ArticleJournal of general internal medicine2017
A Quasi-Experiment to Assess the Impact of a Scalable, Community-Based Weight Loss Program: Combining Reach, Effectiveness, and Cost.
Article in Journal of general internal medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- How effective are church-based weight-loss interventions among Black adults? A systematic review.Obesity (Silver Spring, Md.) · 2024Pooled it
- Understanding the impact of rural weight loss interventions: A systematic review and meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2019Pooled it
- Implementation process of community-based lifestyle interventions supported by technology for elderly population: qualitative evaluation of six European regions case studies.Frontiers in digital health · 2026Article
- Social cognitive theory-based health promotion in primary care practice: A scoping review.Heliyon · 2023Article
- Reach Outcomes and Costs of Different Physician Referral Strategies for a Weight Management Program Among Rural Primary Care Patients: Type 3 Hybrid Effectiveness-Implementation Trial.JMIR formative research · 2021Article
- Scaling a Community-Wide Campaign Intervention to Manage Hypertension and Weight Loss.Frontiers in medicine · 2021Article
- Sustaining the reach of a scalable weight loss intervention through financial incentives- a pragmatic, feasibility, online randomized trial protocol.Contemporary clinical trials · 2020Article
- The impact of pairing a wearable movement tracker with an online community weight loss intervention.Translational journal of the American College of Sports Medicine · 2020Article
- Understanding cost data collection tools to improve economic evaluations of health interventions.Stroke and vascular neurology · 2019Review
- RE-AIM Planning and Evaluation Framework: Adapting to New Science and Practice With a 20-Year Review.Frontiers in public health · 2019Review
- Development and use of an index for measuring implementation of a weight management program in children in primary care clinics in Texas.BMC family practice · 2018Article
- Adult weight management across the community: population-level impact of the LOSE IT to WIN IT challenge.Obesity science & practice · 2018Article
- Pragmatic Applications of RE-AIM for Health Care Initiatives in Community and Clinical Settings.Preventing chronic disease · 2018Article
- Shape-Up and Eat Right Families Pilot Program: Feasibility of a Weight Management Shared Medical Appointment Model in African-Americans With Obesity at an Urban Academic Medical Center.Frontiers in pediatrics · 2018Article
- RE-AIM in Clinical, Community, and Corporate Settings: Perspectives, Strategies, and Recommendations to Enhance Public Health Impact.Frontiers in public health · 2018Article
- Cost effectiveness and return on investment of a scalable community weight loss intervention.Preventive medicine · 2017Article
- Improving Weight Management among Veterans.Journal of general internal medicine · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
backgroundPrimary care addresses obesity through physician oversight of intensive lifestyle interventions or referral to external programs with demonstrated efficacy. However, limited information exists on community program reach, effectiveness, and costs across different groups of participants.
objectiveTo evaluate a scalable, community weight loss program using reach, effectiveness, and cost metrics.
designLongitudinal pre-post quasi-experiment without control.
participantsEnrolled participants in Weigh and Win (WAW), a community-based weight loss program.
interventionA 12-month program with daily social cognitive theory-based email and/or text support, online access to health coaches, objective weight assessment through 83 community-based kiosks, and modest financial incentives to increase program reach. MAIN MEASURES: Number of participants, representativeness, weight loss achievement (3%, 5% of initial weight lost), and cost of implementation. KEY
resultsA total of 40,308 adults (79% women; 73% white; BMI = 32.3 ± 7.44, age = 43.9 ± 13.1 years) enrolled in WAW. Women were more likely than men to enroll in the program and continue engagement beyond an initial weigh-in (57% vs. 53%). Based on census data, African Americans were over-represented in the sample. Among participants who engaged in the program beyond an initial weigh-in (n = 19,029), 47% and 34% of participants lost 3% and 5% of their initial body weight, respectively. The average duration for those who achieved 5% weight loss was 1.7 ± 1.3 years. African American participants were more likely to achieve 5% weight loss and remain enrolled in the program longer compared to non-African American participants (2.0 ± 1.3 vs. 1.6 ± 1.2 years). Implementation costs were $2,822,698. Cost per clinically meaningful weight loss for African Americans ($257.97/3% loss; $335.96/5% loss) was lower than that for Hispanics ($318.62; $431.10) and Caucasians ($313.65; $441.87), due to the higher success rate of that subgroup of participants.
conclusionsWeigh and Win is a scalable technology-supported and community-based weight loss program that reaches a large number of participants and may contribute to reducing health disparities.
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