Evidence map›Paper›PMID 30758297›Full record

ArticleJMIR mHealth and uHealth2019

Log2Lose: Development and Lessons Learned From a Mobile Technology Weight Loss Intervention.

Ryan Shaw, Erica Levine, Martin Streicher, Elizabeth Strawbridge, Jennifer Gierisch, Jane Pendergast, Sarah Hale, Shelby Reed, Megan McVay, Denise Simmons and 3 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in JMIR mHealth and uHealth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02691260 (Incentivizing Behavior Change Skills to Promote Weight Loss), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 9% 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.

NCT02691260 nacompletednot on this map

Incentivizing Behavior Change Skills to Promote Weight Loss

TypeinterventionalSponsorDuke UniversityRan2016 to 2018Enrolled105ConditionsObesityArmsincentives for dietary self-monitoring, incentives for interim weight loss, incentives for both
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

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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

13 authors at 3 institutions in 1 country.

Ryan Shaw *School of Nursing, Duke University, Durham, NC, United States.ORCID 0000-0001-6800-6503
Erica LevineSchool of Medicine, Duke University, Durham, NC, United States.ORCID 0000-0002-2541-1725
Martin StreicherSchool of Medicine, Duke University, Durham, NC, United States.ORCID 0000-0001-6413-2035
Elizabeth StrawbridgeSchool of Nursing, Duke University, Durham, NC, United States.ORCID 0000-0002-3532-8802
Jennifer GierischSchool of Medicine, Duke University, Durham, NC, United States.ORCID 0000-0002-5057-4964
Jane PendergastSchool of Medicine, Duke University, Durham, NC, United States.ORCID 0000-0001-5169-8371
Sarah HaleSchool of Medicine, Duke University, Durham, NC, United States.ORCID 0000-0003-1882-5310
Shelby ReedSchool of Medicine, Duke University, Durham, NC, United States.ORCID 0000-0002-7654-4464
Megan McVayCollege of Health and Human Performance, University of Florida, Gainesville, FL, United States.ORCID 0000-0002-2583-4277
Denise SimmonsSchool of Medicine, Duke University, Durham, NC, United States.ORCID 0000-0002-9117-4430
William YancySchool of Medicine, Duke University, Durham, NC, United States.ORCID 0000-0003-1221-1860
Gary BennettDuke Global Health Institute, Duke University, Durham, NC, United States.ORCID 0000-0002-4740-9175
Corrine Voils *William S Middleton Memorial Veterans Hospital, Madison, WI, United States.ORCID 0000-0003-1913-663X
Duke University · USUniversity of Florida · USUniversity of Wisconsin–Madison · US

Funding

Increasing uptake of behavioral weight loss programs among primary care patientsK23HL127334 · NHLBI · UNIVERSITY OF FLORIDA · PI MCVAY, MEGAN APPERSON · 2015 to 2019
$805k
Incentivizing behavior change skills to promote weight lossR34HL125669 · NHLBI · DUKE UNIVERSITY · PI SHAW, RYAN JEFFREY, VOILS, CORRINE IONE · 2015 to 2017
$716k
HSRD VA CIN 13-410NHLBI NIH HHS K23 HL127334NHLBI NIH HHS R34 HL125669
6 · The paper itself

Abstract

backgroundProviding financial incentives has gained popularity as a strategy to promote weight loss, but questions remain about how best to utilize them. A promising mobile health strategy provides users with near-real-time financial incentives based on both the process of weight loss (behavioral modification) and actual weight loss. To maximize the impact of this strategy, a methodology is needed to close the gap between the desired behavior and the financial incentive. Leveraging mobile health tools-such as mobile phone apps, cellular body weight scales that transmit data to physicians and researchers, and text messaging for instructions and encouragement-has the potential to close this gap.

objectiveThis study aimed to describe the development of an innovative technology-based solution and lessons learned from a feasibility trial-Log2Lose-that encouraged individuals to lose weight by providing near-real-time financial incentives for weight loss and/or dietary self-monitoring.

methodsWe recruited participants (N=96) with a body mass index greater than or equal to 30 kg/m

resultsOur custom-engineered software platform analyzed data from multiple sources, collated and processed the data to send appropriate text messages automatically, and informed study staff of the appropriate incentives. We present lessons learned from the development of the software system and challenges encountered with technology, data transmission, and participants (eg, lost connections or delayed communication).

conclusionsWith consistent and constant validation checks and a robust beta test run, the process of analyzing data and determining eligibility for weekly incentives can be mostly automated. We were able to accomplish this project within an academic health system, which required significant security and privacy safeguards. Our success demonstrates how this methodology of automated feedback loops can provide health interventions via mobile technology.

trial registrationClinicalTrials.gov NCT02691260; https://clinicaltrials.gov/ct2/show/NCT02691260.

Indexed as

AdultBody Mass IndexFeasibility StudiesFemaleHealth PromotionHumansMaleMobile ApplicationsNorth CarolinaText MessagingWeight Reduction Programscell phonedietmobile phoneweight loss

Identifiers

PMID30758297
PMCPMC6391641
OpenAlexW2904561709

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.