HHS UL1 TR000424NCATS NIH HHS UL1 TR001079NHLBI NIH HHS 5K23HL098476-02NHLBI NIH HHS 5U01HL087085-05NHLBI NIH HHS K23 HL098476NHLBI NIH HHS U01 HL087085NIDDK NIH HHS P30 DK079637NIDDK NIH HHS P30DK079637
6 · The paper itself

Abstract

objectiveTo evaluate the association between the patient-provider relationship, satisfaction with primary care provider's (PCP) involvement and weight loss in a practice-based weight loss trial.

methodsPOWER was a practice-based randomized controlled behavioral weight loss trial. Participants completed questionnaires about patient-provider relationship and satisfaction with their PCPs' involvement in the trial. PCPs completed a demographics and practice survey. The main outcome was the mean weight change from baseline to 24 months. We created mixed-effect models, accounting for the random effects of patients clustering with the PCP and the repeated outcome assessments within patient over time, and adjusted for randomization assignment, age, gender, race and clinical site.

results347 (of 415) were included. Mean age was 54.8 years, mean BMI was 36.3 kg/m(2). Participants reported high quality patient-provider relationships (mean summary score=29.1 [range 14-32]). Patient-provider relationship quality was not associated weight loss in either the intervention or control groups. Among intervention participants, higher ratings of the helpfulness of the PCPs' involvement was associated with greater weight loss (p=0.005).

conclusionPatient-provider relationship quality was not associated with weight loss in a practice-based weight loss trial but rating PCPs as helpful in the intervention was associated with weight loss. PRACTICE IMPLICATIONS: Partnering with PCPs to deliver weight loss programs may promote greater participant satisfaction and weight loss.

Indexed as

CommunicationPhysician-Patient RelationsPhysician's RoleAdultAgedFemaleHumansMaleMiddle AgedObesityOutcome Assessment, Health CarePersonal SatisfactionPrimary Health CareWeight LossWeight Reduction ProgramsObesityPatient–provider relationshipPrimary care provider

Identifiers

PMID26026649
PMCPMC4546866

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Registered trials

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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.