Evidence map›Paper›PMID 38948155›Full record

ArticleAmerican journal of health behavior2024

Characterization of early non-responders within behavioral weight loss treatment.

Jessica L Unick, Christine A Pellegrini, Shira I Dunsiger, Kathryn E Demos, J Graham Thomas, Dale S Bond, Jennifer Webster, Rena R Wing

Abstract read
In one paragraph

Article in American journal of health behavior, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. 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
    Article
  2. Observational
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

8 authors.

Jessica L UnickWarren Alpert Medical School at Brown University and The Miriam Hospital's Weight Control and Diabetes Research Center, Providence, RI, United States.
Christine A PellegriniDepartment of Exercise Science, Arnold School of Public Health, University of South Carolina, Columbia SC, United States.
Shira I DunsigerDepartment of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, United States.
Kathryn E DemosWarren Alpert Medical School at Brown University and The Miriam Hospital's Weight Control and Diabetes Research Center, Providence, RI, United States.
J Graham ThomasWarren Alpert Medical School at Brown University and The Miriam Hospital's Weight Control and Diabetes Research Center, Providence, RI, United States.
Dale S BondHartford Hospital, Hartford, CT, United States.
Jennifer WebsterThe Miriam Hospital's Weight Control and Diabetes Research Center, Providence, RI.
Rena R WingWarren Alpert Medical School at Brown University and The Miriam Hospital's Weight Control and Diabetes Research Center, Providence, RI, United States.

Funding

Phone Coaching as a Rescue Strategy for Early Non-Responders Enrolled in an Internet-Delivered Weight Loss ProgramR01DK117843 · NIDDK · MIRIAM HOSPITAL · PI UNICK, JESSICA L · 2018 to 2022
$2.3M
NIDDK NIH HHS R01 DK117843
6 · The paper itself

Abstract

Objective: Given that low early (4 weeks) weight loss (WL) predicts longer-term WL, the purpose of this study was to identify factors associated with poor early WL. Methods: 438 adults with overweight/obesity participating in an Internet-delivered behavioral WL program provided weights at baseline and 4 weeks. Participants were stratified by percent WL at 4 weeks: LOW: <2% WL, MEDIUM: 2 to <4% WL, HIGH: ≥4% WL and groups were compared on baseline variables (demographics, physical activity, and psychosocial measures) and 4-week intervention adherence. Results: 37.4%, 40.9%, and 21.7% of participants had LOW, MEDIUM, and HIGH early WL respectively. LOW was more likely to be female compared to HIGH and less likely to be non-Hispanic White compared to MEDIUM and HIGH (p's<0.05). After controlling for demographic differences, LOW had lower baseline physical activity compared to HIGH and watched fewer video lessons, self-monitored calorie intake and weight on fewer days, and were less likely to achieve the exercise goal compared to MEDIUM and HIGH (p's<0.05). Conclusion: Findings can inform future adaptive interventions which tailor treatment based upon early WL to improve WL outcomes for more individuals.

Indexed as

adaptive interventionbehavioral weight lossearly non-responderobesityStepped care

Identifiers

PMID38948155
PMCPMC11213563

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.