Evidence map›Paper›PMID 35787516›Full record

Trial reportJournal of medical Internet research2022

The Effect of Tailored, Daily, Smartphone Feedback to Lifestyle Self-Monitoring on Weight Loss at 12 Months: the SMARTER Randomized Clinical Trial.

Lora E Burke, Susan M Sereika, Zhadyra Bizhanova, Bambang Parmanto, Jacob Kariuki, Jessica Cheng, Britney Beatrice, Maribel Cedillo, I Wayan Pulantara, Yuhan Wang and 2 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of medical Internet research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03367936 (12 Months Weight Loss Study Using Feedback Messages Delivered Via Smartphone), which is not on this map. Cited by 25 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 5 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.

NCT03367936 nacompletednot on this map

12 Months Weight Loss Study Using Feedback Messages Delivered Via Smartphone

TypeinterventionalSponsorUniversity of PittsburghRan2018 to 2021Enrolled502ConditionsOverweight and ObesityArmsOne-on-one Session, Self-monitoring, Feedback
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  5. Mobile technologies for rehabilitation in non-specific spinal disorders: a systematic review of the efficacy and potential for implementation in low- and middle-income countries.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2023
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  13. Adherence to Behavioral Weight Management: A Scoping Review of Definitions, Measurement, and Components.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

12 authors.

Lora E BurkeSchool of Nursing, University of Pittsburgh, Pittsburgh, PA, United States.ORCID 0000-0003-2434-9867
Susan M SereikaSchool of Nursing, University of Pittsburgh, Pittsburgh, PA, United States.ORCID 0000-0002-7840-1352
Zhadyra BizhanovaSchool of Public Health, University of Pittsburgh, Pittsburgh, PA, United States.ORCID 0000-0003-0820-019X
Bambang ParmantoSchool of Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA, United States.ORCID 0000-0002-4907-8402
Jacob KariukiSchool of Nursing, University of Pittsburgh, Pittsburgh, PA, United States.ORCID 0000-0003-2423-6029
Jessica ChengSchool of Public Health, University of Pittsburgh, Pittsburgh, PA, United States.ORCID 0000-0001-7869-4848
Britney BeatriceSchool of Nursing, University of Pittsburgh, Pittsburgh, PA, United States.ORCID 0000-0002-7770-5012
Maribel CedilloSchool of Medicine, University of Utah, Salt Lake City, UT, United States.ORCID 0000-0002-0506-8923
I Wayan PulantaraSchool of Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA, United States.ORCID 0000-0002-6532-3666
Yuhan WangSchool of Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA, United States.ORCID 0000-0001-5912-8293
India LoarSchool of Nursing, University of Pittsburgh, Pittsburgh, PA, United States.ORCID 0000-0002-4758-3050
Molly B ConroySchool of Medicine, University of Utah, Salt Lake City, UT, United States.ORCID 0000-0003-0404-1371

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR001857 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2016 to 2025
$129.3M
Promoting Lifestyle Change via Tailored mHealth To Improve Health, HL131583R01HL131583 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BURKE, LORA EMILIE, CONROY, MARGARET B · 2017 to 2020
$3.1M
NCATS NIH HHS UL1 TR001857NHLBI NIH HHS R01 HL131583
6 · The paper itself

Abstract

backgroundSelf-monitoring (SM) is the centerpiece of behavioral weight loss treatment, but the efficacy of smartphone-delivered SM feedback (FB) has not been tested in large, long-term, randomized trials.

objectiveThe aim of this study was to establish the efficacy of providing remote FB to diet, physical activity (PA), and weight SM on improving weight loss outcomes when comparing the SM plus FB (SM+FB) condition to the SM-only condition in a 12-month randomized controlled trial. The study was a single-site, population-based trial that took place in southwestern Pennsylvania, USA, conducted between 2018 and 2021. Participants were smartphone users age ≥18 years, able to engage in moderate PA, with a mean BMI between 27 and 43 kg/m

methodsAll participants received a 90-minute, one-to-one, in-person behavioral weight loss counseling session addressing behavioral strategies, establishing participants' dietary and PA goals, and instructing on use of the PA tracker (Fitbit Charge 2), smart scale, and diet SM app. Only SM+FB participants had access to an investigator-developed smartphone app that read SM data, in which an algorithm selected tailored messages sent to the smartphone up to 3 times daily. The SM-only participants did not receive any tailored FB based on SM data. The primary outcome was percent weight change from baseline to 12 months. Secondary outcomes included engagement with digital tools (eg, monthly percentage of FB messages opened and monthly percentage of days adherent to the calorie goal).

resultsParticipants (N=502) were on average 45.0 (SD 14.4) years old with a mean BMI of 33.7 (SD 4.0) kg/m

conclusionsThere were no significant between-group differences in weight loss; however, the findings suggested that the use of commercially available digital SM tools with or without FB resulted in a clinically significant weight loss in over 25% of participants. Future studies need to test additional strategies that will promote greater engagement with digital tools.

trial registrationClinicaltrials.gov NCT03367936; https://clinicaltrials.gov/ct2/show/NCT03367936.

Indexed as

SmartphoneWeight LossAdolescentEnergy IntakeFeedbackFemaleHumansLife StyleMaleadherencebehavioral intervention/weight lossdigital healthengagementfeedback messagesmHealthobesityphysical activity trackersrandomized clinical trialself-monitoringsmart scales

Identifiers

PMID35787516
PMCPMC9297147

What OpenQuestion holds

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Registered trials

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.