Evidence map›Paper›PMID 30962231›Full record

ArticleBMJ open2019

Goal-directed versus outcome-based financial incentives for weight loss among low-income patients with obesity: rationale and design of the Financial Incentives foR Weight Reduction (FIReWoRk) randomised controlled trial.

Melanie Jay, Stephanie L Orstad, Soma Wali, Judith Wylie-Rosett, Chi-Hong Tseng, Victoria Sweat, Sandra Wittleder, Suzanne B Shu, Noah J Goldstein, Joseph A Ladapo

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03157713 (Financial Incentive Strategies for Weight Loss in Obese Patients Living in Socioeconomically Disadvantaged Neighborhoods), which is not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.9field-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.

NCT03157713 nacompletednot on this map

Financial Incentive Strategies for Weight Loss in Obese Patients Living in Socioeconomically Disadvantaged Neighborhoods

TypeinterventionalSponsorUniversity of California, Los AngelesRan2017 to 2021Enrolled668ConditionsObeseArmsGoal-Directed Financial Incentives, Enhanced Usual Care, Outcome-based Financial Incentives
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
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  9. Moving the Dial on Heart Failure Patient Adherence Rates.Patient preference and adherence · 2020
    Review
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

10 authors at 3 institutions in 1 country.

Melanie Jay *Departments of Medicine and Population Health, New York University School of Medicine, New York, New York, USA.
Stephanie L Orstad *Division of General Internal Medicine and Clinical Innovation, Department of Medicine, New York University School of Medicine, New York, New York, USA.ORCID 0000-0002-0915-9742
Soma WaliDepartment of Medicine, Olive View-University of California Los Angeles (UCLA) Medical Center, Sylmar, California, USA.
Judith Wylie-RosettDivision of Health Promotion and Nutrition Research, Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, New York, USA.
Chi-Hong TsengDivision of General Internal Medicine and Health Services Research, Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
Victoria SweatDivision of General Internal Medicine and Clinical Innovation, Department of Medicine, New York University School of Medicine, New York, New York, USA.
Sandra WittlederDivision of General Internal Medicine and Clinical Innovation, Department of Medicine, New York University School of Medicine, New York, New York, USA.
Suzanne B ShuAnderson School of Management at UCLA, University of California Los Angeles, Los Angeles, California, USA.
Noah J GoldsteinAnderson School of Management at UCLA, University of California Los Angeles, Los Angeles, California, USA.
Joseph A LadapoDivision of General Internal Medicine and Health Services Research, Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
University of California, Los Angeles · USNew York University · USAlbert Einstein College of Medicine · US

Funding

Project-005UL1TR001445 · NCATS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI BREDELLA, MIRIAM ANTOINETTE, HOCHMAN, JUDITH S · 2015 to 2025
$103.5M
Translational Research CoreP30DK020541 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI STREAMSON C CHUA · 2015 to 2026
$27.7M
Research BaseP30DK092926 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MARY ELLEN MICHELE HEISLER, ADESUWA B OLOMU · 2011 to 2026
$10.0M
New York Regional Center for Diabetes Translation Research - Translational Intervention Methodology CoreP30DK111022 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI JEFFREY GONZALEZ · 2016 to 2026
$7.8M
Financial incentive strategies for weight loss in obese patients living in socioeconomically disadvantaged neighborhoodsR01MD011544 · NIMHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI JAY, MELANIE, WALI, SOMA · 2016 to 2020
$3.5M
NCATS NIH HHS UL1 TR001445NIDDK NIH HHS P30 DK020541NIDDK NIH HHS P30 DK092926NIDDK NIH HHS P30 DK111022NIMHD NIH HHS R01 MD011544
6 · The paper itself

Abstract

introductionObesity is a major public health challenge and exacerbates economic disparities through employment discrimination and increased personal health expenditures. Financial incentives for weight management may intensify individuals' utilisation of evidence-based behavioural strategies while addressing obesity-related economic disparities in low-income populations. Trials have focused on testing incentives contingent on achieving weight loss outcomes. However, based on social cognitive and self-determination theories, providing incentives for achieving intermediate behavioural goals may be more sustainable than incentivising outcomes if they enhance an individual's skills and self-efficacy for maintaining long-term weight loss. The objective of this paper is to describe the rationale and design of the Financial Incentives foR Weight Reduction study, a randomised controlled trial to test the comparative effectiveness and cost-effectiveness of two financial incentive strategies for weight loss (goal directed vs outcome based) among low-income adults with obesity, as well as compared with the provision of health behaviour change resources alone. METHODS AND ANALYSIS: We are recruiting 795 adults, aged 18-70 years with a body mass index ≥30 kg/m ETHICS AND DISSEMINATION: Human research protection committees at New York University School of Medicine, University of California Los Angeles (UCLA) David Geffen School of Medicine and Olive-View-UCLA Medical Center granted ethics approval. We will disseminate the results of this research via peer-reviewed publications, conference presentations and meetings with stakeholders. TRIAL REGISTRATION NUMBER: NCT03157713.

Indexed as

Gift GivingAdultAgedFemaleHealth PromotionHealth Services ResearchHumansLos AngelesMaleMiddle AgedMotivationNew York CityObesityPatient CompliancePovertyRandomized Controlled Trials as Topicbehavioral economicsbehavioral interventionBMIcost-effectivenesshealth behavior changehealth disparitiesoverweightphysical activityquality of lifeself-monitoring

Identifiers

PMID30962231
PMCPMC6500238
OpenAlexW2937652089

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.