Evidence map›Paper›PMID 27863024›Full record

Trial reportClinical obesity2016

Creating an integrated care model for childhood obesity: a randomized pilot study utilizing telehealth in a community primary care setting.

A Fleischman, S E Hourigan, H N Lyon, M G Landry, J Reynolds, S K Steltz, L Robinson, S Keating, H A Feldman, R C Antonelli and 2 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical obesity, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 12 pooled it
5.1field-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.

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

36 citing papers in PubMed, 12 syntheses or guidelines pooled it, 67 citations in OpenAlex.

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  14. Evaluating Telehealth Quality Outcomes of a Pediatric Weight Management Program.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2026
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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

12 authors at 4 institutions in 2 countries.

A FleischmanNew Balance Foundation Obesity Prevention Center, Division of Endocrinology, Boston Children's Hospital, Boston, MA, USA.
S E HouriganDepartment of Psychiatry, Boston Children's Hospital, Boston, MA, USA.
H N LyonWareham Pediatric Associates, Wareham, MA, USA.
M G LandryNew Balance Foundation Obesity Prevention Center, Division of Endocrinology, Boston Children's Hospital, Boston, MA, USA.
J ReynoldsWareham Pediatric Associates, Wareham, MA, USA.
S K SteltzNew Balance Foundation Obesity Prevention Center, Division of Endocrinology, Boston Children's Hospital, Boston, MA, USA.
L RobinsonNew Balance Foundation Obesity Prevention Center, Division of Endocrinology, Boston Children's Hospital, Boston, MA, USA.
S KeatingWareham Pediatric Associates, Wareham, MA, USA.
H A FeldmanClinical Research Center, Boston Children's Hospital, Boston, MA, USA.
R C AntonelliDivision of General Pediatrics, Boston Children's Hospital, Boston, MA, USA.
D S LudwigNew Balance Foundation Obesity Prevention Center, Division of Endocrinology, Boston Children's Hospital, Boston, MA, USA.
C B EbbelingNew Balance Foundation Obesity Prevention Center, Division of Endocrinology, Boston Children's Hospital, Boston, MA, USA.
Boston Children's Hospital · USNew Balance (United States) · USWareham Community Hospital · GBBoston Children's Museum · US

Funding

Effects of Diet on Hormones, Metabolism and Body WeightK24DK082730 · NIDDK · BOSTON CHILDREN'S HOSPITAL · PI LUDWIG, DAVID S · 2009 to 2018
$1.6M
NIDDK NIH HHS K24 DK082730
6 · The paper itself

Abstract

In an integrated care model, involving primary care providers (PCPs) and obesity specialists, telehealth may be useful for overcoming barriers to treating childhood obesity. We conducted a pilot study comparing body mass index (BMI) changes between two arms (i) PCP in-person clinic visits plus obesity specialist tele-visits ( PCP visits + specialist tele-visits) and (ii) PCP in-person clinic visits only ( PCP visits only), with ongoing tele-consultation between PCPs and obesity specialists for both arms. Patients (N = 40, 10-17 years, BMI ≥ 95th percentile) were randomized to Group 1 or 2. Both groups had PCP visits every 3 months for 12 months. Using a cross-over protocol, Group 1 had PCP visits + specialist tele-visits during the first 6 months and PCP visits only during the second 6 months, and Group 2 followed the opposite sequence. Each of 12 tele-visits was conducted by a dietitian or psychologist with a patient and parent. Retention rates were 90% at 6 months and 80% at 12 months. BMI (z-score) decreased more for Group 1 (started with PCP visits + specialist tele-visits) vs. Group 2 (started with PCP visits only) at 3 months (-0.11 vs. -0.05, P = 0.049) following frequent tele-visits. At 6 months (primary outcome), BMI was lower than baseline within Group 1 (-0.11, P = 0.0006) but not Group 2 (-0.06, P = 0.08); however, decrease in BMI at 6 months did not differ between groups. After crossover, BMI remained lower than baseline for Group 1 and dropped below baseline for Group 2. An integrated care model utilizing telehealth holds promise for treating children with obesity.

Indexed as

Community Health ServicesPrimary Health CareTelemedicineAdolescentBody Mass IndexChildFemaleHumansInterdisciplinary CommunicationMalePediatric ObesityPilot ProjectsReferral and ConsultationChildhood obesityintegrated careinterdisciplinary caretelehealth

Identifiers

PMID27863024
PMCPMC5523655
OpenAlexW2553269016

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.