Evidence map›Paper›PMID 39313341›Full record

Trial reportAnnals of family medicine

A Cluster-Randomized Study of Technology-Assisted Health Coaching for Weight Management in Primary Care.

Melanie R Jay, Sandra Wittleder, Sarvenaz Vandyousefi, Nicholas Illenberger, Andrew Nicholson, Victoria Sweat, Paul Meissner, Gina Angelotti, Andrea Ruan, Laura Wong and 6 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Annals of family medicine. 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. Trial
  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

16 authors.

Melanie R JayDepartment of Medicine, New York University Grossman School of Medicine, New York, New York melanie.jay@nyulangone.org.
Sandra WittlederDepartment of Medicine, New York University Grossman School of Medicine, New York, New York.
Sarvenaz VandyousefiDepartment of Medicine, New York University Grossman School of Medicine, New York, New York.
Nicholas IllenbergerDepartment of Population Health, New York University Grossman School of Medicine, New York, New York.
Andrew NicholsonDepartment of Population Health, New York University Grossman School of Medicine, New York, New York.
Victoria SweatDepartment of Medicine, New York University Grossman School of Medicine, New York, New York.
Paul MeissnerDepartment of Family and Social Medicine, Albert Einstein College of Medicine, Bronx, New York.
Gina AngelottiDepartment of Medicine, New York University Grossman School of Medicine, New York, New York.
Andrea RuanDepartment of Medicine, New York University Grossman School of Medicine, New York, New York.
Laura WongDepartment of Medicine, New York University Grossman School of Medicine, New York, New York.
Adrian D AguilarDepartment of Medicine, New York University Grossman School of Medicine, New York, New York.
Stephanie L OrstadDepartment of Medicine, New York University Grossman School of Medicine, New York, New York.
Scott ShermanDepartment of Medicine, New York University Grossman School of Medicine, New York, New York.
Evelyn ArmijosDepartment of Medicine, New York University Grossman School of Medicine, New York, New York.
Hayley BelliDepartment of Medicine, New York University Grossman School of Medicine, New York, New York.
Judith Wylie-RosettDepartment of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, New York.

Funding

Project-005UL1TR001445 · NCATS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI BREDELLA, MIRIAM ANTOINETTE, HOCHMAN, JUDITH S · 2015 to 2025
$103.5M
New York Regional Center for Diabetes Translation Research - Translational Intervention Methodology CoreP30DK111022 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI JEFFREY GONZALEZ · 2016 to 2026
$7.8M
Testing the Efficacy of a Technology-Assisted Weight Management Intervention within Patient-Centered Medical Homes: The GEM (Goals for Eating and Moving) StudyR01DK111928 · NIDDK · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI JAY, MELANIE · 2016 to 2020
$3.6M
NCATS NIH HHS UL1 TR001445NIDDK NIH HHS P30 DK111022NIDDK NIH HHS R01 DK111928
6 · The paper itself

Abstract

purposeWe undertook a trial to test the efficacy of a technology-assisted health coaching intervention for weight management, called Goals for Eating and Moving (GEM), within primary care.

methodsThis cluster-randomized controlled trial enrolled 19 primary care teams with 63 clinicians; 9 teams were randomized to GEM and 10 to enhanced usual care (EUC). The GEM intervention included 1 in-person and up to 12 telephone-delivered coaching sessions. Coaches supported goal setting and engagement with weight management programs, facilitated by a software tool. Patients in the EUC arm received educational handouts. We enrolled patients who spoke English or Spanish, were aged 18 to 69 years, and either were overweight (body mass index 25-29 kg/m

resultsWe enrolled 489 patients (220 in the GEM arm, 269 in the EUC arm). Their mean (SD) age was 49.8 (12.1) years; 44% were male, 41% Hispanic, and 44% non-Hispanic Black. At 12 months, the mean adjusted weight change (standard error) was -1.4 (0.8) kg in the GEM arm vs -0.8 (1.6) kg in the EUC arm, a nonsignificant difference (

conclusionsThe GEM intervention did not achieve clinically important weight loss in primary care. Although this was a negative study possibly affected by health system resource limitations and disruptions, its findings can guide the development of similar interventions. Future studies could explore the efficacy of higher-intensity interventions and interventions that include medication and bariatric surgery options, in addition to lifestyle modification.

Indexed as

MentoringObesityPrimary Health CareWeight Reduction ProgramsAdolescentAdultAgedBody Mass IndexExerciseFemaleHumansMaleMiddle AgedOverweightWeight Lossbarrierscomorbiditydietethnic and racial minoritiesgoal settinghealth coachinghealth informaticslifestylemotivationobesityoverweightphysical activitypractice-based researchprimary careself-managementveteransvulnerable populationsweight loss

Identifiers

PMID39313341
PMCPMC11419716

What OpenQuestion holds

Textmetadata
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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.