Evidence map›Paper›PMID 33772702›Full record

Trial reportJournal of behavioral medicine2021

Novel behavioral interventions to improve long-term weight loss: A randomized trial of acceptance and commitment therapy or self-regulation for weight loss maintenance.

J Lillis, S Dunsiger, J G Thomas, K M Ross, R R Wing

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of behavioral medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02156752 (Using Novel Behavioral Approaches to Improve Long-Term Weight Loss Outcomes), which is not on this map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
0.6field-weighted citation impact, top 29% 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.

NCT02156752 nacompletednot on this map

Using Novel Behavioral Approaches to Improve Long-Term Weight Loss Outcomes

TypeinterventionalSponsorThe Miriam HospitalRan2015 to 2019Enrolled190ConditionsObesityArmsACT, SR, WLO
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Acceptance and Commitment Therapy for Obesity.Current obesity reports · 2025
    Review
  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

5 authors at 2 institutions in 1 country.

J LillisDepartment of Psychiatry and Human Behavior, Alpert Medical School of Brown University/The Miriam Hospital Weight Control and Diabetes Research Center, 196 Richmond Street, Providence, RI, 20903, USA. jason_lillis@brown.edu.ORCID 0000-0002-0884-8730
S DunsigerCenter for Health Promotion and Health Equity, School of Public Health, Brown University, Providence, RI, USA.
J G ThomasDepartment of Psychiatry and Human Behavior, Alpert Medical School of Brown University/The Miriam Hospital Weight Control and Diabetes Research Center, 196 Richmond Street, Providence, RI, 20903, USA.
K M RossDepartment of Clinical and Health Psychology, College of Public Health and Health Professions, University of Florida, Gainesville, FL, USA.
R R WingDepartment of Psychiatry and Human Behavior, Alpert Medical School of Brown University/The Miriam Hospital Weight Control and Diabetes Research Center, 196 Richmond Street, Providence, RI, 20903, USA.
Brown University · USUniversity of Florida Health · US

Funding

Using Novel Behavioral Approaches to Improve Long-Term Weight Loss OutcomesK23DK097143 · NIDDK · MIRIAM HOSPITAL · PI LILLIS, JASON · 2013 to 2017
$863k
Impact of Self-Monitoring Technology and Interventionist Contact on Weight LossF32DK100069 · NIDDK · MIRIAM HOSPITAL · PI ROSS, KATHRYN MARIE · 2013 to 2014
$98k
NIDDK NIH HHS F32 DK100069NIDDK NIH HHS K23 DK097143NIDDK NIH HHS K23DK097143
6 · The paper itself

Abstract

Maintenance of weight loss is hard to achieve, and novel interventions are needed to improve long-term outcomes. In this pilot randomized controlled trial, N = 188 participants received an online, 12-week weight loss intervention and N = 102 who lost ≥ 5% were then randomly assigned to a 1-day, 5-h workshop based on Acceptance and Commitment Therapy (ACT), Self-Regulation (SR), or no workshop (Control) with 3 months of limited email follow-up. Assessments were conducted at baseline, 3, 6, 12, 18, and 24 months. The primary outcome was percent weight change; secondary outcomes were weight-related experiential avoidance and health values-consistent behavior. ACT had greater overall weight loss (-7.18%, SE = 1.33) when compared to Control (-1.15%, SE = 1.50; p = .03). Post hoc analyses showed that ACT had significantly greater weight losses than Control (6.11%, β = -2.03, p = .048) among those with lower initial weight loss (5-7%), and significantly greater weight loss than SR (6.19%, β = -1.77, p = .05) among those with the highest initial weight losses (10% +). There is potential for continuing to develop ACT in a limited interventionist-contact format with modifications. This pilot study represents an innovative model for behavioral weight loss by reversing the typical treatment intensity model with the aim of providing interventionist support during a critical period after initial weight loss. REGISTRATION: Clinicaltrials.org #NCT02156752 https://www.clinicaltrials.gov/ct2/show/NCT02156752 .

Indexed as

Acceptance and Commitment TherapySelf-ControlHumansObesityPilot ProjectsWeight LossAcceptanceMaintenanceObesitySelf-regulationWeight loss

Identifiers

PMID33772702
PMCPMC12699391
OpenAlexW3149568480

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.