Evidence map›Paper›PMID 33705465›Full record

Trial reportPloS one2021

Using RE-AIM to examine the potential public health impact of an integrated collaborative care intervention for weight and depression management in primary care: Results from the RAINBOW trial.

Megan A Lewis, Laura K Wagner, Lisa G Rosas, Nan Lv, Elizabeth M Venditti, Lesley E Steinman, Bryan J Weiner, Jeremy D Goldhaber-Fiebert, Mark B Snowden, Jun Ma

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

9 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. A Multi-Site Refinement Study ofCurrent oncology (Toronto, Ont.) · 2025
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  7. A global experiment on motivating social distancing during the COVID-19 pandemic.Proceedings of the National Academy of Sciences of the United States of America · 2022
    Article
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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

10 authors at 5 institutions in 1 country.

Megan A LewisCenter for Communication Science, RTI International, Seattle, WA, United States of America.ORCID 0000-0002-1670-9298
Laura K WagnerCenter for Communication Science, RTI International, Research Triangle Park, NC, United States of America.
Lisa G RosasDepartment of Epidemiology and Population Health, Stanford School of Medicine, Palo Alto, CA, United States of America.
Nan LvInstitute of Health Research and Policy, University of Illinois at Chicago, Chicago, IL, United States of America.
Elizabeth M VendittiDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States of America.
Lesley E SteinmanHealth Promotion Research Center, University of Washington, Seattle, WA, United States of America.
Bryan J WeinerDepartment of Global Health, University of Washington, Seattle, WA, United States of America.
Jeremy D Goldhaber-FiebertStanford Health Policy, Centers for Health Policy and Primary Care and Outcomes Research, Stanford University, Palo Alto, CA, United States of America.
Mark B SnowdenDepartment of Psychiatry and Behavioral Sciences, School of Medicine, University of Washington, Seattle, WA, United States of America.
Jun MaInstitute of Health Research and Policy, University of Illinois at Chicago, Chicago, IL, United States of America.
University of Washington · USRTI International · USUniversity of Illinois Chicago · USStanford University · USUniversity of Pittsburgh · US

Funding

RCT on comanagement of obesity, depression, and elevated CVD risk in primary careR01HL119453 · NHLBI · UNIVERSITY OF ILLINOIS AT CHICAGO · PI MA, JUN · 2014 to 2018
$3.6M
Engaging self-regulation targets to understand the mechanisms of behavior change and improve mood and weight outcomesUH3HL132368 · NHLBI · UNIVERSITY OF ILLINOIS AT CHICAGO · PI MA, JUN, WILLIAMS, LEANNE · 2018 to 2019
$2.6M
Engaging self-regulation targets to understand the mechanisms of behavior change and improve mood and weight outcomesUH2HL132368 · NHLBI · UNIVERSITY OF ILLINOIS AT CHICAGO · PI MA, JUN, WILLIAMS, LEANNE · 2015 to 2017
$2.6M
NHLBI NIH HHS R01 HL119453NHLBI NIH HHS UH2 HL132368NHLBI NIH HHS UH3 HL132368
6 · The paper itself

Abstract

backgroundAn integrated collaborative care intervention was used to treat primary care patients with comorbid obesity and depression in a randomized clinical trial. To increase wider uptake and dissemination, information is needed on translational potential.

methodsThe trial collected longitudinal, qualitative data at baseline, 6 months (end of intensive treatment), 12 months (end of maintenance treatment), and 24 months (end of follow-up). Semi-structured interviews (n = 142) were conducted with 54 out of 409 randomly selected trial participants and 37 other stakeholders, such as recruitment staff, intervention staff, and clinicians. Using a Framework Analysis approach, we examined themes across time and stakeholder groups according to the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework.

resultsAt baseline, participants and other stakeholders reported being skeptical of the collaborative care approach related to some RE-AIM dimensions. However, over time they indicated greater confidence regarding the potential for future public health impact. They also provided information on barriers and actionable information to enhance program reach, effectiveness, adoption, implementation, and maintenance.

conclusionsRE-AIM provided a useful framework for understanding how to increase the impact of a collaborative and integrative approach for treating comorbid obesity and depression. It also demonstrates the utility of using the framework as a planning tool early in the evidence-generation pipeline.

Indexed as

DepressionObesityPrimary Health CarePublic HealthAdolescentAdultAgedFemaleFollow-Up StudiesHumansMaleMiddle Aged

Identifiers

PMID33705465
PMCPMC7951877
OpenAlexW3135041867

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.