Evidence map›Paper›PMID 29925496›Full record

ArticleJMIR mHealth and uHealth2018

Using the Habit App for Weight Loss Problem Solving: Development and Feasibility Study.

Sherry Pagoto, Bengisu Tulu, Emmanuel Agu, Molly E Waring, Jessica L Oleski, Danielle E Jake-Schoffman

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in JMIR mHealth and uHealth, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02192905 (Feasibility Trial of a Problem-Solving Weight Loss Mobile Application), which is not on this map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.3field-weighted citation impact, top 8% 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.

NCT02192905 nacompletednot on this map

Feasibility Trial of a Problem-Solving Weight Loss Mobile Application

TypeinterventionalSponsorUniversity of ConnecticutRan2015 to 2017Enrolled45ConditionsObesity, Weight LossArmsDiabetes Prevention Program Lifestyle Intervention
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 40 citations in OpenAlex.

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  2. Adherence to Behavioral Weight Management: A Scoping Review of Definitions, Measurement, and Components.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
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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 3 institutions in 1 country.

Sherry PagotoInstitute for Collaboration on Health, Intervention, and Policy, Department of Allied Health Sciences, University of Connecticut, Storrs, CT, United States.ORCID http://orcid.org/0000-0002-2462-8797
Bengisu TuluFoisie Business School, Worcester Polytechnic Institute, Worcester, MA, United States.ORCID http://orcid.org/0000-0001-7226-1830
Emmanuel AguComputer Science Department, Worcester Polytechnic Institute, Worcester, MA, United States.ORCID http://orcid.org/0000-0002-3361-4952
Molly E WaringInstitute for Collaboration on Health, Intervention, and Policy, Department of Allied Health Sciences, University of Connecticut, Storrs, CT, United States.ORCID http://orcid.org/0000-0002-9884-9824
Jessica L OleskiInstitute for Collaboration on Health, Intervention, and Policy, Department of Allied Health Sciences, University of Connecticut, Storrs, CT, United States.ORCID http://orcid.org/0000-0001-8270-2302
Danielle E Jake-SchoffmanPreventive and Behavioral Medicine, Department of Medicine, University of Massachusetts Medical School, Worcester, MA, United States.ORCID http://orcid.org/0000-0001-6381-7323
University of Connecticut · USWorcester Polytechnic Institute · USUniversity of Massachusetts Chan Medical School · US

Funding

Implementation Research Training Program in Cancer Prevention and ControlR25CA172009 · NCI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI HOUSTON, THOMAS K, LEMON, STEPHENIE C. · 2014 to 2018
$1.9M
Mentoring in mHealth and Social Networking Interventions for CVD Risk ReductionK24HL124366 · NHLBI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI PAGOTO, SHERRY L. · 2015 to 2024
$1.1M
A culturally-tailored narrative intervention to target disparities in obesityK01DK102447 · NIDDK · BOSTON UNIVERSITY MEDICAL CAMPUS · PI WANG, MONICA L. · 2014 to 2018
$631k
Feasibility Trial of a Problem-Solving Weight Loss Mobile ApplicationR21DK098556 · NIDDK · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI PAGOTO, SHERRY L., TULU, BENGISU · 2013 to 2014
$471k
NCI NIH HHS R25 CA172009NHLBI NIH HHS K24 HL124366NIDDK NIH HHS K01 DK102447NIDDK NIH HHS R21 DK098556
6 · The paper itself

Abstract

backgroundReviews of weight loss mobile apps have revealed they include very few evidence-based features, relying mostly on self-monitoring. Unfortunately, adherence to self-monitoring is often low, especially among patients with motivational challenges. One behavioral strategy that is leveraged in virtually every visit of behavioral weight loss interventions and is specifically used to deal with adherence and motivational issues is problem solving. Problem solving has been successfully implemented in depression mobile apps, but not yet in weight loss apps.

objectiveThis study describes the development and feasibility testing of the Habit app, which was designed to automate problem-solving therapy for weight loss.

methodsTwo iterative single-arm pilot studies were conducted to evaluate the feasibility and acceptability of the Habit app. In each pilot study, adults who were overweight or obese were enrolled in an 8-week intervention that included the Habit app plus support via a private Facebook group. Feasibility outcomes included retention, app usage, usability, and acceptability. Changes in problem-solving skills and weight over 8 weeks are described, as well as app usage and weight change at 16 weeks.

resultsResults from both pilots show acceptable use of the Habit app over 8 weeks with on average two to three uses per week, the recommended rate of use. Acceptability ratings were mixed such that 54% (13/24) and 73% (11/15) of participants found the diet solutions helpful and 71% (17/24) and 80% (12/15) found setting reminders for habits helpful in pilots 1 and 2, respectively. In both pilots, participants lost significant weight (P=.005 and P=.03, respectively). In neither pilot was an effect on problem-solving skills observed (P=.62 and P=.27, respectively).

conclusionsProblem-solving therapy for weight loss is feasible to implement in a mobile app environment; however, automated delivery may not impact problem-solving skills as has been observed previously via human delivery.

trial registrationClinicalTrials.gov NCT02192905; https://clinicaltrials.gov/ct2/show/NCT02192905 (Archived by WebCite at http://www.webcitation.org/6zPQmvOF2).

Indexed as

mHealthmobile appobesityproblem solvingweight loss

Identifiers

PMID29925496
PMCPMC6031896
OpenAlexW2809335473

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.