Evidence map›Paper›PMID 31773873›Full record

Trial reportObesity (Silver Spring, Md.)2020

Cost-Effectiveness of a Weight Loss Intervention: An Adaptation of the Look AHEAD Lifestyle Intervention in the US Military.

Karina C Manz, Teresa M Waters, Hannah E Clifton, Mehmet Kocak, Robert C Klesges, G Wayne Talcott, Rebecca A Krukowski

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Obesity (Silver Spring, Md.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

7 authors.

Karina C ManzDepartment of Health Management and Policy, College of Public Health, University of Kentucky, Lexington, Kentucky, USA.ORCID 0000-0002-8026-7447
Teresa M WatersDepartment of Health Management and Policy, College of Public Health, University of Kentucky, Lexington, Kentucky, USA.
Hannah E CliftonDepartment of Health Management and Policy, College of Public Health, University of Kentucky, Lexington, Kentucky, USA.
Mehmet KocakDepartment of Preventive Medicine, The University of Tennessee Health Science Center, Memphis, Tennessee, USA.
Robert C KlesgesDepartment of Public Health Sciences, University of Virginia School of Medicine, Charlottesville, Virginia, USA.
G Wayne TalcottDepartment of Public Health Sciences, University of Virginia School of Medicine, Charlottesville, Virginia, USA.
Rebecca A KrukowskiDepartment of Preventive Medicine, The University of Tennessee Health Science Center, Memphis, Tennessee, USA.ORCID 0000-0001-9193-2783

Funding

Dissemination of the Look Ahead Weight Management Treatment in the MilitaryR01DK097158 · NIDDK · UNIVERSITY OF TENNESSEE HEALTH SCI CTR · PI KRUKOWSKI, REBECCA A. · 2012 to 2016
$2.9M
NIDDK NIH HHS R01 DK097158
6 · The paper itself

Abstract

objectiveThis study aimed to assess whether a counselor-initiated (CI) adaptation of the Look AHEAD (Action for Health in Diabetes) intensive lifestyle intervention in a military setting was cost-effective relative to a self-paced (SP) adaptation.

methodsA cost-effectiveness analysis from a payer perspective was performed alongside a 2014-2017 randomized behavioral weight loss trial among 248 active-duty military personnel stationed at a US Air Force base in Texas. Incremental cost-effectiveness ratios were calculated for weight loss, reductions in waist circumference, and quality-adjusted life-years (QALYs).

resultsAfter 12 months, the CI adaptation cost more per participant compared with the SP adaptation ($1,081 vs. $120) but achieved greater weight loss (1.86 kg vs. 0.06 kg), greater reductions in waist circumference (1.85 cm vs. 0.48 cm), and more QALYs (0.871 vs. 0.856). The incremental cost-effectiveness ratio for the CI adaptation relative to the SP adaptation was $61,268 per additional QALY. At willingness-to-pay thresholds of $50,000 and $100,000 per QALY, the CI adaptation was 45% and 49% likely to be cost-effective, respectively.

conclusionsThe CI delivery of the Look AHEAD Intensive Lifestyle Intervention may offer a cost-effective approach to tackle excess weight in the US military.

Indexed as

Military PersonnelAdolescentAdultCost-Benefit AnalysisFemaleHumansLife StyleMaleMiddle AgedOverweightPhysical FitnessQuality-Adjusted Life YearsTexasUnited StatesWeight LossWeight Reduction Programs

Identifiers

PMID31773873
PMCPMC6925346

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.