Evidence map›Paper›PMID 34783674›Full record

SynthesisJournal of medical Internet research2021

Efficacy of Interventions That Incorporate Mobile Apps in Facilitating Weight Loss and Health Behavior Change in the Asian Population: Systematic Review and Meta-analysis.

Siew Min Ang, Juliana Chen, Jia Huan Liew, Jolyn Johal, Yock Young Dan, Margaret Allman-Farinelli, Su Lin Lim

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of medical Internet research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 7 pooled it
10.2field-weighted citation impact, top 2% 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

25 citing papers in PubMed, 7 syntheses or guidelines pooled it, 44 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

7 authors at 3 institutions in 2 countries.

Siew Min Ang *Department of Dietetics, National University Hospital, Singapore, Singapore.ORCID 0000-0002-3391-8454
Juliana Chen *School of Life and Environmental Sciences, Charles Perkins Centre, The University of Sydney, Sydney, Australia.ORCID 0000-0003-2844-6947
Jia Huan LiewScience Unit, Lingnan University, Hong Kong, Hong Kong.ORCID 0000-0002-7649-0398
Jolyn JohalJoanna Briggs Institute, University of Adelaide, Adelaide, Australia.ORCID 0000-0002-4380-0580
Yock Young DanDepartment of Medicine, National University Hospital, Singapore, Singapore.ORCID 0000-0002-7546-2117
Margaret Allman-FarinelliSchool of Life and Environmental Sciences, Charles Perkins Centre, The University of Sydney, Sydney, Australia.ORCID 0000-0002-6478-1374
Su Lin LimDepartment of Dietetics, National University Hospital, Singapore, Singapore.ORCID 0000-0001-8478-3193
National University Hospital · SGThe University of Sydney · AUThe University of Adelaide · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSmartphone apps have shown potential in enhancing weight management in Western populations in the short to medium term. With a rapidly growing obesity burden in Asian populations, researchers are turning to apps as a service delivery platform to reach a larger target audience to efficiently address the problem.

objectiveThis systematic review and meta-analysis aims to determine the efficacy of interventions that incorporate apps in facilitating weight loss and health behavior change in the Asian population.

methodsA total of 6 databases were searched in June 2020. The eligible studies included controlled trials in which an app was used in the intervention. The participants were aged 18 years or older and were of Asian ethnicity. A meta-analysis to test intervention efficacy, subgroup analyses, and post hoc analyses was conducted to determine the effects of adding an app to usual care and study duration. The primary outcome was absolute or percentage weight change, whereas the secondary outcomes were changes to lifestyle behaviors.

resultsA total of 21 studies were included in this review, and 17 (81%) were selected for the meta-analysis. The pooled effect size across 82% (14/17) of the randomized controlled trials for weight change was small to moderate (Hedges g=-0.26; 95% CI -0.41 to -0.11), indicating slightly greater weight loss achieved in the intervention group; however, this may not be representative of long-term studies (lasting for more than a year). Supplementing multicomponent usual care with an app led to greater weight loss (Hedges g=-0.28; 95% CI -0.47 to -0.09). Asian apps were largely culturally adapted and multifunctional, with the most common app features being communication with health professionals and self-monitoring of behaviors and outcomes.

conclusionsMore evidence is required to determine the efficacy of apps in the long term and address the low uptake of apps to maximize the potential of the intervention. Future research should determine the efficacy of each component of the multicomponent intervention to facilitate the designing of studies that are most effective and cost-efficient for weight management.

trial registrationPROSPERO CRD42020165240; https://tinyurl.com/2db4tvn6.

Indexed as

Mobile ApplicationsHealth BehaviorHumansLife StyleObesityWeight LossadultsAsiandietmeta-analysismobile appmobile phoneobesityphysical activitysystematic reviewweight loss

Identifiers

PMID34783674
PMCPMC8663646
OpenAlexW3204044862

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.