Trial reportJournal of medical Internet research2018
A Church-Based Weight Loss Intervention in African American Adults using Text Messages (LEAN Study): Cluster Randomized Controlled Trial.
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. It is linked to trial NCT02863887 (The Lifestyle Changes Through Exercise and Nutrition), which is not on this map. Cited by 27 papers, 5 of them syntheses that pooled 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.
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.
The Lifestyle Changes Through Exercise and Nutrition (LEAN) Project
Who cites it
27 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- A systematic review and meta-analysis of the effectiveness of hypertension interventions in faith-based organisation settings.Journal of global health · 2023Pooled it
- Systematic review and meta-analysis of church-based interventions to improve cardiovascular disease risk factors.The American journal of the medical sciences · 2023Pooled it
- The Efficacy of Health Information Technology in Supporting Health Equity for Black and Hispanic Patients With Chronic Diseases: Systematic Review.Journal of medical Internet research · 2022Pooled it
- Effective behavior change techniques to promote physical activity in adults with overweight or obesity: A systematic review and meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2021Pooled it
- Use of Technology-Based Interventions in the Treatment of Patients with Overweight and Obesity: A Systematic Review.Nutrients · 2020Pooled it
- Racial disparities in the efficacy of traditional versus acceptance-based behavioral weight loss.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2026Trial
- Effects of a comprehensive management mode for overweight/obesity based on mobile internet technology and traditional Chinese medicine constitution theory: a randomized controlled trial.Frontiers in nutrition · 2026Trial
- The effectiveness of motivational messages to intensive care unit nurses during the COVID-19 pandemic.Intensive & critical care nursing · 2022Trial
- Challenges of conducting a remote behavioral weight loss study: Lessons learned and a practical guide.Contemporary clinical trials · 2021Trial
- Effectiveness of an mHealth Intervention Combining a Smartphone App and Smart Band on Body Composition in an Overweight and Obese Population: Randomized Controlled Trial (EVIDENT 3 Study).JMIR mHealth and uHealth · 2020Trial
- Push Notifications From a Mobile App to Improve the Body Composition of Overweight or Obese Women: Randomized Controlled Trial.JMIR mHealth and uHealth · 2020Trial
- 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 · 2026Article
- What Matters Most to Veterans When Deciding to Use Technology for Health: Cross-Sectional Analysis of a National Survey.JMIR formative research · 2025Article
- Tackling the complexity of obesity in the US through adaptation of public health strategies.Frontiers in public health · 2025Review
- Engaging Predominantly Black Churches in an Intervention to Improve Cardiovascular Health and Reduce Racial Inequities.Ethnicity & disease · 2023Article
- Feasibility of dyadic peer support to augment a church-based healthy lifestyle programme.Health education journal · 2023Article
- Optimizing a Technology-Based Body and Mind Intervention to Prevent Falls and Reduce Health Disparities in Low-Income Populations: Protocol for a Clustered Randomized Controlled Trial.JMIR research protocols · 2023Article
- Black Feminism and Womanism: A Narrative Review of the Weight Loss Literature.Ethnicity & disease · 2023Review
- Participant Perspectives on the Effects of an African American Faith-Based Health Promotion Educational Intervention: a Qualitative Study.Journal of racial and ethnic health disparities · 2023Article
- Delivering Health Information to Parents via a Theory-Informed SMS-Based Intervention: Development and Results from a Pilot Study.Maternal and child health journal · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
backgroundAfrican American adults experience a high prevalence of obesity and its associated comorbidities, including diabetes. Church-based interventions have been shown to be effective in decreasing weight in this population. mHealth interventions can address two needs for obesity treatment in this community, including enhancing weight loss and providing wide dissemination.
objectiveThis study aimed to assess the feasibility and efficacy of a church-based weight loss intervention that incorporates mHealth technology.
methodsIn this study, 8 churches (n=97) were randomly assigned to the intervention or delayed intervention condition (control group). We recruited participants through their respective church. Volunteer church members were trained by study staff to deliver the 10-session, 6-month intervention. Participants in the intervention group attended group sessions and received automated short message service (SMS) text messages designed to reinforce behavioral strategies. Conversely, participants in the delayed intervention condition received SMS text messages related to health conditions relevant for African American adults. We obtained measures of body composition, blood pressure, blood glucose, and cholesterol.
resultsWe successfully recruited 97 African American adults, with a mean age of 56.0 (SE 10.3) years and a mean body mass index of 38.6 (SE 6.4) kg/m2 (89/97, 91.8% females), who attended the churches that were randomized to the intervention (n=68) or control (n=29) condition. Of these, 74.2% (72/97) of the participants (47/68, 69.1% intervention; 25/29, 86.2% delayed intervention) completed the 6-month assessment. The average intervention group attendance was 55%. There was a significant difference in weight loss (P=.04) between participants in the intervention (-1.5 (SE 0.5) kg) and control (0.11 (SE 0.6) kg) groups. Among participants in the intervention group, the correlation between the number of SMS text messages sent and the percent body fat loss was r=.3 with P=.04. The participants reported high satisfaction with the automated SMS text messages.
conclusionsAutomated SMS text messages were well-received by participants, suggesting that more enhanced mHealth technologies are a viable option for interventions targeting African American adults.
trial registrationClinicalTrials.gov NCT02863887; https://clinicaltrials.gov/ct2/show/NCT02863887 (Archived by WebCite at http://www.webcitation.org/71JiYzizO).
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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.