Evidence map›Paper›PMID 33252929›Full record

Trial reportHealth psychology : official journal of the Division of Health Psychology, American Psychological Association2020

Patient-provided e-support in reduced intensity obesity treatment: The INSPIRE randomized controlled trial.

Tricia M Leahey, Tania B Huedo-Medina, Andrea Grenga, Linda Gay, Denise Fernandes, Zeely Denmat, Caroline Doyle, Remei Areny-Joval, Rena R Wing

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 4 pooled it
–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.

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

10 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Review
  8. Article
  9. Article
  10. Article
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

9 authors.

Tricia M LeaheyDepartment of Allied Health Sciences.ORCID 0000-0001-8134-3838
Tania B Huedo-MedinaDepartment of Allied Health Sciences.
Andrea GrengaWeight Control and Diabetes Research Center.ORCID 0000-0001-9972-8832
Linda GayWeight Control and Diabetes Research Center.
Denise FernandesWeight Control and Diabetes Research Center.
Zeely DenmatInstitute for Collaboration on Health, Intervention and Policy.
Caroline DoyleWeight Control and Diabetes Research Center.
Remei Areny-JovalDepartment of Psychological Sciences.ORCID 0000-0001-8226-0233
Rena R WingWeight Control and Diabetes Research Center.

Funding

A Randomized Trial Testing Lay Health Coaches for Obesity TreatmentR01DK095771 · NIDDK · UNIVERSITY OF CONNECTICUT STORRS · PI LEAHEY, TRICIA M · 2012 to 2016
$1.8M
National Institutes of Health; National Institute of Diabetes and Digestive and Kidney DiseasesNIDDK NIH HHS R01 DK095771
6 · The paper itself

Abstract

objectiveThere are two types of patient supporters, peers (two individuals initiating health behavior change who support one another) and mentors (a previously successful patient who supports incoming patients). Social comparison theory suggests that peers and mentors may elicit social comparison processes (patients may compare their progress to that of their peer/mentor), and these social comparisons could impact treatment outcomes. This randomized controlled trial is the first to examine the differential impact of peers and mentors on obesity treatment outcomes and social comparison processes when added to reduced intensity treatment.

methodParticipants (N = 278) were randomly assigned to reduced intensity behavioral weight loss treatment alone (rBWL), rBWL plus peer e-support (rBWL + Peer), or rBWL plus mentor e-support (rBWL + Mentor). rBWL involved periodic group sessions that decreased over time; when group sessions decreased, intensity of peer/mentor e-support increased. Weight and social comparison processes were assessed throughout the 12-month intervention.

resultsThere was a significant treatment effect; when group sessions became less frequent and peer/mentor e-support became more frequent, rBWL + Peer had significantly greater weight loss than rBWL alone, and rBWL + Mentor was not significantly different from the other two. Social comparison processes differed by treatment arm; rBWL + Peer participants tended to report more lateral social comparisons ("my weight loss progress is 'similar' to my peer's"), whereas rBWL + Mentor participants reported more upward comparisons ("my weight loss progress is 'worse than' my mentor's"). Upward comparisons were associated with poorer weight loss outcomes.

conclusionsPeer e-support may be an effective, low-cost, sustainable method for improving longer-term weight loss outcomes in reduced intensity obesity treatment. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Indexed as

AdultFemaleHumansMaleMiddle AgedObesityPilot ProjectsTelemedicineTreatment Outcome

Identifiers

PMID33252929
PMCPMC8428547

What OpenQuestion holds

Textmetadata
LicenceTDM
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.