Evidence map›Paper›PMID 28271427›Full record

Trial reportJournal of general internal medicine2017

Improving Weight in People with Serious Mental Illness: The Effectiveness of Computerized Services with Peer Coaches.

Alexander S Young, Amy N Cohen, Richard Goldberg, Gerhard Hellemann, Julie Kreyenbuhl, Noosha Niv, Nancy Nowlin-Finch, Rebecca Oberman, Fiona Whelan

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report 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 36 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 10 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

36 citing papers in PubMed, 10 syntheses or guidelines pooled it.

  1. Pooled it
  2. Dietary E-Health Interventions for Adults With Severe Mental Illness: A Systematic Review.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025
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  19. Non-pharmacologicaL InterVEntions for Antipsychotic-Induced Weight Gain (RESOLVE) in People Living With Severe Mental Illness: A Realist Synthesis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
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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.

Alexander S YoungVA Greater Los Angeles Healthcare System, Los Angeles, CA, USA. ayoung@ucla.edu.
Amy N CohenVA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
Richard GoldbergVA Capitol Healthcare Network Mental Illness Research, Education, and Clinical Center (VISN 5 MIRECC), Baltimore, MD, USA.
Gerhard HellemannDepartment of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, Los Angeles, CA, USA.
Julie KreyenbuhlVA Capitol Healthcare Network Mental Illness Research, Education, and Clinical Center (VISN 5 MIRECC), Baltimore, MD, USA.
Noosha NivDepartment of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, Los Angeles, CA, USA.
Nancy Nowlin-FinchDepartment of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, Los Angeles, CA, USA.
Rebecca ObermanVA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
Fiona WhelanDepartment of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, Los Angeles, CA, USA.

Funding

Web-Based Weight Management for Individuals with Mental IllnessR34MH090207 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI YOUNG, ALEXANDER S. · 2010 to 2012
$537k
Web-Based Delivery of MOVE! to Veterans With Serious Mental IllnessI01HX000169 · VA · VA GREATER LOS ANGELES HEALTHCARE SYSTEM · PI GOLDBERG, RICHARD WARREN, YOUNG, ALEXANDER S. · 2009 to 2013
–
HSRD VA I01 HX000169NIMH NIH HHS R34 MH090207
6 · The paper itself

Abstract

backgroundPeople with serious mental illness have high rates of obesity and related medical problems, and die years prematurely, most commonly from cardiovascular disease. Specialized, in-person weight management interventions result in weight loss in efficacy trials with highly motivated patients. In usual care, patient enrollment and retention are low with these interventions, and effectiveness has been inconsistent.

objectiveTo determine whether computerized provision of weight management with peer coaching is feasible to deliver, is acceptable to patients, and is more effective than in-person delivery or usual care.

designMixed-methods randomized controlled trial.

participantsTwo hundred seventy-six overweight patients with serious mental illness receiving care at a Veterans Administration medical center.

interventionsPatients were randomized to 1) computerized weight management with peer coaching (WebMOVE), 2) in-person clinician-led weight services, or 3) usual care. Both active interventions offered the same educational content. MAIN MEASURES: Body mass index; and feasibility and acceptability of the intervention. KEY

resultsAt 6 months, in obese patients (n = 200), there was a significant condition by visit effect (F = 4.02, p = 0.02). The WebMOVE group had an average estimated BMI change from baseline to 6 months of 34.9 ± 0.4 to 34.1 ± 0.4. This corresponds to 2.8 kg (6.2 lbs) weight loss (t = 3.2, p = 0.001). No significant change in BMI was seen with either in-person services (t = 0.10, p = 0.92), or usual care (t = -0.25, p = 0.80). The average percentage of modules completed in the WebMOVE group was 49% and in the in-person group was 41% (t = 1.4, p = 0.17). When non-obese patients were included in the analyses, there was a trend towards a condition by visit effect (F = 2.8, p = 0.06). WebMOVE was well received, while the acceptability of in-person services was mixed.

conclusionsComputerized weight management with peer support results in lower weight, and can have greater effectiveness than clinician-led in-person services. This intervention is well received, and could be feasible to disseminate.

Indexed as

AdultAgedBehavior TherapyBody WeightCounselingFeasibility StudiesFemaleHumansMaleMental DisordersMentoringMiddle AgedObesityObesity ManagementPatient Education as TopicPeer Groupcomparative effectivenesscounselinginformation technologymental illnessobesity

Identifiers

PMID28271427
PMCPMC5359157

What OpenQuestion holds

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Registered trials

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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.