ArticleObesity (Silver Spring, Md.)2017
Clinical effectiveness of the massachusetts childhood obesity research demonstration initiative among low-income children.
Article in Obesity (Silver Spring, Md.), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 5 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
22 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Digital tracking, provider decision support systems, and targeted client communication via mobile devices to improve primary health care.The Cochrane database of systematic reviews · 2025Pooled it
- A Systematic Review of Electronic Community Resource Referral Systems.American journal of preventive medicine · 2023Pooled it
- Childhood Obesity Evidence Base Project: A Systematic Review and Meta-Analysis of a New Taxonomy of Intervention Components to Improve Weight Status in Children 2-5 Years of Age, 2005-2019.Childhood obesity (Print) · 2020Pooled it
- Systematic Review of Natural Experiments for Childhood Obesity Prevention and Control.American journal of preventive medicine · 2019Pooled it
- The role and impact of community health workers in childhood obesity interventions: a systematic review and meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2018Pooled it
- Comparative Effectiveness of Clinical and Community-Based Approaches to Healthy Weight.Pediatrics · 2021Trial
- Considerations for Cost Assessment of Implementing Family Healthy Weight Programs Across Community and Clinical Contexts.Childhood obesity (Print) · 2026Article
- Treating Childhood Obesity: Building and Evaluating Evidence-Based Models of Integrated Care.Journal of the Endocrine Society · 2025Review
- Listening to the community: identifying obesity prevention strategies for rural preschool-aged children.Frontiers in public health · 2024Article
- Barriers, facilitators, and opportunities to promote healthy weight behaviors among preschool-aged children in two rural U.S communities.BMC public health · 2023Article
- Embedding community-engaged research principles in implementation science: The implementation science center for cancer control equity.Journal of clinical and translational science · 2023Article
- Multi-sector stakeholder's perceptions of determinants of successful implementation of a pediatric weight management intervention.Frontiers in public health · 2022Article
- A youth empowerment intervention to prevent childhood obesity: design and methods for a cluster randomized trial of the HBMC public health · 2021Article
- Design and Approach of the Healthy Weight Clinic Pediatric Weight Management Intervention Package and Implementation: Massachusetts-CORD 3.0.Childhood obesity (Print) · 2021Article
- Health Information Technology use among healthcare providers treating children and adolescents with obesity: A systematic review.Current epidemiology reports · 2021Article
- Disparities in childhood overweight and obesity by income in the United States: an epidemiological examination using three nationally representative datasets.International journal of obesity (2005) · 2019Article
- Nutrition provider confidence in the Massachusetts Childhood Obesity Research Demonstration (MA-CORD) study.Preventive medicine reports · 2019Article
- Integrating childhood obesity resources into the patient-centered medical home: Provider perspectives in the United States.Journal of child health care : for professionals working with children in the hospital and community · 2019Article
- Article
- Implementation of B'More Healthy Communities for Kids: process evaluation of a multi-level, multi-component obesity prevention intervention.Health education research · 2018Article
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
objectiveTo examine the extent to which a clinical intervention resulted in reduced BMI z scores among 2- to 12-year-old children compared to routine practice (treatment as usual [TAU]).
methodsThe Massachusetts Childhood Obesity Research Demonstration (MA-CORD) project is a multifaceted initiative to prevent childhood obesity among low-income children. At the federally qualified community health centers (FQHCs) of two communities (Intervention Site #1 and #2), the following were implemented: (1) pediatric weight management training, (2) electronic decision supports for clinicians, (3) on-site Healthy Weight Clinics, (4) community health worker integration, and (5) healthful clinical environment changes. One FQHC in a demographically matched community served as the TAU site. Using electronic health records, we assessed BMI z scores and used linear mixed models to examine BMI z score change over 2 years in each intervention site compared to a TAU site.
resultsCompared to children in the TAU site (n = 2,286), children in Intervention Site #2 (n = 1,368) had a significant decline in BMI z scores following the start of the intervention (-0.16 units/y; 95% confidence interval: -0.21 to -0.12). No evidence of an effect was found in Intervention Site #1 (n = 111).
conclusionsThe MA-CORD clinical interventions were associated with modest improvement in BMI z scores in one of two intervention communities compared to a TAU community.
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