Evidence map›Paper›PMID 26129630›Full record

Trial reportClinical obesity2015

5As Team obesity intervention in primary care: development and evaluation of shared decision-making weight management tools.

A M Osunlana, J Asselin, R Anderson, A A Ogunleye, A Cave, A M Sharma, D L Campbell-Scherer

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical obesity, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02648308 (Extension of the 5As Team Study for Improved Provider Obesity Management to Physicians and Medical Trainees), which is not on this map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 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.

NCT02648308 completednot on this map

Extension of the 5As Team Study for Improved Provider Obesity Management to Physicians and Medical Trainees (Part 2)

TypeobservationalSponsorUniversity of AlbertaRan2015 to 2017Enrolled75ConditionsObesityArmsObesity Management Workshop
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
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  11. Review
  12. Article
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  15. Article
  16. Observational
  17. Rural-Urban Variation in Weight Loss Recommendations Among US Older Adults with Arthritis and Obesity.International journal of environmental research and public health · 2019
    Article
  18. Article
  19. Obesity: Risk factors, complications, and strategies for sustainable long-term weight management.Journal of the American Association of Nurse Practitioners · 2017
    Review
  20. Article
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.

A M OsunlanaDepartment of Medicine, Obesity Research and Management, University of Alberta, Edmonton, AB, Canada.
J AsselinDepartment of Medicine, Obesity Research and Management, University of Alberta, Edmonton, AB, Canada.
R AndersonEdmonton Southside Primary Care Network, Edmonton, AB, Canada.
A A OgunleyeDepartment of Medicine, Obesity Research and Management, University of Alberta, Edmonton, AB, Canada.
A CaveDepartment of Family Medicine, University of Alberta, Edmonton, AB, Canada.
A M SharmaDepartment of Medicine, Obesity Research and Management, University of Alberta, Edmonton, AB, Canada.
D L Campbell-SchererDepartment of Family Medicine, University of Alberta, Edmonton, AB, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite several clinical practice guidelines, there remains a considerable gap in prevention and management of obesity in primary care. To address the need for changing provider behaviour, a randomized controlled trial with convergent mixed method evaluation, the 5As Team (5AsT) study, was conducted. As part of the 5AsT intervention, the 5AsT tool kit was developed. This paper describes the development process and evaluation of these tools. Tools were co-developed by the multidisciplinary research team and the 5AsT, which included registered nurses/nurse practitioners (n = 15), mental health workers (n = 7) and registered dieticians (n = 7), who were previously randomized to the 5AsT intervention group at a primary care network in Edmonton, Alberta, Canada. The 5AsT tool development occurred through a practice/implementation-oriented, need-based, iterative process during learning collaborative sessions of the 5AsT intervention. Feedback during tool development was received through field notes and final provider evaluation was carried out through anonymous questionnaires. Twelve tools were co-developed with 5AsT. All tools were evaluated as either 'most useful' or 'moderately useful' in primary care practice by the 5AsT. Four key findings during 5AsT tool development were the need for: tools that were adaptive, tools to facilitate interdisciplinary practice, tools to help patients understand realistic expectations for weight loss and shared decision-making tools for goal setting and relapse prevention. The 5AsT tools are primary care tools which extend the utility of the 5As of obesity management framework in clinical practice.

Indexed as

Decision MakingCooperative BehaviorDisease ManagementExercise TherapyFeeding BehaviorGoalsHumansHungerObesityPatient Care TeamPatient Education as TopicPrimary Health CareStress, PsychologicalObesityoverweightprimary careweight management implementation tools

Identifiers

PMID26129630
PMCPMC4755160

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.