Evidence map›Paper›PMID 38583602›Full record

Observational studyPreventive medicine2024

Implementation of recommended treatment for children in weight management programs: Lessons from the stay in treatment study sites.

Amy Fleischman, Sarah Hampl, Erinn T Rhodes, Brooke Sweeney, Ihuoma Eneli, Joseph A Skelton

Registry-linked trialOpen access · greenAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Preventive medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04364282 (War of Attrition), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 93% 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.

NCT04364282 nacompletednot on this map

War of Attrition: Predicting Dropout From Pediatric Weight Management

TypeinterventionalSponsorWake Forest University Health SciencesRan2020 to 2025Enrolled1,216ConditionsPediatric Obesity, Attrition, Family Research, Weight LossArmsCare team informed, Control
3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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

6 authors at 5 institutions in 1 country.

Amy FleischmanDepartment of Pediatrics, Harvard Medical School, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, United States of America. Electronic address: amy.fleischman@childrens.harvard.edu.
Sarah HamplCenter for Children's Healthy Lifestyles & Nutrition, Children's Mercy-Kansas City; Department of Pediatrics, University of Missouri-Kansas City School of Medicine, Children's, 2401 Gillham Road, Kansas City, MO 64108, United States of America. Electronic address: shampl@cmh.edu.
Erinn T RhodesDepartment of Pediatrics, Harvard Medical School, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, United States of America. Electronic address: erinn.rhodes@childrens.harvard.edu.
Brooke SweeneyCenter for Children's Healthy Lifestyles & Nutrition, Children's Mercy-Kansas City; Department of Pediatrics, University of Missouri-Kansas City School of Medicine, Children's, 2401 Gillham Road, Kansas City, MO 64108, United States of America. Electronic address: brsweeney@cmh.edu.
Ihuoma EneliCenter for Healthy Weight and Nutrition, Nationwide Children's Hospital, Columbus, OH, United States of America; Department of Pediatrics, The Ohio State University, 700 Children's Dr, Columbus, OH 43205, United States of America. Electronic address: Ihuoma.Eneli@childrenscolorado.org.
Joseph A SkeltonDepartment of Pediatrics, Wake Forest School of Medicine, Medical Center, Blvd., Winston-Salem, NC 27157, United States of America. Electronic address: jskelton@wakehealth.edu.
Harvard University · USCenter for Children · USChildren's Mercy Hospital · USThe Ohio State University · USWake Forest University · US

Funding

PILOT STUDY--SUBSTRATE METABOLISM IN EXTREMELY LOW BIRTH WEIGHT INFANTSP30DK048520 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI Edward L Melanson · 1995 to 2026
$32.6M
War of Attrition: Predicting Dropout from Pediatric Weight ManagementR01NR017639 · NINR · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI SKELTON, JOSEPH ARNOLD · 2019 to 2023
$3.0M
NINR NIH HHS R01 NR017639
6 · The paper itself

Abstract

objectivesPediatric obesity remains a public health crisis in the United States, exacerbated by the COVID-19 pandemic. There are recommended guidelines for multidisciplinary care, but they remain challenging to implement, even in tertiary care weight management programs. The aim of this analysis is to describe the implementation of these recommendations among four pediatric weight management programs in the United States.

methodsThis report capitalizes on a convenience sample of programs participating in the Stay In Treatment (SIT) Study, a multicenter study to address attrition among pediatric weight management programs in tertiary care, academic institutions in diverse geographic locations. The programs were compared regarding structure, program offerings, and funding support.

resultsThe four programs were interdisciplinary, offered individual and group treatment options, and were family-based. A range of clinicians provided interventions with nutrition, physical activity, behavioral and psychosocial components. Anti-obesity pharmacotherapy and bariatric surgery were offered, when appropriate. None of the programs were self-sustaining; they required institutional and philanthropic support to provide recommended, comprehensive treatment.

conclusionsOngoing state and national advocacy are needed in the US to create consistent coverage for private and public insurance plans, so that high-risk children can have access to recommended treatment.

Indexed as

COVID-19Pediatric ObesityWeight Reduction ProgramsChildFemaleHumansMaleSARS-CoV-2United StatesGuidelinesHealth behaviorHealthy lifestylePediatric obesityPharmacotherapyWeight management

Identifiers

PMID38583602
PMCPMC11039354
OpenAlexW4393971112

What OpenQuestion holds

Textmetadata
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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.