Evidence map›Paper›PMID 30215279›Full record

ArticleHealth education & behavior : the official publication of the Society for Public Health Education2019

Understanding Outcomes in Behavior Change Interventions to Prevent Pediatric Obesity: The Role of Dose and Behavior Change Techniques.

Meghan M JaKa, Simone A French, Julian Wolfson, Robert W Jeffery, Fabianna Lorencatto, Susan Michie, Rona L Levy, Shelby L Langer, Nancy E Sherwood

Registry-linked trialAbstract read
In one paragraph

Article in Health education & behavior : the official publication of the Society for Public Health Education, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01084590 (Healthy Homes/Healthy Kids), which is not on this map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
0.7field-weighted citation impact, top 25% 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.

NCT01084590 nacompletednot on this map

Healthy Homes/Healthy Kids: Pediatric Primary Care-based Obesity Prevention

TypeinterventionalSponsorHealthPartners InstituteRan2010 to 2014Enrolled421ConditionsObesity, InjuryArmsHealthy Eating/Physical Activity, Safety/Injury Prevention
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Interventions to prevent obesity in children aged 5 to 11 years old.The Cochrane database of systematic reviews · 2024
    Pooled it
  3. Trial
  4. Review
  5. Article
  6. Article
  7. 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 at 6 institutions in 2 countries.

Meghan M JaKa1 DC Department of Behavioral Health, Applied Research and Evaluation, Washington, DC, USA.ORCID 0000-0001-5744-7215
Simone A French2 University of Minnesota, Minneapolis, MN, USA.
Julian Wolfson2 University of Minnesota, Minneapolis, MN, USA.
Robert W Jeffery2 University of Minnesota, Minneapolis, MN, USA.
Fabianna Lorencatto3 City, University of London, London, UK.
Susan Michie4 University College London, London, UK.
Rona L Levy5 University of Washington, Seattle, WA, USA.
Shelby L Langer6 Arizona State University, Phoenix, AZ, USA.
Nancy E Sherwood2 University of Minnesota, Minneapolis, MN, USA.
University of Minnesota · USArizona State University · USCity, University of London · GBDepartment of Behavioral Health · USUniversity College London · GBUniversity of Washington · US

Funding

Obesity and Energy Metabolism CoreP30DK050456 · NIDDK · UNIVERSITY OF MINNESOTA TWIN CITIES · PI BERNLOHR, DAVID A · 1995 to 2015
$17.0M
Translational Research Core - Health Engagement & Action Translational (HEAT)P30DK092924 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI Alyce Sophia Adams, HILARY Kessler SELIGMAN · 2011 to 2026
$9.2M
Minnesota Obesity Prevention Training (MnOPT)T32DK083250 · NIDDK · UNIVERSITY OF MINNESOTA · PI KOTZ, CATHERINE M, LASKA, MELISSA N. · 2010 to 2024
$5.1M
Healthy Homes/Healthy Kids: Pediatric Primary Care-based Obesity PreventionR01DK084475 · NIDDK · HEALTHPARTNERS INSTITUTE · PI LEVY, RONA L., SHERWOOD, NANCY E. · 2009 to 2013
$3.8M
NIDDK NIH HHS P30 DK050456NIDDK NIH HHS P30 DK092924NIDDK NIH HHS R01 DK084475NIDDK NIH HHS T32 DK083250
6 · The paper itself

Abstract

backgroundBehavioral interventions to prevent pediatric obesity have shown inconsistent results across the field. Studying what happens within the "black box" of these interventions and how differences in implementation lead to different outcomes will help researchers develop more effective interventions.

aimTo compare the implementation of three features of a phone-based intervention for parents (time spent discussing weight-related behaviors, behavior change techniques used in sessions, and intervention activities implemented by parents between sessions) with study outcomes.

methodsA random selection of 100 parent-child dyads in the intervention arm of a phone-based obesity prevention trial was included in this analysis. Sessions were coded for overall session length, length of time spent discussing specific weight-related behaviors, number of behavior change techniques used during the sessions, and number of intervention-recommended activities implemented by the parents between sessions (e.g., parent-reported implementation of behavioral practice/rehearsal between sessions). The primary study outcome, prevention of unhealthy increase in child body mass index (BMI) percentile, was measured at baseline and 12 months.

resultsOverall session length was associated with decreases in child BMI percentile ( b = -0.02, p = .01). There was no association between the number of behavior change techniques used in the sessions and decreases in child BMI percentile ( b = -0.29, p = .27). The number of activities the parents reported implementing between sessions was associated with decreases in child BMI percentile ( b = -1.25, p = .02). DISCUSSION: To improve future interventions, greater attention should be paid to the intended and delivered session length, and efforts should be made to facilitate parents' implementation of intervention-recommended activities between sessions (ClinicalTrials.gov, No. NCT01084590).

Indexed as

Health BehaviorParent-Child RelationsBehavior TherapyChildChild, PreschoolFemaleHumansMalePediatric ObesityProgram EvaluationTelephonebehavioral interventionbehavior change techniquesdosepediatric obesityprocess evaluation

Identifiers

PMID30215279
PMCPMC6417983
OpenAlexW2892127100

What OpenQuestion holds

Textmetadata
LicenceTDM
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.