Trial reportObesity (Silver Spring, Md.)2017
Efficacy of environmental and acceptance-based enhancements to behavioral weight loss treatment: The ENACT trial.
Trial report in Obesity (Silver Spring, Md.), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06292936 (Evaluation of a Remotely-Delivered Behavioral Intervention for Post-Bariatric Surgery Weight Regain), which is not on this map. Cited by 39 papers, 3 of them syntheses that pooled 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.
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.
Evaluation of a Remotely-Delivered Behavioral Intervention for Post-Bariatric Surgery Weight Regain
Who cites it
39 citing papers in PubMed, 3 syntheses or guidelines pooled it, 58 citations in OpenAlex.
- Individual participant data meta-analysis of eating behaviour traits as effect modifiers in acceptance and commitment therapy-based weight management interventions.International journal of obesity (2005) · 2025Pooled it
- An individual participant data meta-analysis investigating the mediating role of eating behavior traits in Acceptance and Commitment Therapy-based weight management interventions.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025Pooled it
- Third-wave cognitive behaviour therapies for weight management: A systematic review and network meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2020Pooled it
- Racial disparities in the efficacy of traditional versus acceptance-based behavioral weight loss.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2026Trial
- Wellness Achieved Through Changing Habits: A Randomized Controlled Trial of an Acceptance-Based Intervention for Adolescent Girls With Overweight or Obesity.Childhood obesity (Print) · 2023Trial
- Trial
- BestFIT Sequential Multiple Assignment Randomized Trial Results: A SMART Approach to Developing Individualized Weight Loss Treatment Sequences.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2022Trial
- Efficacy and utilization of an acceptance and commitment therapy-based smartphone application for smoking cessation among Black adults: secondary analysis of the iCanQuit randomized trial.Addiction (Abingdon, England) · 2022Trial
- Efficacy of telehealth acceptance and commitment therapy for weight loss: a pilot randomized clinical trial.Translational behavioral medicine · 2021Trial
- A Pilot Randomized Controlled Trial of Distress Tolerance Treatment for Weight Concern in Smoking Cessation Among Women.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2020Trial
- Physical Activity Intentions and Behavior Mediate Treatment Response in an Acceptance-Based Weight Loss Intervention.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2019Trial
- Habit formation intervention to prevent obesity in low-income preschoolers and their mothers: A randomized controlled trial protocol.Contemporary clinical trials · 2018Trial
- Acceptance and Commitment Therapy for Obesity.Current obesity reports · 2025Review
- Physical Activity Measurement Reactivity Among Midlife Adults With Elevated Risk for Cardiovascular Disease: Protocol for Coordinated Analyses Across Six Studies.JMIR research protocols · 2025Article
- Evaluating an acceptance-based lifestyle modification program to address cardiovascular disease risk among adolescent girls with overweight and obesity: Protocol for a randomized controlled trial.Contemporary clinical trials · 2024Article
- Hunger, temptation, and dietary adherence during weight management.Eating behaviors · 2023Observational
- Food prescription pilots: feasibility, acceptability and affordability of improving diet through menu planning and grocery delivery.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2023Article
- A Call to Reconceptualize Obesity Treatment in Service of Health Equity: Review of Evidence and Future Directions.Current obesity reports · 2023Review
- Telehealth acceptance and commitment therapy for weight loss: Protocol of the WeLNES full scale randomized controlled trial.Contemporary clinical trials · 2023Article
- Testing reward processing models of obesity using in-the-moment assessments of subjective enjoyment of food and non-food activities.Eating behaviors · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveThis study was designed to compare weight loss through a traditional behavioral treatment (BT) approach that integrated skills for managing the obesogenic food environment (BT + E) with an approach that integrated environmental and acceptance-based skills (BT + EA). Moderators were examined as an exploratory aim.
methodsAdults (N = 283) were randomly assigned to treatment condition and provided with 26 group-based sessions over the course of 12 months. Weight was measured in the clinic at months 0, 6, and 12.
resultsChange in weight over time did not significantly differ by condition. However, race significantly moderated the effect of condition on weight loss (P = 0.04), such that African-American participants lost less weight than non-Hispanic white participants in the BT (6.2% vs. 11.5%) and BT + E conditions (6.6% vs. 12.2%), but weight loss in these two groups was similar in the BT + EA condition (9.4% vs. 11.5%). Among African Americans, rates of achieving a clinically significant weight loss (i.e., > 5%) at 12 months were higher in BT + EA (80%) than BT (57%) or BT + E (48%) (P = 0.04).
conclusionsThis innovative behavioral approach shows promise for treatment of African Americans, which is notable given the lack of progress to date addressing racial disparities in obesity intervention efficacy.
Indexed as
Identifiers
What OpenQuestion holds
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.