Evidence map›Paper›PMID 29884605›Full record

Trial reportJournal of medical Internet research2018

Online Lifestyle Modification Intervention: Survey of Primary Care Providers' Attitudes and Views.

Reem M Hanna, Gary Fischer, Molly B Conroy, Cindy Bryce, Rachel Hess, Kathleen McTigue

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of medical Internet research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.8field-weighted citation impact, top 20% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
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 3 institutions in 1 country.

Reem M HannaDivision of Hospital Medicine, University of Colorado School of Medicine, Aurora, CO, United States.ORCID 0000-0002-4851-8357
Gary FischerDivision of General Internal Medicine, University of Pittsburgh, Pittsburgh, PA, United States.ORCID 0000-0001-7671-207X
Molly B ConroyDivision of General Internal Medicine, University of Utah School of Medicine, Salt Lake City, UT, United States.ORCID 0000-0003-0404-1371
Cindy BryceGraduate School of Public Health, University of Pittsburgh, Pittsburgh, PA, United States.ORCID 0000-0001-6356-6675
Rachel HessDepartment of Population Health Science, University of Utah Health Sciences, Salt Lake City, UT, United States.ORCID 0000-0003-2545-8504
Kathleen McTigueDivision of General Internal Medicine, University of Pittsburgh, Pittsburgh, PA, United States.ORCID 0000-0002-0752-1576
University of Pittsburgh · USUniversity of Utah · USUniversity of Colorado Hospital · US

Funding

Online Counseling to Enable Lifestyle-focused Obesity Treatment in Primary CareR18HS018155 · AHRQ · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MCTIGUE, KATHLEEN M · 2009 to 2011
$1.2M
AHRQ HHS R18 HS018155
6 · The paper itself

Abstract

backgroundOnline tools are a convenient and effective method of delivering lifestyle interventions to obese adult primary care patients. A referral model allows physicians to efficiently direct their patients to the intervention during a primary care visit. However, little is known of physicians' perspectives and utilization of the referral model for an online lifestyle modification intervention.

objectiveThe aim was to evaluate the response of primary care providers (PCPs) to a referral model for implementing a year-long online intervention for weight loss to obese adult patients.

methodsThe PCPs at six primary care clinics were asked to refer adult obese patients to a year-long online lifestyle intervention providing self-management support for weight loss. Following the 1-year intervention, all providers at the participating practices were surveyed regarding their views of the program. Respondents completed survey items assessing their attitudes regarding the 1-year intensive weight loss intervention and identifying resources they would find helpful for assisting patients with weight loss. Referring physicians were asked about their level of satisfaction with implementing the counseling services using standard electronic health record referral processes. Attitudes toward obesity counseling among referring and nonreferring providers were compared. Impressions of how smoothly the referral model of obesity treatment integrated with the clinical workflow were also quantified.

resultsOf the 67 providers who completed the surveys, nonreferring providers (n=17) were more likely to prefer counseling themselves (P=.04) and to report having sufficient time to do so (P=.03) than referring providers (n=50) were. Nonreferring providers were more likely to report that their patients lacked computer skills (76%, 13/17 vs 34%, 17/50) or had less access to the Internet (65%, 11/17 vs 32%, 16/50).

conclusionsUnderstanding providers' views and barriers regarding the integration of online tools will facilitate widespread implementation of an online lifestyle modification intervention.

Indexed as

Attitude of Health PersonnelLife StyleAdultAgedBehavior TherapyFemaleHumansInternetMaleMedical InformaticsMiddle AgedPrimary Health CareSurveys and QuestionnairesYoung Adulthealth information technologyobesityonline interventionreferral model

Identifiers

PMID29884605
PMCPMC6015269
OpenAlexW2806298654

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.