Evidence map›Paper›PMID 28870208›Full record

Trial reportThe international journal of behavioral nutrition and physical activity2017

The role of self-regulatory skills and automaticity on the effectiveness of a brief weight loss habit-based intervention: secondary analysis of the 10 top tips randomised trial.

Nathalie Kliemann, Victoria Vickerstaff, Helen Croker, Fiona Johnson, Irwin Nazareth, Rebecca J Beeken

Open access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in The international journal of behavioral nutrition and physical activity, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
11.0field-weighted citation impact, top 1% 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.

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

11 citing papers in PubMed, 80 citations in OpenAlex.

  1. Mechanisms of Action in a Behavioral Weight-Management Program: Latent Growth Curve Analysis.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 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

6 authors at 2 institutions in 1 country.

Nathalie KliemannDepartment of Behavioural Science & Health, University College London, London, England.
Victoria VickerstaffDepartment of Primary Care & Population Health, University College London, London, England.
Helen CrokerDepartment of Behavioural Science & Health, University College London, London, England.
Fiona JohnsonDepartment of Behavioural Science & Health, University College London, London, England.
Irwin NazarethDepartment of Primary Care & Population Health, University College London, London, England.
Rebecca J BeekenDepartment of Behavioural Science & Health, University College London, London, England. r.beeken@leeds.ac.uk.ORCID 0000-0001-8287-9351
University College London · GBUniversity of Leeds · GB

Funding

Cancer Research UK 14133Department of HealthMarie Curie MCCC-FCO-11-UMedical Research Council G0802027
6 · The paper itself

Abstract

backgroundHabit-interventions are designed to promote the automaticity of healthy behaviours and may also enhance self-regulatory skills during the habit-formation process. A recent trial of habit-based advice for weight loss (10 Top Tips; 10TT), found that patients allocated to 10TT lost significantly more weight over 3 months than those allocated to usual care, and reported greater increases in automaticity for the target behaviours. The current study aimed to test the hypothesis that i) 10TT increased self-regulatory skills more than usual care, and ii) that self-regulatory skills and automaticity changes mediated the effect of 10TT on weight loss.

methods537 obese patients from 14 primary care practices in the UK were randomized to receive 10TT or usual care. Patients in the 10TT group received a leaflet containing tips for weight loss and healthy habits formation, a self-monitoring log book and a wallet-sized shopping guide on how to read food labels. Patients were weighed and completed validated questionnaires for self-regulation and automaticity at baseline and 3-month follow-up. Within-group and Between-group effects were explored using Paired T-test and ANCOVA, respectively. Mediation was assessed using bootstrapping to estimate indirect effects and the sobel test.

resultsOver 3 months patients who were given 10TT reported greater increases in self-regulatory skills (Mean difference: .08; 95% CI .01; .15) than those who received usual care. Changes in self-regulatory skills and automaticity over 3 months mediated the effect of the intervention on weight loss (β = .52, 95% Bias Corrected CI .17; .91).

conclusionsAs hypothesised, 10TT enhanced self-regulatory skills and changes in self-regulatory skills and automaticity mediated the effect of the intervention on weight loss. This supports the proposition that self-regulatory training and habit formation are important features of weight loss interventions.

trial registrationThis study was prospectively registered with the International Standard Randomised Controlled Trials ( ISRCTN16347068 ) on 26 September 2011.

Indexed as

HabitsWeight LossAdultAgedBody Mass IndexFemaleFollow-Up StudiesHealth BehaviorHumansMaleMiddle AgedObesityPrimary Health CareReproducibility of ResultsSample SizeSelf-ControlAutomaticityHabit formationInterventionSelf-regulationWeight loss

Identifiers

PMID28870208
PMCPMC5583960
OpenAlexW2752486066

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.