Evidence map›Paper›PMID 30574348›Full record

ArticleObesity science & practice2018

Factors associated with early dropout in an employer-based commercial weight-loss program.

E Alexander, E Tseng, N Durkin, G J Jerome, A Dalcin, L J Appel, J M Clark, K A Gudzune

Abstract read
In one paragraph

Article in Obesity science & practice, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
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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

15 citing papers in PubMed, 1 synthesis or guideline 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

8 authors.

E AlexanderDepartment of Health Policy and Management The Johns Hopkins Bloomberg School of Public Health Baltimore MD USA.
E TsengDivision of General Internal Medicine, Department of Medicine The Johns Hopkins School of Medicine Baltimore MD USA.
N DurkinThe Welch Center for Prevention, Epidemiology, and Clinical Research Baltimore MD USA.
G J JeromeThe Welch Center for Prevention, Epidemiology, and Clinical Research Baltimore MD USA.
A DalcinDivision of General Internal Medicine, Department of Medicine The Johns Hopkins School of Medicine Baltimore MD USA.
L J AppelDivision of General Internal Medicine, Department of Medicine The Johns Hopkins School of Medicine Baltimore MD USA.
J M ClarkDivision of General Internal Medicine, Department of Medicine The Johns Hopkins School of Medicine Baltimore MD USA.
K A GudzuneDivision of General Internal Medicine, Department of Medicine The Johns Hopkins School of Medicine Baltimore MD USA.ORCID 0000-0002-7782-1769

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveMinimizing program dropout is essential for weight-loss success, but factors that influence dropout among commercial programs are unclear. This study's objective was to determine factors associated with early dropout in a commercial weight-loss program.

methodsA retrospective analysis of a remotely delivered, employer-based commercial program from 2013 to 2016 was conducted. The dependent variable was 'early dropout', defined as enrollees who disengaged from telephone coaching by month 2's end. Independent variables included demographics, program website engagement and early weight change. Multivariate logistic regression analyses were used to assess for differences in early dropout by several factors, adjusted for employer clustering.

resultsOf the 5,274 participants, 26.8% dropped out early. Having ≥1 chronic condition (odds ratio [OR] 1.41,

conclusionsPresence of comorbidities, less online engagement and weight-loss failure were associated with early dropout in a commercial program. Strategies to prevent dropout among high-risk participants, such as increased support or program tailoring, should be developed and tested.

Indexed as

Commercial weight‐loss programdropout

Identifiers

PMID30574348
PMCPMC6298204

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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.