Evidence map›Paper›PMID 29696179›Full record

ArticleContemporary clinical trials communications2017

Reducing social inequalities in access to overweight and obesity care management for adolescents: The PRALIMAP-INÈS trial protocol and inclusion data analysis.

Karine Legrand, Edith Lecomte, Johanne Langlois, Laurent Muller, Laura Saez, Marie-Hélène Quinet, Philip Böhme, Elisabeth Spitz, Abdou Y Omorou, Serge Briançon and 1 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Contemporary clinical trials communications, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01688453 (Reduction of Inequalities in Overweight and Obesity Management Care Access Among High School Adolescents), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.0field-weighted citation impact, top 13% 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.

NCT01688453 nacompletednot on this map

Reduction of Inequalities in Overweight and Obesity Management Care Access Among High School Adolescents

TypeinterventionalSponsorInstitut National de la Santé Et de la Recherche Médicale, FranceRan2012 to 2015Enrolled1,689ConditionsOverweightArmsStandard care management, The strengthened care management
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 18 citations in OpenAlex.

  1. Trial
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  8. Theoretical and practical challenges of proportionate universalism: a review.Revista panamericana de salud publica = Pan American journal of public health · 2020
    Review
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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

11 authors at 5 institutions in 1 country.

Karine LegrandLorraine University, Paris Descartes University, EA 4360 APEMAC, Nancy, France.
Edith LecomteNational Conservatory of Arts and Crafts, Nancy, France.
Johanne LangloisLorraine University, Paris Descartes University, EA 4360 APEMAC, Nancy, France.
Laurent MullerLorraine University, Paris Descartes University, EA 4360 APEMAC, Nancy, France.
Laura SaezLorraine University, Paris Descartes University, EA 4360 APEMAC, Nancy, France.
Marie-Hélène QuinetLocal School Office of the Nancy-Metz Academy, Nancy, France.
Philip BöhmeLorraine University, Paris Descartes University, EA 4360 APEMAC, Nancy, France.
Elisabeth SpitzLorraine University, Paris Descartes University, EA 4360 APEMAC, Nancy, France.
Abdou Y OmorouLorraine University, Paris Descartes University, EA 4360 APEMAC, Nancy, France.
Serge BriançonLorraine University, Paris Descartes University, EA 4360 APEMAC, Nancy, France.
PRALIMAP-INÈS trial group
Université Paris Cité · FRInserm · FRConservatoire National des Arts et Métiers · FRInterdisciplinarité en Santé Publique Interventions et Instruments de mesure complexes – Région Est · FRAcadémie de Nancy-Metz · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite social inequalities in overweight/obesity prevalence, evidence-based public health interventions to reduce them are scarce. The PRALIMAP-INÈS trial aimed to investigate whether a strengthened-care management for adolescents with low socioeconomic status has an equivalent effect in preventing and reducing overweight as a standard-care management for high socioeconomic status adolescents.

methodsPRALIMAP-INÈS was a mixed, prospective and multicenter trial including 35 state-run schools. It admitted overweight or obese adolescents, age 13-18 years old, for 3 consecutive academic years. One-year interventions were implemented. Data were collected before (T0), after (T1) and post (T2) intervention. Among 2113 eligible adolescents who completed questionnaires, 1639 were proposed for inclusion and 1419 were included (220 parental refusals). Two groups were constituted according to the Family Affluence Scale (FAS) score: the less advantaged (FAS≤5) were randomly assigned to 2 groups in a 2/1 ratio. The 3 intervention groups were: advantaged with standard-care management (A.S, n = 808), less advantaged with standard-care management (LA.S, n = 196), and less advantaged with standard and strengthened-care management (LA.S.S, n = 415). The standard-care management was based on the patient education principle and consisted of 5 collective sessions. The strengthened-care management was based on the proportionate universalism principle and consisted of activities adapted to needs. INCLUSION

resultsThe written parental refusal was less frequent among less advantaged and more overweight adolescents. A dramatic linear social gradient in overweight was evidenced. DISCUSSION: The PRALIMAP-INÈS outcomes should inform how effectively a socially adapted public health program can avoid worsening social inequalities in overweight adolescents attending school.

trial registrationClinicalTrials.gov (NCT01688453).

Indexed as

AdolescentsOverweight and obesitySocial classStandard careStrengthened care

Identifiers

PMID29696179
PMCPMC5898577
OpenAlexW2624935966

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.