Evidence map›Paper›PMID 36869151›Full record

Trial reportInternational journal of obesity (2005)2023

The impact of obesity and overweight on response to internet-delivered cognitive behavioural therapy for adults with chronic health conditions.

Andreea I Heriseanu, Eyal Karin, Jennie Walker, Amelia J Scott, Madelyne A Bisby, Milena Gandy, Joanne Dudeney, Alana Fisher, Nickolai Titov, Blake F Dear

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in International journal of obesity (2005), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 26% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. 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 at 2 institutions in 1 country.

Andreea I HeriseanueCentreClinic, School of Psychological Sciences, Macquarie University, Sydney, NSW, Australia. andreea.heriseanu@mq.edu.au.ORCID 0000-0002-0325-9005
Eyal KarinSchool of Psychological Sciences, Macquarie University, Sydney, NSW, Australia.
Jennie WalkereCentreClinic, School of Psychological Sciences, Macquarie University, Sydney, NSW, Australia.
Amelia J ScotteCentreClinic, School of Psychological Sciences, Macquarie University, Sydney, NSW, Australia.
Madelyne A BisbyeCentreClinic, School of Psychological Sciences, Macquarie University, Sydney, NSW, Australia.
Milena GandyeCentreClinic, School of Psychological Sciences, Macquarie University, Sydney, NSW, Australia.
Joanne DudeneyeCentreClinic, School of Psychological Sciences, Macquarie University, Sydney, NSW, Australia.
Alana FishereCentreClinic, School of Psychological Sciences, Macquarie University, Sydney, NSW, Australia.
Nickolai TitoveCentreClinic, School of Psychological Sciences, Macquarie University, Sydney, NSW, Australia.ORCID 0000-0002-7268-729X
Blake F DeareCentreClinic, School of Psychological Sciences, Macquarie University, Sydney, NSW, Australia.
Macquarie University · AUAustralian Hearing · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is growing evidence that internet-delivered cognitive behavioural therapy (iCBT) can improve functioning and reduce psychological distress in people with chronic health conditions. Obesity frequently co-occurs with chronic health conditions, yet its impact on response to psychological interventions in this population is not known. The current study examined associations between BMI and clinical outcomes (depression, anxiety, disability, and satisfaction with life) following a transdiagnostic iCBT program targeting adjustment to chronic illness.

methodsParticipants from a large randomised controlled trial, who provided information on height and weight, were included (N = 234; mean age= 48.32, SD = 13.80; mean BMI = 30.43, SD = 8.30, range 16.18-67.52; 86.8% female). The influence of baseline BMI range on treatment outcomes at post-treatment and 3-month follow-up was examined using generalized estimating equations. We also examined changes in BMI and in participants' perceived impact of weight on their health.

resultsImprovement in all outcomes occurred across BMI ranges; additionally, persons with obesity or overweight generally experienced greater symptom reductions than those within a healthy weight range. A greater proportion of participants with obesity achieved clinically significant change on key outcomes (e.g., depression: 32% [95% CI: 25%, 39%]) than participants with a healthy weight (21% [95% CI: 15%, 26%]) or overweight (24% [95% CI: 18%, 29%], p = 0.016). There were no significant changes in BMI from pre-treatment to 3-month follow-up, however there were significant reductions on the self-rated impact of weight on health.

conclusionsPersons with chronic health conditions and with obesity or overweight benefit at least as much as those with a healthy BMI from iCBT programs targeting psychological adjustment to chronic illness, even without changes in BMI. iCBT programs may be an important component in the self-management of this population, and may address barriers implicated in health behaviour change.

Indexed as

Cognitive Behavioral TherapyOverweightAdultAnxiety DisordersChronic DiseaseFemaleHumansInternetMaleMiddle AgedObesityTreatment Outcome

Identifiers

PMID36869151
PMCPMC10212763
OpenAlexW4323041982

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.