Evidence map›Paper›PMID 33739425›Full record

ArticleTranslational behavioral medicine2021

Discrepancies Between Clinician and Participant Intervention Adherence Ratings Predict Percent Weight Change During a Six-Month Behavioral Weight Loss Intervention.

Michael P Berry, Elisabeth M Seburg, Meghan L Butryn, Robert W Jeffery, Melissa M Crane, Rona L Levy, Evan M Forman, Nancy E Sherwood

Open access · greenAbstract read
In one paragraph

Article in Translational behavioral medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 47% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

8 authors at 5 institutions in 1 country.

Michael P BerryCenter for Weight, Eating, and Lifestyle Sciences (WELL Center), Department of Psychology, Drexel University, Philadelphia, PA, USA.
Elisabeth M SeburgHealthPartners Institute, Bloomington, MN, USA.
Meghan L ButrynCenter for Weight, Eating, and Lifestyle Sciences (WELL Center), Department of Psychology, Drexel University, Philadelphia, PA, USA.
Robert W JefferyDivision of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, USA.
Melissa M CraneDepartment of Preventive Medicine, Rush University, Chicago, IL, USA.
Rona L LevySchool of Social Work, University of Washington, Seattle, WA, USA.
Evan M FormanCenter for Weight, Eating, and Lifestyle Sciences (WELL Center), Department of Psychology, Drexel University, Philadelphia, PA, USA.
Nancy E SherwoodDivision of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, USA.
Drexel University · USUniversity of Minnesota · USHealthPartners · USRush University · USUniversity of Washington · US

Funding

Translational Research Core - Health Engagement & Action Translational (HEAT)P30DK092924 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI Alyce Sophia Adams, HILARY Kessler SELIGMAN · 2011 to 2026
$9.2M
Evaluating Options for Non-Responders: A SMART Approach to Enhancing Weight LossR01CA188892 · NCI · HEALTHPARTNERS INSTITUTE · PI CRAIN, A LAUREN, SHERWOOD, NANCY E. · 2014 to 2018
$2.8M
NCI NIH HHS R01 CA188892NIDDK NIH HHS P30 DK092924
6 · The paper itself

Abstract

backgroundIndividuals receiving behavioral weight loss treatment frequently fail to adhere to prescribed dietary and self-monitoring instructions, resulting in weight loss clinicians often needing to assess and intervene in these important weight control behaviors. A significant obstacle to improving adherence is that clinicians and clients sometimes disagree on the degree to which clients are actually adherent. However, prior research has not examined how clinicians and clients differ in their perceptions of client adherence to weight control behaviors, nor the implications for treatment outcomes. PURPOSE: In the context of a 6-month weight-loss treatment, we examined differences between participants and clinicians when rating adherence to weight control behaviors (dietary self-monitoring; limiting calorie intake) and evaluated the hypothesis that rating one's own adherence more highly than one's clinician would predict less weight loss during treatment.

methodsUsing clinician and participant-reported measures of self-monitoring and calorie intake adherence, each assessed using a single item with a 7- or 8-point scale, we characterized discrepancies between participant and clinician adherence and examined associations with percent weight change over 6 months using linear mixed-effects models.

resultsResults indicated that ratings of adherence were higher when reported by participants and supported the hypothesis that participants who provided higher adherence ratings relative to their clinicians lost less weight during treatment (p < 0.001).

conclusionsThese findings suggest that participants in weight loss treatment frequently appraise their own adherence more highly than their clinicians and that participants who do so to a greater degree tend to lose less weight.

Indexed as

Behavior TherapyWeight LossDietHealth BehaviorHumansAdherenceCalorie intakeDiscrepanciesSelf-monitoringWeight loss

Identifiers

PMID33739425
PMCPMC8075610
OpenAlexW3139083555

What OpenQuestion holds

Textmetadata
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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.