Evidence map›Paper›PMID 35417910›Full record

Trial reportObesity facts2022

Supporting Weight Management during COVID-19: A Randomized Controlled Trial of a Web-Based, ACT-Based, Guided Self-Help Intervention.

Julia Mueller, Rebecca Richards, Rebecca A Jones, Fiona Whittle, Jennifer Woolston, Marie Stubbings, Stephen J Sharp, Simon J Griffin, Jennifer Bostock, Carly A Hughes and 2 more

Erratum issuedOpen access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Obesity facts, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 15 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 6 pooled it
3.6field-weighted citation impact, top 7% 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

15 citing papers in PubMed, 6 syntheses or guidelines pooled it, 21 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 1 country.

Julia MuellerMRC Epidemiology Unit, University of Cambridge, Cambridge, UK.
Rebecca RichardsMRC Epidemiology Unit, University of Cambridge, Cambridge, UK.
Rebecca A JonesMRC Epidemiology Unit, University of Cambridge, Cambridge, UK.
Fiona WhittleMRC Epidemiology Unit, University of Cambridge, Cambridge, UK.
Jennifer WoolstonMRC Epidemiology Unit, University of Cambridge, Cambridge, UK.
Marie StubbingsMRC Epidemiology Unit, University of Cambridge, Cambridge, UK.
Stephen J SharpMRC Epidemiology Unit, University of Cambridge, Cambridge, UK.
Simon J GriffinMRC Epidemiology Unit, University of Cambridge, Cambridge, UK.
Jennifer BostockPatient and Public Involvement Representative, Cambridge, UK.
Carly A HughesFakenham Medical Practice, Fakenham, UK.
Andrew J HillDivision of Psychological and Social Medicine, School of Medicine, University of Leeds, Leeds, UK.
Amy L AhernMRC Epidemiology Unit, University of Cambridge, Cambridge, UK.
University of Cambridge · GBUniversity of East Anglia · GBUniversity of Leeds · GB

Funding

Department of Health RP-PG-0216-20010Medical Research Council MC_EX_MR/J000493/1Medical Research Council MC_UU_00006/6Medical Research Council MC_UU_12015/4
6 · The paper itself

Abstract

introductionAdults with overweight and obesity are vulnerable to weight gain and mental health deterioration during the COVID-19 pandemic. We developed a web-based, guided self-help intervention based on Acceptance and Commitment Therapy (ACT) that aims to support adults with overweight and obesity to prevent weight gain by helping them to manage their eating behaviours, be more physically active, and protect their emotional wellbeing ("SWiM-C"). SWiM-C is a guided self-help programme using non-specialist guides to enhance scalability and population reach while minimizing cost. This study evaluated the effect of SWiM-C on bodyweight, eating behaviour, physical activity, and mental wellbeing in adults with overweight and obesity over 4 months during the COVID-19 pandemic in the UK.

methodsWe randomized adults (BMI ≥25 kg/m2) to SWiM-C or to a wait-list standard advice group. Participants completed outcome assessments online at baseline and 4 months. The primary outcome was self-measured weight; secondary outcomes were eating behaviour, physical activity, experiential avoidance/psychological flexibility, depression, anxiety, stress, and wellbeing. We estimated differences between study groups in change in outcomes from baseline to 4 months using linear regression, adjusted for outcome at baseline and the randomization stratifiers (BMI, sex). The trial was pre-registered (ISRCTN12107048).

results486 participants were assessed for eligibility; 388 participants were randomized (196 standard advice, 192 SWiM-C), and 324 were analysed. The adjusted difference in weight between SWiM-C and standard advice was -0.60 kg (-1.67 to 0.47, p = 0.27). SWiM-C led to improvements in uncontrolled eating (-3.61 [-5.94 to -1.28]), cognitive restraint (5.28 [2.81-7.75]), experiential avoidance (-3.39 [-5.55 to -1.23]), and wellbeing (0.13 [0.07-0.18]).

conclusionsSWiM-C improved several psychological determinants of successful weight management and had a protective effect on wellbeing during the pandemic. However, differences in weight and some other outcomes were compatible with no effect of the intervention, suggesting further refinement of the intervention is needed.

Indexed as

Acceptance and Commitment TherapyCOVID-19AdultHumansInternetObesityOverweightPandemicsWeight GainAcceptance and Commitment TherapyCOVID-19ObesityOverweight

Identifiers

PMID35417910
PMCPMC9421710
OpenAlexW4223912007

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.