Evidence map›Paper›PMID 32665479›Full record

Trial reportPsychosomatic medicine2020

A Positive Psychology-Motivational Interviewing Intervention to Promote Positive Affect and Physical Activity in Type 2 Diabetes: The BEHOLD-8 Controlled Clinical Trial.

Jeff C Huffman, Julia Golden, Christina N Massey, Emily H Feig, Wei-Jean Chung, Rachel A Millstein, Lydia Brown, Taylor Gianangelo, Brian C Healy, Deborah J Wexler and 2 more

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

Trial report in Psychosomatic 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 NCT03150199 (A Psychological-behavioral Intervention for Physical Activity in Type 2 Diabetes), which is not on this map. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 pooled it
6.3field-weighted citation impact, top 3% 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.

NCT03150199 nacompletednot on this map

A Psychological-behavioral Intervention for Physical Activity in Type 2 Diabetes

TypeinterventionalSponsorMassachusetts General HospitalRan2017 to 2019Enrolled60ConditionsType2 DiabetesArmsPositive Psychology + Motivational Interviewing, MI-based Health Education Intervention
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 39 citations in OpenAlex.

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  13. Physical activity promotion based on positive psychology: development and piloting of a novel intervention approach.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025
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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

12 authors at 1 institution in 1 country.

Jeff C HuffmanFrom the Harvard Medical School (Huffman, Massey, Feig, Chung, Millstein, Brown, Healy, Wexler, Park, Celano); Departments of Psychiatry (Huffman, Golden, Massey, Feig, Chung, Millstein, Brown, Gianangelo, Park, Celano), Neurology (Healy), and Medicine (Endocrinology; Wexler), Massachusetts General Hospital, Boston, Massachusetts.
Julia Golden
Christina N Massey
Emily H Feig
Wei-Jean Chung
Rachel A Millstein
Lydia Brown
Taylor Gianangelo
Brian C Healy
Deborah J Wexler
Elyse R Park
Christopher M Celano
Massachusetts General Hospital · US

Funding

The Harvard Clinical and Translational Science CenterUL1TR002541 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2018 to 2022
$93.0M
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
A positive psychology intervention to promote health behaviors in heart failureK23HL123607 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI CELANO, CHRISTOPHER M · 2015 to 2019
$859k
Testing the feasibility and preliminary efficacy of a multilevel intervention to promote physical activity among patients with metabolic syndromeK23HL135277 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI MILLSTEIN, RACHEL A. · 2017 to 2021
$834k
A psychological-behavioral intervention for physical activity in type 2 diabetesR21DK109313 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI HUFFMAN, JEFF C · 2016 to 2018
$470k
NCATS NIH HHS UL1 TR002541NHLBI NIH HHS K23 HL123607NHLBI NIH HHS K23 HL135277NIDDK NIH HHS P30 DK111022NIDDK NIH HHS R21 DK109313
6 · The paper itself

Abstract

objectivePhysical activity is associated with superior health outcomes in patients with type 2 diabetes (T2D), but most T2D patients do not follow physical activity recommendations. The objective of this study was to assess the feasibility and impact of a novel combined positive psychology-motivational interviewing (PP-MI) intervention to promote physical activity in T2D.

methodsThis controlled clinical trial compared an 8-week, phone-delivered PP-MI intervention to an attention-matched MI-enhanced behavioral counseling condition among 60 participants with T2D and suboptimal moderate to vigorous physical activity (MVPA; <150 min/wk). The primary study outcome was feasibility (proportion of sessions completed) and acceptability (0-10 ease and utility ratings of each session). Secondary outcomes were between-group differences in changes in positive affect (main psychological outcome) and accelerometer-measured physical activity (MVPA and steps per day), using mixed-effects regression models, at 8 and 16 weeks.

resultsNinety-two percent of PP-MI sessions were completed, and mean participant ratings of ease/utility were 8.5 to 8.8/10, surpassing a priori benchmarks for feasibility and acceptability. PP-MI participants had small-medium effect size (ES) difference improvements in positive affect compared with MI (8 weeks: estimated mean difference [EMD] = 3.07 [SE = 1.41], p = .029, ES = 0.44; 16 weeks: EMD = 2.92 [SE = 1.73], p = .092, ES = 0.42). PP-MI participants also had greater improvements in MVPA (8 weeks: EMD = 13.05 min/d [SE = 5.00], p = .009, ES = 1.24; 16 weeks: EMD = 7.96 [SE = 4.53], p = .079, ES = 0.75), with similar improvements in steps per day.

conclusionsThe PP-MI intervention was feasible and well accepted. Next-step efficacy studies can more rigorously explore the intervention's effects on physical activity and clinical outcomes.

trial registrationClinicalTrials.gov Registration No. NCT03150199.

Indexed as

Diabetes Mellitus, Type 2Motivational InterviewingExerciseFemaleHumansPsychology, PositiveTelephone

Identifiers

PMID32665479
PMCPMC7676457
OpenAlexW3042567149

What OpenQuestion holds

Textmetadata
LicenceTDM
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.