Trial reportDisability and health journal2018
Reducing barriers to healthy weight: Planned and responsive adaptations to a lifestyle intervention to serve people with impaired mobility.
Trial report in Disability and health journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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
13 citing papers in PubMed, 18 citations in OpenAlex.
- Group Lifestyle Balance Adapted for Individuals With Impaired Mobility: Outcomes for 6-Month RCT and Combined Groups at 12 Months.American journal of preventive medicine · 2020Trial
- A Problem-Solving Intervention for Hospice Family Caregivers: A Randomized Clinical Trial.Journal of the American Geriatrics Society · 2019Trial
- Co-adapting a school-based mental health literacy intervention for adolescents in Cambodia and Vietnam.BMJ global health · 2026Article
- Physical activity for weight loss maintenance in people with and without physical disability: The international weight control registry.Disability and health journal · 2026Article
- Involving community members in designing behavioural weight management programmes: a scoping review.BMC public health · 2026Article
- Exploring co-adaptation for public health interventions: insights from a rapid review and interviews.BMC public health · 2025Review
- Adapting the Diabetes Prevention Program for Older Adults: Descriptive Study.JMIR formative research · 2023Article
- Facilitators and barriers to performing dietary behaviors among chronic community-dwelling stroke survivors: A qualitative secondary analysis.Disability and health journal · 2022Article
- Adapting interventions to new contexts-the ADAPT guidance.BMJ (Clinical research ed.) · 2021Article
- Adapting evidence-informed population health interventions for new contexts: a scoping review of current practice.Health research policy and systems · 2021Article
- Pilot Feasibility Study of Incorporating Whole Person Care Health Coaching Into an Employee Wellness Program.Frontiers in public health · 2020Article
- Kinetics of Muscle Damage Biomarkers at Moments Subsequent to a Fight in Brazilian Jiu-Jitsu Practice by Disabled Athletes.Frontiers in physiology · 2019Article
- Health Behavior Change Following Stroke: Recommendations for Adapting the Diabetes Prevention Program-Group Lifestyle Balance Program.American journal of lifestyle medicineArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundPeople with impaired mobility (IM) disabilities have a higher prevalence of obesity and obesity-related chronic conditions; however, lifestyle interventions that address the unique needs of people with IM are lacking.
objectiveThis paper describes an adapted evidence-based lifestyle intervention developed through community-based participatory research (CBPR).
methodsIndividuals with IM, health professionals, disability group representatives, and researchers formed an advisory board to guide the process of thoroughly adapting the Diabetes Prevention Program Group Lifestyle Balance (DPP GLB) intervention after a successful pilot in people with IM. The process involved two phases: 1) planned adaptations to DPP GLB content and delivery, and 2) responsive adaptations to address issues that emerged during intervention delivery.
resultsPlanned adaptations included combining in-person sessions with conference calls, providing arm-based activity trackers, and adding content on adaptive cooking, adaptive physical activity, injury prevention, unique health considerations, self-advocacy, and caregiver support. During the intervention, participants encountered numerous barriers, including health and mental health issues, transportation, caregivers, employment, adjusting to disability, and functional limitations. We addressed barriers with responsive adaptations, such as supporting electronic self-monitoring, offering make up sessions, and adding content and activities on goal setting, problem solving, planning, peer support, reflection, and motivation.
conclusionsGiven the lack of evidence on lifestyle change in people with disabilities, it is critical to involve the community in intervention planning and respond to real-time barriers as participants engage in change. A randomized controlled trial (RCT) is underway to examine the usability, feasibility, and preliminary effectiveness of the adapted intervention.
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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.