Evidence map›Paper›PMID 30160061›Full record

Trial reportObesity (Silver Spring, Md.)2018

Two-Year Results of Think Health! ¡Vive Saludable!: A Primary Care Weight-Management Trial.

Shiriki K Kumanyika, Knashawn H Morales, Kelly C Allison, A Russell Localio, David B Sarwer, Etienne Phipps, Jennifer E Fassbender, Adam G Tsai, Thomas A Wadden

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Obesity (Silver Spring, Md.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 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.

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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Article
  6. 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

9 authors.

Shiriki K KumanyikaDepartment of Biostatistics, Epidemiology and Informatics, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.ORCID 0000-0002-7798-4306
Knashawn H MoralesDepartment of Biostatistics, Epidemiology and Informatics, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Kelly C AllisonCenter for Weight and Eating Disorders, Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
A Russell LocalioDepartment of Biostatistics, Epidemiology and Informatics, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
David B SarwerCenter for Obesity Research and Education, Temple University College of Public Health, Philadelphia, Pennsylvania, USA.
Etienne PhippsCenter for Urban Health Policy and Research, Albert Einstein Healthcare Network, Philadelphia, Pennsylvania, USA.
Jennifer E FassbenderDepartment of Biostatistics, Epidemiology and Informatics, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Adam G TsaiCenter for Weight and Eating Disorders, Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Thomas A WaddenCenter for Weight and Eating Disorders, Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.ORCID 0000-0002-0438-4609

Funding

Washington University Center for Diabetes Translation Research P30DK092950 · NIDDK · WASHINGTON UNIVERSITY · PI Ross C Brownson, Debra Haire-Joshu · 2011 to 2026
$11.7M
Taste, hunger, satiety &weight in black American womenP60MD000209 · NIMHD · UNIVERSITY OF PENNSYLVANIA · PI KUMANYIKA, SHIRIKI K · 2002 to 2008
$7.1M
CAREER DEVELOPMENT IN WOMEN'S HEALTH RESEARCH AND GENDE*K12HD043459 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI FREEMAN, ELLEN W · 2002 to 2006
$2.4M
Measurement Error in Latent Class Models of AdherenceK01MH073903 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI MORALES, KNASHAWN HODGE · 2007 to 2011
$689k
Understanding Success Factors for African Americans in Weight Loss ProgramsR21DK089422 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI KUMANYIKA, SHIRIKI K · 2010 to 2011
$398k
NICHD NIH HHS K12 HD043459NIDDK NIH HHS P30 DK092950NIDDK NIH HHS R21 DK089422NIMHD NIH HHS P60 MD000209NIMH NIH HHS K01 MH073903
6 · The paper itself

Abstract

objectiveThink Health! ¡Vive Saludable! evaluated a moderate-intensity, lifestyle behavior-change weight-loss program in primary care over 2 years of treatment. Final analyses examined weight-change trajectories by treatment group and attendance.

methodsAdult primary care patients (n = 261; 84% female; 65% black; 16% Hispanic) were randomly assigned to Basic Plus (moderate intensity; counseling by primary care clinician and a lifestyle coach) or Basic (clinician counseling only). Intention-to-treat analyses used all available weight measurements from data collection, treatment, and routine clinical visits. Linear mixed-effects regression models adjusted for treatment site, gender, and age, and sensitivity analyses evaluated treatment attendance and the impact of loss to follow-up.

resultsModel-based estimates for 24-month mean (95% CI) weight change from baseline were -1.34 kg (-2.92 to 0.24) in Basic Plus and -1.16 kg (-2.70 to 0.37) in Basic (net difference -0.18 kg [-2.38 to 2.03]; P = 0.874). Larger initial weight loss in Basic Plus was attenuated by a ~0.5-kg rebound at 12 to 16 months. Each additional coaching visit was associated with a 0.37-kg greater estimated 24-month weight loss (P = 0.01).

conclusionsThese findings in mostly black and Hispanic female primary care patients suggest that strategies to improve treatment attendance may improve weight loss resulting from moderate-intensity counseling.

Indexed as

AdultFemaleHumansMaleMiddle AgedTime FactorsWeight Reduction Programs

Identifiers

PMID30160061
PMCPMC6143399

What OpenQuestion holds

Textmetadata
LicenceTDM
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.