Evidence map›Paper›PMID 28382755›Full record

Trial reportObesity (Silver Spring, Md.)2017

Innovative approaches to weight loss in a high-risk population: The small changes and lasting effects (SCALE) trial.

Erica G Phillips, Martin T Wells, Ginger Winston, Rosio Ramos, Carol M Devine, Elaine Wethington, Janey C Peterson, Brian Wansink, Mary Charlson

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

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 NCT03609463 (Promoting Weight Loss and Stress Reduction in Overweight and Obese Patients With Type 2 Diabetes), which is not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 10% 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.

NCT03609463 nacompletednot on this mapstarted 2018, after this paper: background citation

Promoting Weight Loss and Stress Reduction in Overweight and Obese Patients With Type 2 Diabetes: a Feasibility Study of a Combination of a Small Change and Well-Being Intervention

TypeinterventionalSponsorChiara RafanelliRan2018 to 2020Enrolled58ConditionsDiabetes Mellitus, Type 2, Overweight and ObesityArmsSmall change intervention, Well-being intervention, Treatment as usual
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Understanding family functioning in mothers and daughters with obesity.International journal of qualitative studies on health and well-being · 2024
    Article
  6. Review
  7. New research directions on disparities in obesity and type 2 diabetes.Annals of the New York Academy of Sciences · 2020
    Article
  8. Article
  9. Article
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 at 3 institutions in 1 country.

Erica G PhillipsDivision of General Internal Medicine, Weill Cornell Medicine, New York, New York, USA.
Martin T WellsDepartment of Statistical Science, Cornell University, Ithaca, New York, USA.
Ginger WinstonDepartment of Medicine, George Washington University, Washington, DC, USA.
Rosio RamosDivision of Clinical Epidemiology and Evaluative Science Research, Weill Cornell Medicine, New York, New York, USA.
Carol M DevineDivision of Nutritional Sciences, Cornell University, Ithaca, New York, USA.
Elaine WethingtonDepartments of Human Development and Sociology, Cornell University, Ithaca, New York, USA.
Janey C PetersonDivision of General Internal Medicine, Weill Cornell Medicine, New York, New York, USA.
Brian WansinkSchool of Applied Economics and Management, Cornell University, Ithaca, New York, USA.
Mary CharlsonDivision of Clinical Epidemiology and Evaluative Science Research, Weill Cornell Medicine, New York, New York, USA.
Cornell University · USWeill Cornell Medicine · USGeorge Washington University · US

Funding

SCALE: Small Changes and Lasting EffectsU01HL097843 · NHLBI · WEILL MEDICAL COLL OF CORNELL UNIV · PI CHARLSON, MARY E · 2009 to 2013
$6.5M
INSPIRE: Intervention to Support Participation in Regular Exercise in the ElderlyK23AG042869 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI PETERSON, JANEY CHRISTINE · 2013 to 2016
$671k
NHLBI NIH HHS U01 HL097843NIA NIH HHS K23 AG042869
6 · The paper itself

Abstract

objectiveTo evaluate the efficacy of a small change behavioral weight loss intervention with or without a positive affect/self-affirmation (PA/SA) component on weight loss at 12 months.

methodsBlack and Hispanic adults (N = 405) with body mass index 25-50 kg/m

resultsThere was no difference in weight loss at 12 months between participants in the small change approach alone (1.1%) versus the small change PA/SA intervention (1.2%). During treatment, 9% of participants lost at least 7% of their initial body weight. Participants who reported more interval life events had a lower likelihood of losing weight (P < 0.0001). However, those randomized to the small change PA/SA intervention gained less weight (+0.3% vs. 2.3% gain; P < 0.0001).

conclusionsThe small change PA/SA intervention did not lead to a significant difference in weight loss in comparison to the small change approach alone. It did, however, decrease the negative impact of psychosocial stressors on weight gain among participants with more interval life events.

Indexed as

AdultFemaleHumansMaleObesityWeight LossYoung Adult

Identifiers

PMID28382755
PMCPMC5404988
OpenAlexW2604759403

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.