Evidence map›Paper›PMID 39408330›Full record

Trial reportNutrients2024

A Randomized Controlled Trial Comparing Loss versus Gain Incentives to Improve Adherence to an Obesity Treatment Intervention in Adolescents.

Robert M Siegel, Christopher Kist, Shelley Kirk, Roohi Kharofa, Kristin Stackpole, Amanda Sammons, Linda Dynan, Meghan E McGrady, JangDong Seo, Elaine Urbina and 1 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Nutrients, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the 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
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

0 citing papers in PubMed.

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

11 authors.

Robert M SiegelThe Heart Institute, Cincinnati Children's Hospital, Cincinnati, OH 45229, USA.ORCID 0000-0002-0249-6041
Christopher KistThe Heart Institute, Cincinnati Children's Hospital, Cincinnati, OH 45229, USA.
Shelley KirkThe Heart Institute, Cincinnati Children's Hospital, Cincinnati, OH 45229, USA.
Roohi KharofaThe Heart Institute, Cincinnati Children's Hospital, Cincinnati, OH 45229, USA.
Kristin StackpoleThe Heart Institute, Cincinnati Children's Hospital, Cincinnati, OH 45229, USA.ORCID 0000-0003-0917-2354
Amanda SammonsThe Heart Institute, Cincinnati Children's Hospital, Cincinnati, OH 45229, USA.
Linda DynanJames M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital, Cincinnati, OH 45229, USA.ORCID 0000-0002-1218-2871
Meghan E McGradyDepartment of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, OH 45267, USA.ORCID 0000-0002-3150-3239
JangDong SeoThe Heart Institute, Cincinnati Children's Hospital, Cincinnati, OH 45229, USA.ORCID 0000-0002-2758-1568
Elaine UrbinaThe Heart Institute, Cincinnati Children's Hospital, Cincinnati, OH 45229, USA.ORCID 0000-0002-5640-6777
Nadine A KasparianThe Heart Institute, Cincinnati Children's Hospital, Cincinnati, OH 45229, USA.ORCID 0000-0001-8075-6817

Funding

Cincinnati Children's Place Outcomes Award no number
6 · The paper itself

Abstract

BACKGROUND/

objectivesAdherence to pediatric obesity treatment can be challenging. Monetary incentives improve adherence to lifestyle interventions, with incentives framed as loss often more effective than those framed as gain. The objectives of this study were to determine if monetary incentives in the form of gift cards would improve adherence to an obesity treatment intervention and whether framing the incentive as either loss or gain affected adherence.

methodsSixty adolescents with obesity (body mass index of ≥95th percentile for age and sex) were recruited from our pediatric obesity treatment program. They were randomized into one of three groups and given a monthly adherence score (AS) of up to 100 points. These points were based on completing a medical visit, reporting on diet intake, and measuring daily steps on a wearable tracker. The Gain Group (GG), N = 20, started each month with USD 0 in a virtual account and increased their monetary reward up to USD 100 depending on AS. The Loss Group (LG), N = 21, began each month with USD 100 in their virtual account, which decreased based on adherence. The Control Group (CG), N = 19, received USD 10 monthly.

resultsAdherence was highest in the GG, with 66.0 points, compared to the LG, with 54.9 points, and CG, with 40.6 points, with

conclusionsGain-framed incentives are superior to loss-framed ones in improving adherence to pediatric obesity treatments.

Indexed as

MotivationPatient CompliancePediatric ObesityAdolescentChildFemaleHumansMaleRewardWeight Lossbehavioral economicschildhoodcost-effectivenessgainincentiveslossobesity

Identifiers

PMID39408330
PMCPMC11478643

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Registered trials

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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.