Evidence map›Paper›PMID 27235377›Full record

Trial reportThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2016

A Multimodal Counseling-Based Adolescent Physical Activity Intervention.

Nicolas M Oreskovic, Jonathan P Winickoff, James M Perrin, Alyssa I Robinson, Elizabeth Goodman

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

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

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

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Review
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

5 authors.

Nicolas M OreskovicDepartment of Pediatrics, Division of General Academic Pediatrics, MassGeneral Hospital for Children, Boston, Massachusetts; Department of Pediatrics, Massachusetts General Hospital, Boston, Massachusetts; Department of Internal Medicine, Massachusetts General Hospital, Boston, Massachusetts; Department of Pediatrics, Harvard Medical School, Boston, Massachusetts. Electronic address: noreskovic@mgh.harvard.edu.
Jonathan P WinickoffDepartment of Pediatrics, Division of General Academic Pediatrics, MassGeneral Hospital for Children, Boston, Massachusetts; Department of Pediatrics, Massachusetts General Hospital, Boston, Massachusetts; Department of Pediatrics, Harvard Medical School, Boston, Massachusetts.
James M PerrinDepartment of Pediatrics, Division of General Academic Pediatrics, MassGeneral Hospital for Children, Boston, Massachusetts; Department of Pediatrics, Massachusetts General Hospital, Boston, Massachusetts; Department of Pediatrics, Harvard Medical School, Boston, Massachusetts.
Alyssa I RobinsonDepartment of Pediatrics, Division of General Academic Pediatrics, MassGeneral Hospital for Children, Boston, Massachusetts.
Elizabeth GoodmanDepartment of Pediatrics, Division of General Academic Pediatrics, MassGeneral Hospital for Children, Boston, Massachusetts; Department of Pediatrics, Massachusetts General Hospital, Boston, Massachusetts; Department of Pediatrics, Harvard Medical School, Boston, Massachusetts.

Funding

Transgenic CoreP30DK046200 · NIDDK · TUFTS MEDICAL CENTER · PI ROSEN, EVAN D · 1992 to 2021
$25.0M
Use of the built environment to promote physical activity in children.K23HL103841 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI ORESKOVIC, NICOLAS M · 2010 to 2014
$813k
NHLBI NIH HHS K23 HL103841NIDDK NIH HHS P30 DK046200
6 · The paper itself

Abstract

purposeNational guidelines recommend adolescents achieve 60 minutes of moderate-to-vigorous physical activity (MVPA)/day, yet few adolescents meet these guidelines.

methodsWe piloted a novel quasi-randomized physical activity intervention to promote adolescent's use of their surrounding built environment among 30 intervention and 30 control overweight/obese adolescents aged 10-16 years living in greater Boston from 2013 to 2015. Location-specific MPVA was measured by accelerometry and global positioning system for three one-week periods (Time 1 [T1], Time 2 [T2], and Time 3 [T3]). One month after T1, intervention participants received individualized counseling on how to use their surrounding built environment to increase MVPA, and control participants received standard-of-care lifestyle modification counseling; both groups received their T1 physical activity data. T2 assessment occurred the week after the counseling visit and T3 assessment 3-4 months later. The main outcome was change in average daily minutes of MVPA; the secondary outcome was meeting national MVPA guidelines. Multivariable modeling accounted for covariates (baseline MVPA, body mass index, age, sex, race/ethnicity) and clustering by study group and town.

resultsAmong the 60 adolescents recruited, 55 (92%) completed data collection. Short-term (T2) intervention effects included increased average MVPA of +13.9 minutes intervention versus -.6 minutes control (p < .0001). Differential increase in mean daily MVPA was sustained at T3 (9.3 minutes more in intervention group; p = .0006). The proportion of adolescents in the intervention group who achieved 60 minutes/day of MVPA increased from 11% (T1) to 21% (T2), whereas declining (7%-0%) among controls.

conclusionsIndividualized counseling about the built environment can help increase MVPA among overweight and obese adolescents.

Indexed as

ExerciseAdolescentCase-Control StudiesChildCounselingHumansMalePediatric ObesityPilot ProjectsPractice Guidelines as TopicTime FactorsAdolescentsBuilt environmentCounselingInterventionObesityOverweightPhysical activity

Identifiers

PMID27235377
PMCPMC5002229

What OpenQuestion holds

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Registered trials

None linked

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.