Evidence map›Paper›PMID 32873323›Full record

Trial reportTrials2020

Feasibility and acceptability of a brief routine weight management intervention for postnatal women embedded within the national child immunisation programme in primary care: randomised controlled cluster feasibility trial.

A J Daley, K Jolly, H Bensoussane, N Ives, S A Jebb, S Tearne, S M Greenfield, L Yardley, P Little, N Tyldesley-Marshall and 3 more

Open access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Trials, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 16% 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.

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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. 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

13 authors at 6 institutions in 1 country.

A J DaleySchool of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, Leicestershire, LE11 3TU, UK. a.daley@lboro.ac.uk.ORCID http://orcid.org/0000-0002-4866-8726
K JollyInstitute of Applied Health Research, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
H BensoussaneBirmingham Clinical Trials Unit, Institute of Applied Health Research, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
N IvesBirmingham Clinical Trials Unit, Institute of Applied Health Research, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
S A JebbNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, OX2 6GG, UK.
S TearneNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, OX2 6GG, UK.
S M GreenfieldInstitute of Applied Health Research, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
L YardleySchool of Psychological Science, University of Bristol, Bristol, BS8 1TH, UK.
P LittleFaculty of Medicine, University of Southampton, Southampton, SO17 1BJ, UK.
N Tyldesley-MarshallSchool of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, Leicestershire, LE11 3TU, UK.
R V PritchettInstitute of Applied Health Research, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
E FrewInstitute of Applied Health Research, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
H M ParrettiInstitute of Applied Health Research, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
University of Birmingham · GBLoughborough University · GBUniversity of Oxford · GBUniversity of Bristol · GBUniversity of East Anglia · GBUniversity of Southampton · GB

Funding

Department of Health 15/184/14Health Technology Assessment Programme 15/184/14
6 · The paper itself

Abstract

backgroundThe prevalence of obesity in women continues to rise and pregnancy is a high-risk time for excessive weight gain. The period after childbirth represents an opportunity to offer women support to manage their weight. The primary aim here was to investigate the acceptability and feasibility of delivering a self-management intervention to postnatal women to support weight loss, embedded within the national child immunisation programme.

methodsThe research involved a randomised controlled cluster feasibility trial. Data were collected at baseline and 3 months later. Twenty-eight postnatal women living with overweight or obesity were recruited via Birmingham Women Hospital or general practices. Babies are routinely immunised at 2, 3 and 4 months of age; the intervention was embedded within these appointments. The intervention involved brief motivation/support by practice nurses to encourage participants to make healthier lifestyle choices through self-monitoring of weight and signposting to an online weight management programme, when they attended their practice to have their child immunised. The role of the nurse was to provide external accountability for weight loss. Participants were asked to weigh themselves weekly and record this on a record card or using the online programme. The weight goal was for participants to lose 0.5 to 1 kg per week. Usual care received a healthy lifestyle leaflet. The primary outcome was the feasibility of a phase III trial to test the subsequent effectiveness of the intervention, as assessed against three stop-go traffic light criteria (recruitment, adherence to regular self-weighing and registration with an online weight management programme).

resultsThe traffic light stop-go criteria results were red for recruitment (28/80, 35% of target), amber for registration with the online weight loss programme (9/16, 56%) and green for adherence to weekly self-weighing (10/16, 63%). Nurses delivered the intervention with high fidelity. DISCUSSION: Whilst participants and nurses followed the trial protocol well and adherence to self-weighing was acceptable, recruitment was challenging and there is scope to improve engagement with the online weight management programme component of the intervention.

trial registrationISRCTN 12209332 . Registration date is 04/12/18.

Indexed as

Weight Reduction ProgramsChildFeasibility StudiesFemaleHumansImmunization ProgramsObesityPrimary Health CareDietImmunisationsNursesPostnatalPrimary careRandomised feasibility trialWeight

Identifiers

PMID32873323
PMCPMC7466790
OpenAlexW3081415423

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.