Evidence map›Paper›PMID 34971381›Full record

Trial reportTranslational behavioral medicine2022

Contextual influences on implementation of online behavioral obesity treatment in primary care: formative evaluation guided by the consolidated framework for implementation research.

Hallie M Espel-Huynh, Carly M Goldstein, Michael L Stephens, Olivia L Finnegan, A Rani Elwy, Rena R Wing, J Graham Thomas

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Translational behavioral medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

7 authors.

Hallie M Espel-HuynhWeight Control and Diabetes Research Center, The Miriam Hospital, Providence, RI, USA.ORCID 0000-0001-8456-3465
Carly M GoldsteinWeight Control and Diabetes Research Center, The Miriam Hospital, Providence, RI, USA.
Michael L StephensDepartment of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI, USA.
Olivia L FinneganDepartment of Kinesiology, University of Rhode Island, Kingston, RI, USA.
A Rani ElwyDepartment of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI, USA.
Rena R WingWeight Control and Diabetes Research Center, The Miriam Hospital, Providence, RI, USA.
J Graham ThomasWeight Control and Diabetes Research Center, The Miriam Hospital, Providence, RI, USA.

Funding

Training in Behavioral & Preventive MedicineT32HL076134 · NHLBI · MIRIAM HOSPITAL · PI John Graham Thomas · 2006 to 2026
$5.7M
Pragmatic Trial of Technology-Supported Behavioral Obesity Treatment in the Primary Care Setting: A Multiphase Effectiveness and Implementation Hybrid DesignR18DK114715 · NIDDK · MIRIAM HOSPITAL · PI THOMAS, JOHN GRAHAM, WING, RENA R · 2017 to 2020
$2.6M
Optimization and Evaluation of a Tailored Behavioral eHealth/mHealth Weight Loss Intervention for Cardiac Rehabilitation Patients Using the Multiphase Optimization StrategyK23HL136845 · NHLBI · MIRIAM HOSPITAL · PI GOLDSTEIN, CARLY MICHELLE · 2018 to 2022
$930k
Maximizing Online Obesity Treatment Response in the Primary Care Environment Using Clinical Decision SupportK23HL155733 · NHLBI · MIRIAM HOSPITAL · PI ESPEL-HUYNH, HALLIE · 2021 to 2021
$187k
NHLBI NIH HHS K23 HL136845NHLBI NIH HHS K23 HL155733NHLBI NIH HHS T32 HL076134NIDDK NIH HHS R18 DK114715
6 · The paper itself

Abstract

Online behavioral obesity treatment is a promising first-line approach to weight management in primary care. However, little is known about contextual influences on implementation. Understand qualitative contextual factors that affect the implementation process, as experienced by key primary care stakeholders implementing the program. Online behavioral obesity treatment was implemented across a 60-clinic primary care practice network. Patients were enrolled by nurse care managers (NCMs; N = 14), each serving 2-5 practices. NCMs were randomized to one of two implementation conditions-"Basic" (standard implementation) or "Enhanced" (i.e., with added patient tracking features and more implementation strategies employed). NCMs completed qualitative interviews guided by the Consolidated Framework for Implementation Research (CFIR). Interviews were transcribed and analyzed via directed content analysis. Emergent categories were summarized by implementation condition and assigned a valence according to positive/negative influence. Individuals in the Enhanced condition viewed two aspects of the intervention as more positively influencing than Basic NCMs: Design Quality & Packaging (i.e., online program aesthetics), and Cost (i.e., no-cost program, clinician time savings). In both conditions, strongly facilitating factors included: Compatibility between intervention and clinical context; Intervention Source (from a trusted local university); and Evidence Strength & Quality supporting effectiveness. Findings highlight the importance of considering stakeholders' perspectives on the most valued types of evidence when introducing a new intervention, ensuring the program aligns with organizational priorities, and considering how training resources and feedback on patient progress can improve implementation success for online behavioral obesity treatment in primary care.

Indexed as

Behavior TherapyObesityHumansPrimary Health CareQualitative ResearchEvaluationHealth Services ResearchHealth TechnologyObesityPrimary CareTelemedicine

Identifiers

PMID34971381
PMCPMC8849001

What OpenQuestion holds

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Registered trials

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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.