Evidence map›Paper›PMID 30361140›Full record

Trial reportAmerican journal of preventive medicine2018

Effectiveness of an App and Provider Counseling for Obesity Treatment in Primary Care.

Gary G Bennett, Dori Steinberg, Sandy Askew, Erica Levine, Perry Foley, Bryan C Batch, Laura P Svetkey, Hayden B Bosworth, Elaine M Puleo, Ashley Brewer and 2 more

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in American journal of preventive medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01827800 (New Media Obesity Treatment in Community Health Centers), which is not on this map. Cited by 113 papers, 25 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
113citing papers in PubMed, 25 pooled it
34.6field-weighted citation impact, top 1% 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.

NCT01827800 nacompletednot on this map

New Media Obesity Treatment in Community Health Centers

TypeinterventionalSponsorDuke UniversityRan2013 to 2018Enrolled351ConditionsObesityArmseHealth weight loss intervention
3 · Its place in the literature

Who cites it

113 citing papers in PubMed, 25 syntheses or guidelines pooled it, 185 citations in OpenAlex.

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  8. Effectiveness, feasibility, and acceptability of behaviour change tools used by family doctors: a global systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023
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  12. A systematic review of inequalities in the uptake of, adherence to, and effectiveness of behavioral weight management interventions in adults.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2022
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53 more citing papers are in PubMed but not listed here.

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

12 authors at 6 institutions in 1 country.

Gary G BennettDuke Global Digital Health Science Center, Duke Global Health Institute, Durham, North Carolina; Department of Psychology and Neuroscience, Duke University, Durham, North Carolina. Electronic address: gary.bennett@duke.edu.
Dori SteinbergDuke Global Digital Health Science Center, Duke Global Health Institute, Durham, North Carolina.
Sandy AskewDuke Global Digital Health Science Center, Duke Global Health Institute, Durham, North Carolina.
Erica LevineDuke Global Digital Health Science Center, Duke Global Health Institute, Durham, North Carolina.
Perry FoleyDuke Global Digital Health Science Center, Duke Global Health Institute, Durham, North Carolina.
Bryan C BatchDepartment of Medicine, Division of Endocrinology, Duke University Medical Center, Durham, North Carolina; Sarah W. Stedman Nutrition and Metabolism Center, Duke University Medical Center, Durham, North Carolina.
Laura P SvetkeySarah W. Stedman Nutrition and Metabolism Center, Duke University Medical Center, Durham, North Carolina; Department of Medicine, Division of Nephrology, Duke University Medical Center, Durham, North Carolina.
Hayden B BosworthCenter for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, North Carolina.
Elaine M PuleoSchool of Public Health and Health Sciences, University of Massachusetts, Amherst, Massachusetts.
Ashley BrewerPiedmont Health, Inc., Carrboro, North Carolina.
Abigail DeVriesPiedmont Health, Inc., Carrboro, North Carolina.
Heather MirandaWake County Human Services, Raleigh, North Carolina.
Duke Institute for Health Innovation · USPiedmont HealthCare · USDuke Medical Center · USDuke University · USUniversity of Massachusetts Amherst · USWake County Human Services · US

Funding

Interdisciplinary Research Careers in Women's HealthK12HD043446 · NICHD · DUKE UNIVERSITY · PI AMUNDSEN, CINDY · 2002 to 2023
$9.6M
New Media Obesity Treatment in Community Health CentersR01DK093829 · NIDDK · DUKE UNIVERSITY · PI BENNETT, GARY G · 2012 to 2016
$3.2M
NICHD NIH HHS K12 HD043446NIDDK NIH HHS R01 DK093829
6 · The paper itself

Abstract

introductionObesity treatment is less successful for socioeconomically disadvantaged populations, particularly when delivered in primary care. Digital health strategies can extend the reach of clinical obesity treatments to care settings serving patients at highest risk.

methodsTrack was an effectiveness RCT of a 12-month digital weight-loss intervention, embedded within a community health center system. Participants were 351 adult patients (aged 21-65 years) with obesity and hypertension, diabetes, and hyperlipidemia. Patients were randomized to usual care (n=175) or an intervention (n=176) comprising app-based self-monitoring of behavior change goals with tailored feedback, a smart scale, dietitian-delivered counseling calls, and clinician counseling informed by app-generated recommendations, delivered via electronic health record. The primary outcome was 12-month weight change. Randomization began on June 18, 2013, final assessments were completed on September 10, 2015. Data analysis was conducted in 2016 and 2017. The trial retained 92% of usual care and 96% of intervention participants at 12 months.

resultsThe Track intervention produced larger weight losses relative to usual care at 6 months (net effect: -4.4 kg, 95% CI= -5.5, -3.3, p<0.001) and 12 months (net effect: -3.8 kg, 95% CI= -5.0, -2.5, p<0.001). Intervention participants were more likely to lose ≥5% of their baseline weight at 6 months (43% vs 6%, p<0.001) and 12 months (40% vs 17%, p<0.001). Intervention participants completing ≥80% of expected self-monitoring episodes (-3.5 kg); counseling calls (-3.0 kg); or self-weighing days (-4.4 kg) lost significantly more weight than less engaged intervention participants (all p<0.01).

conclusionsA digital obesity treatment, integrated with health system resources, can produce clinically meaningful weight-loss outcomes among socioeconomically disadvantaged primary care patients with elevated cardiovascular disease risk.

trial registrationThis study is registered at www.clinicaltrials.gov NCT01827800.

Indexed as

CounselingMobile ApplicationsWeight LossAdultAgedDiabetes MellitusElectronic Health RecordsFemaleHumansHyperlipidemiasHypertensionMaleMiddle AgedObesityPrimary Health CareWeight Reduction Programs

Identifiers

PMID30361140
PMCPMC6388618
OpenAlexW2898027162

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.