Evidence map›Paper›PMID 42420235›Full record

Trial reportObesity (Silver Spring, Md.)2026

Weight-Related Self-Esteem, Group Behavioral Therapy, and Weight Loss.

Joshua Bernal, Jo A Wick, Byron Gajewski, K Allen Greiner, Jianzheng Wu, Christie Befort

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Obesity (Silver Spring, Md.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02456636 (Rural Engagement in Primary Care for Optimizing Weight Reduction), 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
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.

NCT02456636 nacompletednot on this map

Rural Engagement in Primary Care for Optimizing Weight Reduction (RE-POWER)

TypeinterventionalSponsorUniversity of Kansas Medical CenterRan2016 to 2019Enrolled1,432ConditionsObesityArmsFee-for-Service Model (FFS, In clinic individual visits), Patient Centered Medical Home (PCMH, In clinic group visits), Disease Management (DM, Phone group visits)
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

6 authors.

Joshua BernalDepartment of Biostatistics & Data Science, University of Kansas Medical Center, Kansas, Kansas, USA.
Jo A WickDepartment of Biostatistics & Data Science, University of Kansas Medical Center, Kansas, Kansas, USA.
Byron GajewskiDepartment of Biostatistics & Data Science, University of Kansas Medical Center, Kansas, Kansas, USA.ORCID https://orcid.org/0000-0001-7589-8247
K Allen GreinerDepartment of Family Medicine and Community Health, University of Kansas Medical Center, Kansas, Kansas, USA.
Jianzheng WuDepartment of Biostatistics & Data Science, University of Kansas Medical Center, Kansas, Kansas, USA.ORCID https://orcid.org/0009-0005-0927-8919
Christie BefortUniversity of Kansas Cancer Center, Kansas, Kansas, USA.

Funding

Transgenic & Gene-Targeting Shared ResourceP30CA168524 · NCI · UNIVERSITY OF KANSAS MEDICAL CENTER · PI ROY A. JENSEN · 2012 to 2026
$40.1M
SAFE Futures: Supporting American Indian and Alaska Native (AIAN) Maternal Health through Virtual Engagement and Community EmpowermentP20GM139733 · NIGMS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI Christie Befort · 2023 to 2026
$11.5M
Translating Obesity, Metabolic Dysfunction and Comorbid Disease StatesT32DK128770 · NIDDK · UNIVERSITY OF KANSAS MEDICAL CENTER · PI John P Thyfault, Douglas E Wright · 2022 to 2026
$806k
National Institute of General Medical Sciences of the National Institutes of Health P20GM139733NCI NIH HHS P30 CA168524NCI NIH HHS P30CA168524NIDDK NIH HHS 5T32DK128770NIDDK NIH HHS T32 DK128770NIGMS NIH HHS P20 GM139733Patient-Centered Outcomes Research Institute OTO-1402-09413
6 · The paper itself

Abstract

objectivePatients with obesity report experiencing weight stigma resulting in poor self-esteem. Based on baseline self-esteem, this paper explores recommendations for group versus individual visits for lifestyle components of comprehensive obesity treatment in primary care.

methodsParticipants (n = 1220) were rural primary care patients in a 24-month cluster randomized controlled trial that demonstrated superior weight loss with group versus individual treatment. Baseline weight-related self-esteem scores (0-100), as measured by the Impact of Weight on Quality of Life-Lite (IWQOL-L), were used. A Bayesian normal dynamic linear model with a changepoint parameter estimates the relationship between self-esteem and weight loss across group versus individual treatment at the 24-month primary endpoint.

resultsThe posterior probability that patients receiving group lost more weight than those receiving individual visits remained

conclusionsPeople may benefit more from group than individual intervention if their self-esteem is above an IWQOL-L score of 60 when starting an intensive behavioral intervention for weight loss.

trial registrationClinicalTrials.gov identifier: NCT02456636.

Indexed as

Behavior TherapyObesityPsychotherapy, GroupSelf ConceptWeight LossAdultFemaleHumansLife StyleMaleMiddle AgedPrimary Health CareQuality of LifeTreatment Outcome

Identifiers

PMID42420235
PMCPMC13353204

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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.