Evidence map›Paper›PMID 27095323›Full record

Trial reportPreventive medicine2016

A randomized controlled trial testing an Internet delivered cost-benefit approach to weight loss maintenance.

Tricia M Leahey, Joseph L Fava, Andrew Seiden, Denise Fernandes, Caroline Doyle, Kimberly Kent, Molly La Rue, Marc Mitchell, Rena R Wing

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Preventive medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03731325 (The Effect of Episodic Future Thinking on Weight-Loss), which is not on this map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 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.

NCT03731325 nacompletednot on this mapstarted 2019, after this paper: background citation

The Effect of Episodic Future Thinking on Weight-Loss

TypeinterventionalSponsorState University of New York at BuffaloRan2019 to 2020Enrolled7ConditionsOverweight and ObesityArmsEpisodic Future Thinking Group
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  9. Article
  10. Behaviors and psychological states associated with transitions from regaining to losing weight.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2022
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  11. Review
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  17. Week-to-week predictors of weight loss and regain.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 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

9 authors.

Tricia M LeaheyUniversity of Connecticut, Department of Allied Health Sciences, 358 Mansfield Road, Unit 1101, Storrs, CT 06269-1101, USA; The Miriam Hospital/Alpert Medical School of Brown University, 196 Richmond Street, Providence, RI 02903, USA. Electronic address: tricia.leahey@uconn.edu.
Joseph L FavaThe Miriam Hospital/Alpert Medical School of Brown University, 196 Richmond Street, Providence, RI 02903, USA.
Andrew SeidenThe Miriam Hospital/Alpert Medical School of Brown University, 196 Richmond Street, Providence, RI 02903, USA.
Denise FernandesThe Miriam Hospital/Alpert Medical School of Brown University, 196 Richmond Street, Providence, RI 02903, USA.
Caroline DoyleThe Miriam Hospital/Alpert Medical School of Brown University, 196 Richmond Street, Providence, RI 02903, USA.
Kimberly KentThe Miriam Hospital/Alpert Medical School of Brown University, 196 Richmond Street, Providence, RI 02903, USA.
Molly La RueThe Miriam Hospital/Alpert Medical School of Brown University, 196 Richmond Street, Providence, RI 02903, USA.
Marc MitchellUniversity of Toronto, University Health Network, Toronto Rehabilitation Institute, 347 Rumsey Road, Toronto M4G 1R7, Canada.
Rena R WingThe Miriam Hospital/Alpert Medical School of Brown University, 196 Richmond Street, Providence, RI 02903, USA.

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

Weight loss maintenance is a significant challenge in obesity treatment. During maintenance the "costs" of adhering to weight management behaviors may outweigh the "benefits." This study examined the efficacy of a novel approach to weight loss maintenance based on modifying the cost-benefit ratio. Individuals who achieved a 5% weight loss (N=75) were randomized to one of three, 10-month maintenance interventions. All interventions were delivered primarily via the Internet. The Standard arm received traditional weight maintenance strategies. To increase benefits, or rewards, for maintenance behaviors, the two cost-benefit intervention conditions received weekly monetary rewards for self-monitoring and social reinforcement via e-coaching. To decrease behavioral costs (boredom) and increase novelty, participants in the cost-benefit conditions also monitored different evidence-based behaviors every two weeks (e.g., Weeks 1 & 2: steps; Week 3 & 4: red foods). The primary difference between the cost-benefit interventions was type of e-coach providing social reinforcement: Professional (CB Pro) or Peer (CB Peer). Study procedures took place in Providence, RI from 2013 to 2014. Retention was 99%. There were significant group differences in weight regain (p=.01). The Standard arm gained 3.5±5.7kg. In contrast, participants in CB Pro and CB Peer lost an additional 1.8±7.0kg and 0.5±6.4kg, respectively. These results suggest that an Internet delivered cost-benefit approach to weight loss maintenance may be effective for long-term weight control. In addition, using peer coaches to provide reinforcement may be a particularly economic alternative to professionals. These data are promising and provide support for a larger, longer trial.

Indexed as

Cost-Benefit AnalysisInternetWeight LossFemaleHumansMaleMentorsMiddle AgedObesityPeer GroupSelf CareCost–benefitE-coachingIncentivesInternetPeersProfessionalsVarietyWeight loss maintenance

Identifiers

PMID27095323
PMCPMC5067166

What OpenQuestion holds

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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.