Evidence map›Paper›PMID 33006564›Full record

Trial reportJMIR mHealth and uHealth2020

User Experiences of a Smartphone-Based Attentive Eating App and Their Association With Diet and Weight Loss Outcomes: Thematic and Exploratory Analyses From a Randomized Controlled Trial.

Victoria Whitelock, Inge Kersbergen, Suzanne Higgs, Paul Aveyard, Jason Cg Halford, Eric Robinson

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in JMIR mHealth and uHealth, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03602001 (Attentive Eating for Weight Loss), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

NCT03602001 nacompletednot on this map

Attentive Eating for Weight Loss: Proof of Concept Non-blinded Randomised Control Trial

TypeinterventionalSponsorUniversity of LiverpoolRan2017 to 2018Enrolled107ConditionsOverweight and ObesityArmsAttentive eating smartphone application., Standard dietary advice and text tips.
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Trial
  2. Review
  3. Review
  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

6 authors.

Victoria WhitelockDepartment of Psychological Sciences, University of Liverpool, Liverpool, United Kingdom.ORCID 0000-0001-8604-4490
Inge KersbergenSchool of Health and Related Research, University of Sheffield, Sheffield, United Kingdom.ORCID 0000-0002-8799-8963
Suzanne HiggsThe School of Psychology, University of Birmingham, Birmingham, United Kingdom.ORCID 0000-0002-9225-7692
Paul AveyardNuffield Department of Primary Care Health Services, University of Oxford, Oxford, United Kingdom.ORCID 0000-0002-1802-4217
Jason Cg HalfordDepartment of Psychological Sciences, University of Liverpool, Liverpool, United Kingdom.ORCID 0000-0003-1629-3189
Eric RobinsonDepartment of Psychological Sciences, University of Liverpool, Liverpool, United Kingdom.ORCID 0000-0003-3586-5533

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundShort-term laboratory studies suggest that eating attentively can reduce food intake. However, in a recent randomized controlled trial we found no evidence that using an attentive eating smartphone app outside of the laboratory had an effect on energy intake or weight loss over 8 weeks.

objectiveThis research examined trial participants' experiences of using an attentive eating smartphone app and whether app usage was associated with energy intake and weight loss outcomes over 8 weeks.

methodsWe conducted thematic analysis of semistructured interviews (N=38) among participants in the attentive eating smartphone app group of the trial who completed the 8-week assessment. Linear regression models examined the associations between energy intake and weight loss outcomes at 8 weeks and app usage.

resultsParticipants reported several barriers and facilitators to using the smartphone app, including repetition of app content, social setting, motivation, and habitual use of the app. Participants believed that using the app had some beneficial effects on their eating behavior and diet. Exploratory analyses indicated that more frequent recording of eating episodes in the app was associated with lower body weight (B=-0.02, P=.004) and greater self-reported energy intake (B=5.98, P=.01) at 8 weeks, but not body fat percentage or taste-test energy intake. Total audio clip plays, gallery views, and percentage of food entries recorded using an image were not significantly associated with energy intake or weight.

conclusionsFrequent recording of eating episodes in a smartphone app was associated with greater weight loss. There are barriers and facilitators to frequent use of an attentive eating smartphone app that may be useful to address when designing dietary behavior change smartphone apps.

trial registrationClinicalTrials.gov NCT03602001; https://clinicaltrials.gov/ct2/show/NCT03602001; Open Science Framework DOI 10.17605/osf.io/btzhw; https://osf.io/btzhw/.

Indexed as

Mobile ApplicationsWeight LossDietFeeding BehaviorHumansSmartphoneattentive eatingeHealthfocused attentionfood intakemHealthobesityoverweightparticipant experiencesmartphone appweight loss

Identifiers

PMID33006564
PMCPMC7568212

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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.