Evidence map›Paper›PMID 36321279›Full record

Trial reportObesity (Silver Spring, Md.)2022

Cost-effectiveness of a motivational interviewing obesity intervention versus usual care in pediatric primary care offices.

Susan J Woolford, Kenneth Resnicow, Matthew M Davis, Lauren P Nichols, Richard C Wasserman, Donna Harris, Achamyeleh Gebremariam, Laura Shone, Alexander G Fiks, Tammy Chang

Abstract readClinical Trial
In one paragraph

Trial report in Obesity (Silver Spring, Md.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Review
  4. Article
  5. Review
  6. Review
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.

Susan J WoolfordUniversity of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0003-4431-0652
Kenneth ResnicowUniversity of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0003-1416-9627
Matthew M DavisAnn & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Lauren P NicholsUniversity of Michigan, Ann Arbor, Michigan, USA.
Richard C WassermanLarner College of Medicine, University of Vermont, Burlington, Vermont, USA.
Donna HarrisAmerican Academy of Pediatrics, Itasca, Illinois, USA.
Achamyeleh GebremariamUniversity of Michigan, Ann Arbor, Michigan, USA.
Laura ShoneAmerican Academy of Pediatrics, Itasca, Illinois, USA.
Alexander G FiksAmerican Academy of Pediatrics, Itasca, Illinois, USA.
Tammy ChangUniversity of Michigan, Ann Arbor, Michigan, USA.

Funding

Research BaseP30DK092926 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MARY ELLEN MICHELE HEISLER, ADESUWA B OLOMU · 2011 to 2026
$10.0M
BM12: Brief Motivational Interviewing to Reduce Child BMIR01HL085400 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI RESNICOW, KEN A. · 2008 to 2012
$3.4M
NHLBI NIH HHS R01 HL085400NIDDK NIH HHS P30 DK092926
6 · The paper itself

Abstract

objectiveThis study aimed to assess the incremental cost-effectiveness ratio (ICER) of a 2-year motivational interviewing (MI) intervention versus usual primary care.

methodsA national trial was implemented in the Pediatric Research in Office Settings (PROS) network of the American Academy of Pediatrics to evaluate MI versus usual care for children (2-8 years old; baseline BMI 85th-97th percentiles). Health care use, food costs, provider fees, and training costs were assessed, and sensitivity analyses were conducted. Primary outcome was the ICER, calculated as cost per unit change in BMI percentile for intervention versus usual care.

resultsAt 2 years, 72% of enrolled parent/child dyads were retained; 312 children were included in the analysis. Mean BMI percentile point change was -4.9 and -1.8 for the intervention and control, respectively, yielding an incremental reduction of 3.1 BMI percentile points (95% CI: 1.2-5.0). The intervention cost $1051 per dyad ($658 for training DVD development). Incorporating health care and non-health care costs, the intervention ICER was $363 (range from sensitivity analyses: cost saving, $3159) per BMI percentile point decrease per participant over 2 years.

conclusionsTraining pediatricians, nurse practitioners, and registered dietitians to deliver MI-based interventions for childhood obesity in primary care is clinically effective and acceptably cost-effective. Future work should explore this approach in broader dissemination.

Indexed as

Motivational InterviewingPediatric ObesityBody Mass IndexChildChild, PreschoolCost-Benefit AnalysisHumansPrimary Health CareUnited States

Identifiers

PMID36321279
PMCPMC9828545

What OpenQuestion holds

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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.