Evidence map›Paper›PMID 38062218›Full record

Trial reportInternational journal of obesity (2005)2024

Mobile health behaviour change support system as independent treatment tool for obesity: a randomized controlled trial.

Jaakko O Markkanen, Noora Oikarinen, Markku J Savolainen, Heta Merikallio, Ville Nyman, Ville Salminen, Teppo Virkkula, Pasi Karppinen, Harri Oinas-Kukkonen, Janne Hukkanen

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in International journal of obesity (2005), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
7.4field-weighted citation impact, top 3% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Observational
  8. Article
  9. 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

10 authors at 2 institutions in 1 country.

Jaakko O Markkanen *Research Unit of Biomedicine and Internal Medicine, University of Oulu, Oulu, Finland.
Noora Oikarinen *Research Unit of Biomedicine and Internal Medicine, University of Oulu, Oulu, Finland.
Markku J SavolainenResearch Unit of Biomedicine and Internal Medicine, University of Oulu, Oulu, Finland.ORCID 0000-0002-2557-6423
Heta MerikallioResearch Unit of Biomedicine and Internal Medicine, University of Oulu, Oulu, Finland.
Ville NymanOulu Advanced Research on Service and Information Systems, University of Oulu, Oulu, Finland.
Ville SalminenOulu Advanced Research on Service and Information Systems, University of Oulu, Oulu, Finland.
Teppo VirkkulaOulu Advanced Research on Service and Information Systems, University of Oulu, Oulu, Finland.
Pasi KarppinenOulu Advanced Research on Service and Information Systems, University of Oulu, Oulu, Finland.
Harri Oinas-KukkonenOulu Advanced Research on Service and Information Systems, University of Oulu, Oulu, Finland.
Janne HukkanenResearch Unit of Biomedicine and Internal Medicine, University of Oulu, Oulu, Finland. janne.hukkanen@oulu.fi.ORCID 0000-0003-4981-0525
University of Oulu · FIOulu University Hospital · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesDigital health interventions are increasingly utilized as an adjunct to face-to-face counselling in the treatment of obesity. However, previous studies have shown inconsistent efficacy when digital interventions are used as stand-alone treatment. The purpose of this study was to investigate whether a mobile health behaviour change support system (mHBCSS) is effective in weight reduction and weight loss maintenance without additional counselling. Furthermore, changes in cardiometabolic risk factors were investigated.

methodsIn this randomized controlled trial, a mHBCSS intervention was conducted for 200 volunteers with obesity (BMI 30-40 kg/m² and age 18-65 years). The study participants were randomly assigned into two groups: immediate access to mHBCSS intervention or wait-list control with access to mHBCSS after 6 months. Anthropometric and metabolic traits were also measured. The primary outcome was weight loss from the baseline to the 6-month visit.

resultsAmong 200 participants (88.5% women), mean BMI (SD) was 34.3 kg/m² (2.8) and age 46.5 years (9.5). The retention rate was 98.5% and 89.0% at the 6- and 12-month visits, respectively. At the 6-month visit, those with immediate access to mHBCSS had significantly greater weight loss (-2.5%, 95% CI -3.4 to -1.6, p < 0.001) compared with the wait-list control group (0.2%, 95% CI -0.4 to 0.9, p = 0.466; between groups p < 0.001). Weight loss was maintained until the 12-month time point in the mHBCSS group (-2.1%, 95% CI -3.3 to -0.9, p = 0.001). The usage of mHBCSS had no significant effect on metabolic traits.

conclusionThe mHBCSS as a stand-alone treatment of obesity results in weight reduction and weight loss maintenance with remarkable adherence rate. Further studies are needed to establish how to best implement the scalable and resource-efficient mHBCSS into the standard care of obesity to achieve optimal weight loss results.

Indexed as

ObesityTelemedicineAdolescentAdultAgedDigital HealthFemaleHealth BehaviorHumansMaleMiddle AgedWeight LossYoung Adult

Identifiers

PMID38062218
PMCPMC10896717
OpenAlexW4389428435

What OpenQuestion holds

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LicenceCC BY
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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.