Evidence map›Paper›PMID 32067873›Full record

Trial reportAmerican journal of preventive medicine2020

Effect of an Intervention for Obesity and Depression on Patient-Centered Outcomes: An RCT.

Lisa G Rosas, Kristen M J Azar, Nan Lv, Lan Xiao, Jeremy D Goldhaber-Fiebert, Mark B Snowden, Elizabeth M Venditti, Megan M Lewis, Andrea N Goldstein-Piekarski, Jun Ma

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

Trial report in American journal of preventive medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02246413 (RCT on Co-management of Obesity, Depression, and Elevated CVD Risk in Primary Care-- Engaging Self-regulation Targets to Understand the Mechanisms of Behavior Change and Improve Mood and Weight Outcomes), which is not on this map. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 pooled it
4.7field-weighted citation impact, top 5% 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.

NCT02246413 nacompletednot on this map

RCT on Co-management of Obesity, Depression, and Elevated CVD Risk in Primary Care-- Engaging Self-regulation Targets to Understand the Mechanisms of Behavior Change and Improve Mood and Weight Outcomes

TypeinterventionalSponsorPalo Alto Medical FoundationRan2014 to 2018Enrolled409ConditionsDepression, ObesityArmsRAINBOW Intervention Program
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 3 syntheses or guidelines pooled it, 20 citations in OpenAlex.

  1. Sleep and Its Impact on the Success of Weight Loss Interventions in Adults With Excess Weight: A Systematic Review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Effects of the Family Check-Up 4 Health on Parenting and Child Behavioral Health: A Randomized Clinical Trial in Primary Care.Prevention science : the official journal of the Society for Prevention Research · 2021
    Trial
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 7 institutions in 1 country.

Lisa G RosasDepartment of Epidemiology and Population Health, Stanford University, Palo Alto, California; Department of Medicine, Stanford University, Palo Alto, California.
Kristen M J AzarSutter Health Research, Sutter Health, Palo Alto, California.
Nan LvDepartment of Medicine and Institute of Health Research and Policy, University of Illinois at Chicago, Chicago, Illinois.
Lan XiaoDepartment of Epidemiology and Population Health, Stanford University, Palo Alto, California.
Jeremy D Goldhaber-FiebertDepartment of Epidemiology and Population Health, Stanford University, Palo Alto, California.
Mark B SnowdenDepartment of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington.
Elizabeth M VendittiDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Megan M LewisCenter for Communications Science, RTI International, Seattle, Washington.
Andrea N Goldstein-PiekarskiDepartment of Psychiatry and Behavioral Sciences, Stanford University, Palo Alto, California.
Jun MaDepartment of Medicine and Institute of Health Research and Policy, University of Illinois at Chicago, Chicago, Illinois. Electronic address: maj2015@uic.edu.
Stanford University · USUniversity of Illinois Chicago · USPalo Alto University · USRTI International · USSutter Health · USUniversity of Pittsburgh · USUniversity of Washington · US

Funding

RCT on comanagement of obesity, depression, and elevated CVD risk in primary careR01HL119453 · NHLBI · UNIVERSITY OF ILLINOIS AT CHICAGO · PI MA, JUN · 2014 to 2018
$3.6M
Engaging self-regulation targets to understand the mechanisms of behavior change and improve mood and weight outcomesUH3HL132368 · NHLBI · UNIVERSITY OF ILLINOIS AT CHICAGO · PI MA, JUN, WILLIAMS, LEANNE · 2018 to 2019
$2.6M
Engaging self-regulation targets to understand the mechanisms of behavior change and improve mood and weight outcomesUH2HL132368 · NHLBI · UNIVERSITY OF ILLINOIS AT CHICAGO · PI MA, JUN, WILLIAMS, LEANNE · 2015 to 2017
$2.6M
NHLBI NIH HHS R01 HL119453NHLBI NIH HHS UH2 HL132368NHLBI NIH HHS UH3 HL132368
6 · The paper itself

Abstract

introductionAn integrated collaborative care intervention was successful for treating comorbid obesity and depression. The effect of the integrated intervention on secondary outcomes of quality of life and psychosocial functioning were examined, as well as whether improvements in these secondary outcomes were correlated with improvements in the primary outcomes of weight and depressive symptoms. STUDY

designThis RCT compared an integrated collaborative care intervention for obesity and depression to usual care. Data were analyzed in 2018. SETTING/

participantsAdult primary care patients (n=409) with a BMI ≥30 (≥27 if Asian) and 9-Item Patient Health Questionnaire score ≥10 were recruited from September 30, 2014 to January 12, 2017 from primary care clinics in Northern California.

interventionThe 12-month intervention integrated a behavioral weight loss program and problem-solving therapy with as-needed antidepressant medications for depression.

main outcome measuresA priori secondary outcomes included health-related quality of life (Short Form-8 Health Survey), obesity-specific quality of life (Obesity-Related Problems Scale), sleep disturbance and sleep-related impairment (Patient-Reported Outcomes Measurement Information System), and functional disability (Sheehan Disability Scale) at baseline and 6 and 12 months.

resultsParticipants randomized to the intervention experienced significantly greater improvements in obesity-specific problems, mental health-related quality of life, sleep disturbance, sleep-related impairment, and functional disability at 6 months but not 12 months. Improvements in obesity-related problems (β=0.01, 95% CI=0.01, 0.02) and sleep disturbance (β= -0.02, 95% CI= -0.04, 0) were associated with lower BMI. Improvements in the physical (β= -0.01, 95% CI= -0.01, 0) and mental health components (β= -0.02, 95% CI= -0.03, -0.02) of the Short Form-8 Health Survey as well as sleep disturbance (β=0.01, 95% CI=0.01, 0.02) and sleep-related impairment (β=0.01, 95% CI=0, 0.01) were associated with fewer depressive symptoms.

conclusionsAn integrated collaborative care intervention for obesity and depression that was shown previously to improve weight and depressive symptoms may also confer benefits for quality of life and psychosocial functioning over 6 months.

trial registrationThis study is registered at clinicaltrials.gov NCT02246413.

Indexed as

Patient-Centered CareProblem SolvingWeight LossAdultAntidepressive AgentsBehavior TherapyBody Mass IndexCaliforniaCombined Modality TherapyDepressionFemaleHumansMaleMiddle AgedObesityQuality of LifeAntidepressive Agents

Identifiers

PMID32067873
PMCPMC7089815
OpenAlexW3006513679

What OpenQuestion holds

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LicenceTDM
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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.