Evidence map›Paper›PMID 28633627›Full record

Trial reportBMC family practice2017

Effectiveness of a motivational intervention on overweight/obese patients in the primary healthcare: a cluster randomized trial.

Juan Jose Rodriguez-Cristobal, Carlos Alonso-Villaverde, Jose Ma Panisello, Pere Travé-Mercade, Francisca Rodriguez-Cortés, Josep Ramon Marsal, Esther Peña

2 registry-linked trialsAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC family practice, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 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.

NCT01006213 naunknown statusnot on this map

Group Motivational Intervention in Overweight/Obese Patients in Primary Prevention of Cardiovascular Disease in the Primary Healthcare Area (IMOAP)

TypeinterventionalSponsorFundacio d'Investigacio en Atencio Primaria Jordi Gol i GurinaRan2008 to 2010Enrolled1,200ConditionsOverweight, ObesityArmsMotivational intervention
NCT06348628 nacompletednot on this mapstarted 2022, after this paper: background citation

Motivational Interviewing for Weight Loss in the Management of Non Alcoholic Fatty Liver Disease - A Randomized Controlled Trial

TypeinterventionalSponsorMadunil Anuk NiriellaRan2022 to 2025Enrolled231ConditionsNon-Alcoholic Fatty Liver DiseaseArmsMotivational Interview, Placebo
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. A systematic review of inequalities in the uptake of, adherence to, and effectiveness of behavioral weight management interventions in adults.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2022
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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

7 authors.

Juan Jose Rodriguez-CristobalCentre Atenció Primària Florida Sud. Direcció Atenció Primària Costa de Ponent-ICS. L'Hospitalet, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Barcelona, Spain.
Carlos Alonso-VillaverdeCardiovascular Research Center, CSIC-ICCC, Hospital de la Santa Creu i Sant Pau (UAB), IIB-Sant Pau, Barcelona, Spain.
Jose Ma PaniselloFUFOSA (Fundación Fomento Salud), Barcelona, Spain.
Pere Travé-MercadeUnivestitat de Barcelona, Facultad de Farmacia, Barcelona, Spain.
Francisca Rodriguez-CortésUnitat de Salut Mental Collblanc, L'Hospitalet del Llobregat, Barcelona, Spain.
Josep Ramon MarsalCardiovascular Department, Epidemiology Unit, University Hospital Vall d'Hebron. Lleida Research Support Unit, Primary Care Research Institut (IDIAP) Jordi Gol, Autonomus University of Barcelona, Barcelona, Catalonia, Spain.
Esther PeñaCardiovascular Research Center, CSIC-ICCC, Hospital de la Santa Creu i Sant Pau (UAB), IIB-Sant Pau, Barcelona, Spain. epena@csic-iccc.org.ORCID http://orcid.org/0000-0003-2750-0614

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOverweight and obesity are common health problems which increase the risk of developing several serious health conditions. The main difficulty in the management of weight-loss lies in its maintenance, once it is achieved. The aim of this study was to investigate whether a motivational intervention, together with current clinical practice, was more efficient than a traditional intervention, in the treatment of overweight and obesity and whether this intervention reduces cardiovascular risk factors associated with overweight and obesity.

methodsMulti-centre cluster randomized trial with a 24-month follow-up included 864 overweight/obese patients randomly assigned. Motivational intervention group (400 patients), delivered by a nurse trained by an expert psychologist, in 32 sessions, 1 to 12 fortnightly, and 13 to 32, monthly, on top of their standard programmed diet and exercise. The control group (446 patients), received the usual follow-up.

resultsWeight reduction was statistically significant in the second year with a mean reduction of 1.0 Kg in the control group and 2.5 Kg in the intervention group (p = 0. 02). While 18.1% of patients in the control group reduced their weight by more than 5%, this percentage rose to 26.9% in the intervention group, which is statistically significant (p = 0.04). Patients in the motivational intervention group had significantly greater improvements in triglycerides and APOB/APOA1ratio.

conclusionsThe results highlight the importance of the group motivational interview in the treatment of overweight /obese patients in primary care, and in the improvement of their associated cardiovascular risks factors.

trial registrationClinicalTrials.gov Identifier: NCT01006213 October 30, 2009.

Indexed as

Motivational InterviewingAdultAgedFemaleHumansMaleMiddle AgedObesityOverweightPrimary Health CareWeight Reduction ProgramsCardiovascular risk factorsMotivational interviewObesityOverweightWeight-loss

Identifiers

PMID28633627
PMCPMC5477747

What OpenQuestion holds

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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.