Evidence map›Paper›PMID 27612615›Full record

Trial reportBMC public health2016

Fresh Start, a postpartum weight loss intervention for diverse low-income women: design and methods for a randomized clinical trial.

Milagros C Rosal, Christina F Haughton, Barbara B Estabrook, Monica L Wang, Germán Chiriboga, Oahn H T Nguyen, Sharina D Person, Stephenie C Lemon

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02176915 (Fresh Start), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
5.0field-weighted citation impact, top 5% of its field
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.

NCT02176915 nacompletednot on this map

Fresh Start: A Randomized Clinical Trial

TypeinterventionalSponsorUniversity of Massachusetts, WorcesterRan2014 to 2019Enrolled139ConditionsObesityArmsGroup program, Print Materials
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
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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

8 authors at 3 institutions in 1 country.

Milagros C RosalDivision of Preventive and Behavioral Medicine, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA, 01655-0002, USA. Milagros.Rosal@umassmed.edu.
Christina F HaughtonDivision of Preventive and Behavioral Medicine, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA, 01655-0002, USA.
Barbara B EstabrookDivision of Preventive and Behavioral Medicine, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA, 01655-0002, USA.
Monica L WangBoston University School of Public Health, 801 Massachusetts Avenue, Boston, MA, 02215, USA.
Germán ChiribogaDepartment of Quantitative Health Sciences, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA, 01655, USA.
Oahn H T NguyenFamily Health Center of Worcester, Inc, 26 Queen Street, Worcester, MA, 01610, USA.
Sharina D PersonDepartment of Quantitative Health Sciences, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA, 01655, USA.
Stephenie C LemonDivision of Preventive and Behavioral Medicine, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA, 01655-0002, USA.
University of Massachusetts Chan Medical School · USFamily Health Center of Worcester · USHarvard University · US

Funding

UMass Center for Health Equity Intervention ResearchP60MD006912 · NIMHD · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI ALLISON, JEROAN J · 2012 to 2016
$6.8M
UMMS PREVENTION RESEARCH CENTER FOR OBESITY AND RELATED CONDITIONS-CATEGORY 2U48DP001933 · DP · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI LEMON, STEPHENIE C. · 2009 to 2013
$2.4M
NCCDPHP CDC HHS U48 DP001933NIMHD NIH HHS P60 MD006912
6 · The paper itself

Abstract

backgroundOverweight and obesity are prevalent among young women and are greater among minority and low-income women. The postpartum period is critical in women's weight trajectories as many women do not lose their pregnancy weight, and others lose some and then plateau or experience weight gain. Excess weight puts women at greater risk of chronic disease and thus weight loss in the postpartum period may be key to the long-term health of young women. This paper describes the design and methods of a randomized clinical trial of Fresh Start, an innovative narrative-based group intervention aimed at promoting postpartum weight loss among low-income, diverse women. METHODS/

designStudy participants were recruited from the five sites of the Women, Infants and Children (WIC) program in central Massachusetts. Participants were English-speaking, age ≥ 18 years, 6 weeks to 6 months postpartum, with a body mass index (BMI) ≥ 27 kg/m(2). The Fresh Start postpartum weight loss intervention, adapted from the Diabetes Prevention Program (DPP) in collaboration with WIC staff and clients, consisted of an 8-week group-based curriculum followed by nine monthly telephone calls. It included a narrative component (i.e., storytelling), group discussions, print materials and access to exercise facilities. The study is a two-arm randomized controlled trial. The control condition included print materials and access to exercise facilities. In-person assessments were conducted at baseline and at 6 and 12 months following the eight-week intervention phase. DISCUSSION: The Fresh Start intervention translated key elements of an evidence-based weight loss protocol into a format that is hypothesized to be relevant, acceptable and effective for the target audience of low-SES postpartum women. This novel intervention was developed in collaboration with WIC to be sustainable within the context of its clinics, which reach approximately 9 million individuals per year across the U.S. via 10,000 clinics.

trial registrationclinicaltrials.gov NCT02176915 . Registered 25 June 2014.

Indexed as

Postpartum PeriodPovertyResearch DesignAdultExerciseFemaleHumansInfantMassachusettsObesityOverweightPregnancyWeight LossWeight Reduction ProgramsHealth disparitiesNarrative interventionsObesityPostpartum weight lossRandomized clinical trialWomen

Identifiers

PMID27612615
PMCPMC5016872
OpenAlexW2512718621

What OpenQuestion holds

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LicenceCC BY
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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.