Evidence map›Paper›PMID 34821063›Full record

Trial reportPediatric obesity2022

Effects of telephone support or short message service on body mass index, eating and screen time behaviours of children age 2 years: A 3-arm randomized controlled trial.

Li Ming Wen, Huilan Xu, Sarah Taki, Limin Buchanan, Chris Rissel, Philayrath Phongsavan, Alison J Hayes, Karen Bedford, Renee Moreton, Louise A Baur

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Pediatric obesity, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

13 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Interventions to Reduce Screen Time in Preschool-Aged Children: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
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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.

Li Ming WenHealth Promotion Unit, Population Health Research & Evaluation Hub, Sydney Local Health District, Camperdown, Australia.ORCID 0000-0003-1381-4022
Huilan XuHealth Promotion Unit, Population Health Research & Evaluation Hub, Sydney Local Health District, Camperdown, Australia.ORCID 0000-0002-9488-8121
Sarah TakiHealth Promotion Unit, Population Health Research & Evaluation Hub, Sydney Local Health District, Camperdown, Australia.ORCID 0000-0002-7228-8993
Limin BuchananHealth Promotion Unit, Population Health Research & Evaluation Hub, Sydney Local Health District, Camperdown, Australia.ORCID 0000-0002-4438-5761
Chris RisselFaculty of Medicine and Health, Sydney School of Public Health, The University of Sydney, Sydney, Australia.ORCID 0000-0002-2156-8581
Philayrath PhongsavanFaculty of Medicine and Health, Sydney School of Public Health, The University of Sydney, Sydney, Australia.ORCID 0000-0003-2460-5031
Alison J HayesFaculty of Medicine and Health, Sydney School of Public Health, The University of Sydney, Sydney, Australia.ORCID 0000-0002-8679-6040
Karen BedfordHealth Promotion Unit, Population Health Research & Evaluation Hub, Sydney Local Health District, Camperdown, Australia.
Renee MoretonPopulation Health, Sydney Local Health District, Camperdown, Australia.
Louise A BaurFaculty of Medicine and Health, Sydney School of Public Health, The University of Sydney, Sydney, Australia.ORCID 0000-0002-4521-9482

Funding

NRSA Training CoreTL1TR002016 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI THOMAS, GAIL D. · 2016 to 2025
$3.4M
6 · The paper itself

Abstract

backgroundFew randomized controlled trial (RCT) interventions targeted children's early risk behaviours using telephone or short message service (SMS) support.

objectiveTo evaluate the effectiveness of telephone or SMS early intervention focusing on mothers' behaviours starting from late pregnancy to improve BMI, and eating and screen time behaviours of children aged 2 years in comparison with the control group.

methodsA 3-arm RCT was conducted in Australia, 2017-2019. Two arms involved the interventions using nurse-led telephone or SMS support, delivered in nine stages from late pregnancy to age 2 years. The third arm was control. The primary outcome was children's objectively measured BMI and BMI z-score at 2 years. Secondary outcomes included child eating and screen time behaviours as reported by parents at 2 years.

resultsAt 2 years, 797 mother-child dyads (69%) completed the telephone survey with 666 (58%) completing weight and height measurements. The study found no statistically significant difference in BMI between the groups. The mean BMI for telephone support was 16.93 (95% CI: 16.73 to 17.13), for SMS 16.92 (95% CI: 16.73 to 17.11) or for control 16.95 (95% CI: 16.73 to 17.16) with a difference of -0.02 (95% CI: -0.31 to 0.27, p = 0.907) in telephone versus control, and a difference of -0.03 (95% CI: -0.30 to 0.24, p = 0.816) in SMS versus control. Telephone support was associated with higher odds of no bottle at bedtime (adjusted odds ratio [AOR]: 2.99; 95% CI: 2.01 to 4.47), family meals (AOR: 2.05; 95% CI: 1.26 to 3.33), drinking from a cup (AOR: 1.89; 95% CI: 1.24 to 2.88), less screen time (<1 h/day) (AOR: 1.56; 95% CI: 1.10 to 2.23) and not eating dinner in front of the TV (AOR: 1.50; 95% CI: 1.09 to 2.06). SMS support was also associated with higher odds of no bottle at bedtime (AOR 2.30, 95% CI: 1.58 to 3.33) than the control.

conclusionThe telephone or SMS support intervention had no significant effects on BMI, but was effective in increasing no bottle use at bedtime. Telephone support showed more effects than SMS on reducing screen time and eating behaviours.

Indexed as

Text MessagingBody Mass IndexFeeding BehaviorFemaleHumansPregnancyScreen TimeTelephonerandomized controlled trialscreen timeshort message servicetelephone support

Identifiers

PMID34821063
PMCPMC9285384

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.