Evidence map›Paper›PMID 34470816›Full record

Trial reportPediatrics2021

Comparative Effectiveness of Clinical and Community-Based Approaches to Healthy Weight.

Lauren Fiechtner, Meghan Perkins, Vincent Biggs, Nancy Langhans, Mona Sharifi, Sarah Price, Man Luo, Joseph J Locascio, Katherine H Hohman, Heather Hodge and 3 more

Open access · greenAbstract readComparative StudyEquivalence TrialMulticenter Study
In one paragraph

Trial report in Pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 8% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

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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

13 authors at 6 institutions in 1 country.

Lauren FiechtnerDivision of General Academic Pediatrics, Department of Pediatrics, Massachusetts General Hospital for Children, Boston, Massachusetts lfiechtner@mgh.harvard.edu.
Meghan PerkinsDivision of General Academic Pediatrics, Department of Pediatrics, Massachusetts General Hospital for Children, Boston, Massachusetts.
Vincent BiggsDepartment of Pediatrics, Holyoke Community Health Center, Holyoke, Massachusetts.
Nancy LanghansDepartment of Pediatrics, Greater New Bedford Community Health Center, New Bedford, Massachusetts.
Mona SharifiSection of General Pediatrics, Department of Pediatrics, School of Medicine, Yale University, New Haven, Connecticut.
Sarah PriceDivision of General Academic Pediatrics, Department of Pediatrics, Massachusetts General Hospital for Children, Boston, Massachusetts.
Man LuoDivision of General Academic Pediatrics, Department of Pediatrics, Massachusetts General Hospital for Children, Boston, Massachusetts.
Joseph J LocascioDepartment of Neurology, Massachusetts General Hospital, Boston, Massachusetts.
Katherine H HohmanYoung Men's Christian Association of the United States of America, Chicago, Illinois.
Heather HodgeYoung Men's Christian Association of the United States of America, Chicago, Illinois.
Steven GortmakerDepartments of Social and Behavioral Sciences.
Shioban TorresBureau of Community Health and Prevention, Massachusetts Department of Public Health, Boston, Massachusetts.
Elsie M TaverasDivision of General Academic Pediatrics, Department of Pediatrics, Massachusetts General Hospital for Children, Boston, Massachusetts.
Massachusetts General Hospital · USCommunity Health Center · USYoung Men's Christian Association · USHarvard University · USMassachusetts Department of Public Health · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
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
Patient Oriented Research and Mentorship in Childhood Obesity DisparitiesK24DK105989 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI TAVERAS BENAVIDEZ, ELSIE MIREYA · 2015 to 2019
$907k
Creating effective childhood obesity interventions through the study ofpositive outliersK23HD090222 · NICHD · MASSACHUSETTS GENERAL HOSPITAL · PI FIECHTNER, LAUREN GEHLER · 2018 to 2021
$696k
Using Electronic Health Records to Support Decision-Making in Pediatric Obesity CareK08HS024332 · AHRQ · YALE UNIVERSITY · PI SHARIFI, MAHNOOSH · 2016 to 2018
$461k
ACL HHS U18DP006259AHRQ HHS K08 HS024332NCATS NIH HHS UL1 TR001863NCCDPHP CDC HHS U18 DP006259NICHD NIH HHS K23 HD090222NIDDK NIH HHS K24 DK105989NIDDK NIH HHS P30 DK111022
6 · The paper itself

Abstract

objectivesThe objective was to evaluate if 2 pediatric weight management interventions delivered to Hispanic, low-income children (one in a health center the other in a Young Men's Christian Association) were effective in reducing BMI. We hypothesized that they would be equally effective.

methodsA total 407 children aged 6 to 12 years with BMI ≥ 85th percentile receiving care at 2 health centers were randomly assigned to a healthy weight clinic (HWC) at the health center or to a modified Healthy Weight and Your Child (M-HWYC) intervention delivered in Young Men's Christian Associations. A total of 4037 children served as the comparison group. We completed a noninferiority test comparing the M-HWYC with the HWC, which was supported if the bounds of the 90% confidence interval (CI) for the difference in percentage of the 95th percentile (%BMIp

resultsThe mean difference in %BMIp

conclusionsWe were unable to establish noninferiority of the M-HWYC. The HWC improved BMI, offering an effective treatment of those disproportionately affected.

Indexed as

Child Health ServicesHispanic or LatinoBody Mass IndexChildFemaleHealth PromotionHumansMalePediatric ObesityPovertyWeight Reduction Programs

Identifiers

PMID34470816
PMCPMC8573851
OpenAlexW3197076471

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.