Evidence map›Paper›PMID 33338737›Full record

Trial reportGeneral hospital psychiatry

A positive psychology-motivational interviewing program to promote physical activity in type 2 diabetes: The BEHOLD-16 pilot randomized 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

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in General hospital psychiatry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Well-Being and Health in Kidney Failure: A Scoping Review.Journal of the Academy of Consultation-Liaison Psychiatry
    Article
  16. The Role of Positive Psychology in Lifestyle Medicine.American journal of lifestyle medicine
    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

12 authors.

Jeff C HuffmanHarvard Medical School, Boston, MA, USA; Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA. Electronic address: jhuffman@partners.org.
Julia GoldenDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Christina N MasseyHarvard Medical School, Boston, MA, USA; Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Emily H FeigHarvard Medical School, Boston, MA, USA; Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Wei-Jean ChungHarvard Medical School, Boston, MA, USA; Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Rachel A MillsteinHarvard Medical School, Boston, MA, USA; Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Lydia BrownHarvard Medical School, Boston, MA, USA; Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Taylor GianangeloDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Brian C HealyHarvard Medical School, Boston, MA, USA; Department of Neurology, Massachusetts General Hospital, Boston, MA, USA.
Deborah J WexlerHarvard Medical School, Boston, MA, USA; Department of Medicine (Endocrinology), Massachusetts General Hospital, Boston, MA, USA.
Elyse R ParkHarvard Medical School, Boston, MA, USA; Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Christopher M CelanoHarvard Medical School, Boston, MA, USA; Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.

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

backgroundThe majority of persons with type 2 diabetes (T2D) do not meet recommended levels of physical activity, despite clear links between physical activity and superior medical outcomes in this population. The objective of this trial was to assess the feasibility and impact of a novel 16-week combined positive psychology-motivational interviewing (PP-MI) program to promote physical activity among inactive persons with T2D.

methodsThis pilot randomized trial compared the 16-week, phone-delivered PP-MI intervention to an attention-matched diabetes counseling condition among 70 persons with T2D and low levels of baseline moderate to vigorous physical activity (MVPA; <150 min/week). The primary study outcomes were feasibility (assessed via rates of session completion) and acceptability (assessed via mean participant ratings [0-10] of the ease and utility of weekly sessions). Key secondary outcomes included between-group differences in improvement in positive affect, other psychological outcomes, and accelerometer-measured physical activity, assessed using mixed effects regression models, at 16 and 24 weeks.

resultsParticipants completed a mean 11.0 (SD 4.4; 79%) of 14 PP-MI phone sessions, and composite mean ratings of ease/utility were 8.6/10, above our a priori benchmarks for feasibility/acceptability (70% session completion; 7.0/10 mean ratings). PP-MI participants had small to medium effect size (ES) difference improvements in MVPA (ES difference = 0.34) and steps/day (ES difference = 0.76) at 16 weeks, with sustained but smaller effects at 24 weeks (ES difference = 0.22-0.33).

conclusionsNext-step studies of this PP-MI program in T2D patients can more rigorously explore the intervention's effects on physical activity and clinical outcomes.

Indexed as

Diabetes Mellitus, Type 2Motivational InterviewingExerciseHumansPilot ProjectsPsychology, PositiveMotivational interviewingOptimismPhysical activityPositive psychologyType 2 diabetes

Identifiers

PMID33338737
PMCPMC8307449

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.