Evidence map›Paper›PMID 39512729›Full record

ArticleObesity science & practice2024

Results of a pilot sequential multiple assignment randomized trial using counseling to augment a digital weight loss program.

Caitlin E Martinez, Brooke T Nezami, Elizabeth Mayer-Davis, Erik A Willis, Amy A Gorin, Deborah F Tate

Registry-linked trialAbstract read
In one paragraph

Article in Obesity science & practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05929469 (PATH to Health), which is not on this 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.

NCT05929469 nacompletednot on this map

PATH to Health: An Exploration of Digital Behavioral Weight Loss Approaches

TypeinterventionalSponsorUniversity of North Carolina, Chapel HillRan2023 to 2024Enrolled99ConditionsOverweight, Obesity, Overweight and ObesityArmsApp, Fully Automated Kick-Off, Human-Enhanced Kick-Off, Check-In, Counseling
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. 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

6 authors.

Caitlin E MartinezDepartment of Nutrition Gillings School of Global Public Health University of North Carolina at Chapel Hill Chapel Hill North Carolina USA.ORCID https://orcid.org/0000-0002-5600-7549
Brooke T NezamiDepartment of Nutrition Gillings School of Global Public Health University of North Carolina at Chapel Hill Chapel Hill North Carolina USA.ORCID https://orcid.org/0000-0002-9426-7026
Elizabeth Mayer-DavisDepartment of Nutrition Gillings School of Global Public Health University of North Carolina at Chapel Hill Chapel Hill North Carolina USA.
Erik A WillisCenter for Health Promotion and Disease Prevention University of North Carolina at Chapel Hill Chapel Hill North Carolina USA.
Amy A GorinDepartment of Psychological Sciences University of Connecticut Storrs Connecticut USA.
Deborah F TateDepartment of Nutrition Gillings School of Global Public Health University of North Carolina at Chapel Hill Chapel Hill North Carolina USA.ORCID https://orcid.org/0000-0002-4915-5308

Funding

UNIV OF NORTH CAROLINA CLINICAL NUTRITION RESEARCH UNITP30DK056350 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SUSAN M. SMITH · 1999 to 2026
$31.6M
NIDDK NIH HHS P30 DK056350
6 · The paper itself

Abstract

Objective: Adaptive interventions may improve the potency and scalability of behavioral weight loss interventions, but the treatments-or treatment combinations-that should be offered are unknown. A two-stage pilot sequential multiple assignment randomized trial was used to test the timing and dose of human support added to a core digital weight loss program. Methods: In stage 1, 99 adults with overweight/obesity were randomized at baseline to a kick-off with or without additional human support. In stage 2, "early non-responders" who had not achieved a 2% weight loss were re-randomized after 4 weeks to either biweekly counseling (120 min over 8 weeks) or a one-time check-in (30 min) with a dietitian. "Early responders" continued with the mHealth program alone. Feasibility and acceptability were assessed against pre-specified criteria. Preliminary outcomes (weight loss, self-monitoring and behavioral goal adherence) were explored. Results: The study met all feasibility and acceptability criteria. The rate of early response was 52.5%. Mean (SE) 3-month percent weight losses were significantly greater in early responders (-6.63% (0.72)) than non-responders (-1.70% (0.43), Conclusions: Identifying early responders may help optimize weight loss interventions, but more research is needed on rescue treatments for early non-responders. Trial Registration: ClinicalTrial.gov, NCT05929469.

Indexed as

adaptivecounselingdigitalobesityoptimization

Identifiers

PMID39512729
PMCPMC11541063

What OpenQuestion holds

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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.