Evidence map›Paper›PMID 32894453›Full record

Trial reportEating and weight disorders : EWD2021

12 Months later: Motivational interviewing plus nutrition psychoeducation for weight loss in primary care.

Rachel D Barnes, Valentina Ivezaj, Steve Martino, Brian P Pittman, Manuel Paris, Carlos M Grilo

Registry-linked trialOpen access · greenAbstract readClinical Trial
In one paragraph

Trial report in Eating and weight disorders : EWD, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02578199 (Novel and Scalable Internet Supplemented Weight Loss Treatment in Primary Care), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 23% 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.

NCT02578199 nacompletednot on this map

Novel and Scalable Internet Supplemented Weight Loss Treatment in Primary Care

TypeinterventionalSponsorYale UniversityRan2015 to 2017Enrolled31ConditionsOverweight, ObesityArmsmotivational interviewing and nutrition
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

6 authors at 1 institution in 1 country.

Rachel D BarnesDivision of General Internal Medicine, University of Minnesota Medical School, MMC 741 420 Delaware Street SE, Minneapolis, MN, 55455, USA. rdbarnes@umn.edu.ORCID http://orcid.org/0000-0002-0826-6765
Valentina IvezajDepartment of Psychiatry, Yale School of Medicine, New Haven, CT, USA.
Steve MartinoDepartment of Psychiatry, Yale School of Medicine, New Haven, CT, USA.
Brian P PittmanDepartment of Psychiatry, Yale School of Medicine, New Haven, CT, USA.
Manuel ParisDepartment of Psychiatry, Yale School of Medicine, New Haven, CT, USA.
Carlos M GriloDepartment of Psychiatry, Yale School of Medicine, New Haven, CT, USA.
Yale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Mid-Career Investigator Award in Eating and WeightK24DK070052 · NIDDK · YALE UNIVERSITY · PI GRILO, CARLOS M · 2005 to 2015
$1.4M
Examining Innovative Obesity Treatment and Related Novel ConstructsK23DK092279 · NIDDK · YALE UNIVERSITY · PI BARNES, RACHEL D · 2011 to 2015
$780k
Novel and Scalable Internet Supplemented Weight Loss Treatment in Primary Care.R03DK104008 · NIDDK · YALE UNIVERSITY · PI BARNES, RACHEL D · 2015 to 2016
$167k
NCATS NIH HHS UL1 TR001863NIDDK NIH HHS DK070052NIDDK NIH HHS DK092279NIDDK NIH HHS DK10400801A1NIDDK NIH HHS K23 DK092279NIDDK NIH HHS K24 DK070052NIDDK NIH HHS R03 DK104008
6 · The paper itself

Abstract

purposeMotivational interviewing (MI) weight-loss interventions have garnered much attention, particularly in primary care. Few studies, however, have examined long-term outcomes of MI for weight loss in primary care. This study sought to examine the longer-term outcomes of a combination approach comprising MI and nutrition psychoeducation (MINP) with a publically available web-support component (i.e., livestrong.com).

methodsThirty-one adults with overweight/obesity were enrolled in a 3-month MINP treatment delivered in primary care by medical assistants. Weight, blood pressure, and depression (beck depression inventory) were assessed at baseline and 1-year following treatment cessation (i.e., 15 months total).

resultsParticipants' average BMI was significantly lower 12-months following treatment. Approximately one-third of participants (34.8%) maintained 5% or more weight loss. Participants also experienced significant decreases in diastolic blood pressure, resting heart rate, and depression symptoms, but not systolic blood pressure or waist circumference.

conclusionThe scalable (2.5 h total) MINP intervention delivered in primary care by medical assistants resulted in significant weight (medium effect size) and psychological improvements 12 months later. These findings complement previous RCT findings that MI or nutrition psychoeducation interventions, delivered separately, resulted in small weight loss effects after 12 months, with 5% and 17% of participants, respectively, maintaining 5% weight loss. It remains unclear, however, if implementing MI in primary care for weight loss is cost effective beyond providing nutrition psychoeducation alone. CLINICAL

trial registrationThe clinical trial registration number is NCT02578199. LEVEL OF EVIDENCE: IV, uncontrolled trial.

Indexed as

Motivational InterviewingWeight LossAdultHumansObesityOverweightPrimary Health CareDepressione-HealthInterventionObesityPrimary careWeight loss

Identifiers

PMID32894453
PMCPMC7936980
OpenAlexW3083842808

What OpenQuestion holds

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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.