Evidence map›Paper›PMID 29996812›Full record

ArticleBMC public health2018

Perceived barriers and facilitators of initiation of behavioral weight loss interventions among adults with obesity: a qualitative study.

Megan A McVay, William S Yancy, Gary G Bennett, Seung-Hye Jung, Corrine I Voils

Registry-linked trialAbstract readEvaluation Study
In one paragraph

Article in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01973972 (Jump Starting Shared Medical Appointments for Diabetes With Weight Management), which is not on this map. Cited by 43 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT01973972 nacompletednot on this map

Jump Starting Shared Medical Appointments for Diabetes With Weight Management

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2014 to 2018Enrolled263ConditionsDiabetesArmsWeight management, Shared medical appointments (SMA)
3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

5 authors.

Megan A McVayDepartment of Health Education and Behavior, College of Health and Human Performance, University of Florida, PO Box 118210, Gainesville, FL, 32611, USA. megan.mcvay@ufl.edu.ORCID 0000-0002-2583-4277
William S YancyDepartment of Medicine, Division of General Internal Medicine, Duke University Medical Center, 501 Douglas Street, Duke Diet & Fitness Center, Durham, NC, USA.
Gary G BennettDepartment of Psychology and Neuroscience, Duke University, Box 90086, Durham, NC, 27708, USA.
Seung-Hye JungDuke Office of Clinical Research, Duke University Medical Center, 2424 Erwin Rd, Durham, NC, 27705, USA.
Corrine I VoilsWilliam Middleton Memorial Veterans Hospital, 2500 Overlook Terrace, Madison, WI, 53705, USA.

Funding

Increasing uptake of behavioral weight loss programs among primary care patientsK23HL127334 · NHLBI · UNIVERSITY OF FLORIDA · PI MCVAY, MEGAN APPERSON · 2015 to 2019
$805k
NHLBI NIH HHS K23 HL127334Office of Academic Affiliations, Department of Veterans Affairs RCS 14-443
6 · The paper itself

Abstract

backgroundEvidence-based behavioral weight loss interventions are under-utilized. To inform efforts to increase uptake of these interventions, it is important to understand the perspectives of adults with obesity regarding barriers and facilitators of weight loss intervention initiation.

methodsWe conducted a qualitative study in adults with obesity who had recently attempted weight loss either with assistance from an evidence-based behavioral intervention (intervention initiators) or without use of a formal intervention (intervention non-initiators). We recruited primary care patients, members of a commercial weight loss program, and members of a Veterans Affairs weight loss program. Intervention initiators and non-initiators were interviewed separately using a semi-structured interview guide that asked participants about barriers and facilitators of weight loss intervention initiation. Conversations were audio-recorded and transcribed. Data were analyzed with qualitative content analysis. Two researchers used open coding to generate the code book on a subset of transcripts and a single researcher coded remaining transcripts. Codes were combined into subthemes, which were combined in to higher order themes. Intervention initiators and non-initiators were compared.

resultsWe conducted three focus groups with participants who had initiated interventions (n = 26) and three focus groups (n = 24) and 8 individual interviews with participants who had not initiated interventions. Intervention initiators and non-initiators were, respectively, 65% and 37.5% white, 62% and 63% female, mean age of 55 and 54 years old, and mean BMI of 34 kg/m

conclusionsStrategies to engage individuals in evidence-based weight loss interventions can be developed using these results. Strategies could target individuals' perceived barriers and benefits to initiating interventions, or could focus on refining interventions to appeal to more individuals.

Indexed as

Attitude to HealthHealth BehaviorFemaleFocus GroupsHealth Services AccessibilityHumansMaleMiddle AgedObesityPrimary Health CareQualitative ResearchWeight Reduction ProgramsBehavioral weight loss interventionIntervention engagementIntervention initiationQualitative research

Identifiers

PMID29996812
PMCPMC6042474

What OpenQuestion holds

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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.