Evidence map›Paper›PMID 42498478›Full record

ArticleBMJ open2026

Evaluation of a group-based behavioural intervention (PROGROUP) versus usual care for weight management in adults with severe obesity: protocol for a randomised controlled trial with cost-consequence analysis and primary care implementation study.

Anton Barnett, Joanne Hosking, Mark Tarrant, Siobhan Creanor, Anne Spencer, Wendy Ingram, Jeanette Sanders, Dawn Swancutt, Jenny Lloyd, Rod Sheaff and 21 more

Abstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2026. 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

31 authors.

Anton BarnettFaculty of Health, University of Plymouth, Plymouth, UK.ORCID 0000-0001-7867-8469
Joanne HoskingFaculty of Health, University of Plymouth, Plymouth, UK.
Mark TarrantFaculty of Health, University of Plymouth, Plymouth, UK mark.tarrant-5@plymouth.ac.uk.ORCID 0000-0002-7194-1428
Siobhan CreanorFaculty of Health and Life Sciences, University of Exeter Medical School, Exeter, UK.
Anne SpencerFaculty of Health and Life Sciences, University of Exeter Medical School, Exeter, UK.ORCID 0000-0002-8163-3103
Wendy IngramFaculty of Health, University of Plymouth, Plymouth, UK.ORCID 0000-0003-0182-9462
Jeanette SandersFaculty of Health, University of Plymouth, Plymouth, UK.
Dawn SwancuttFaculty of Health, University of Plymouth, Plymouth, UK.ORCID 0000-0003-1477-9935
Jenny LloydFaculty of Health and Life Sciences, University of Exeter Medical School, Exeter, UK.ORCID 0000-0003-3211-5972
Rod SheaffFaculty of Health, University of Plymouth, Plymouth, UK.
Sarah DeanFaculty of Health and Life Sciences, University of Exeter Medical School, Exeter, UK.ORCID 0000-0002-3682-5149
Richard ByngFaculty of Health, University of Plymouth, Plymouth, UK.
Lily HawkinsOccupational Health and Wellbeing Service, West Glasgow Ambulatory Care Hospital, Glasgow, UK.
Laura HollandsFaculty of Health, University of Plymouth, Plymouth, UK.ORCID 0000-0002-6451-6255
Shokraneh MoghadamUniversity of Bristol, Bristol, UK.ORCID 0000-0001-7868-9598
Hanna AbrahamFaculty of Health, University of Plymouth, Plymouth, UK.
Paigan J AspinallFaculty of Health, University of Plymouth, Plymouth, UK.
Sarah BaldreyCumberland Centre, Damerel Close, Livewell Southwest, Plymouth, UK.
Liz Edwards-SmithFaculty of Health, University of Plymouth, Plymouth, UK.ORCID 0009-0008-0423-3262
Lucy EvansFaculty of Health and Life Sciences, University of Exeter Medical School, Exeter, UK.
Laura GillFaculty of Health, University of Plymouth, Plymouth, UK.
Hannah GottFaculty of Health, University of Plymouth, Plymouth, UK.
Sarah HindCumberland Centre, Damerel Close, Livewell Southwest, Plymouth, UK.
Mary O'kaneSt James's University Hospital, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
Emma O'shaughnessyFaculty of Health, University of Plymouth, Plymouth, UK.
Steve PerryIndependent PPI member, Plymouth, UK.
Weiming SunFaculty of Health and Life Sciences, University of Exeter Medical School, Exeter, UK.
Adrian TaylorFaculty of Health, University of Plymouth, Plymouth, UK.
John WildingDepartment of Cardiovascular and Metabolic Medicine, Clinical Sciences Centre, Aintree University Hospital, University of Liverpool, Liverpool, UK.
Lucy WilsonFaculty of Health, University of Plymouth, Plymouth, UK.
Jonathan PinkneyFaculty of Health, University of Plymouth, Plymouth, UK.

Funding

the National Institute for Health and Care Research (NIHR NIHR200167the National Institute for Health and Care Research (NIHR NIHR201038
6 · The paper itself

Abstract

introductionApproximately 15 million people in the UK live with obesity and at least 5 million of these are people with severe obesity (PWSO). Severe obesity significantly compromises health, well-being and quality of life and reduces life expectancy. These adverse outcomes are prevented or ameliorated by weight loss, for which sustained behavioural change is the cornerstone of treatment. Several studies suggest the potential of group-based intervention in Specialist Weight Management Services (SWMS), but PWSO remain underrepresented in research, and evidence on optimal design and outcomes is limited. The success of the PROGROUP feasibility randomised controlled trial (RCT) (ISRCTN22088800) informed the development of this study and additional adjustments have been made in response to the rollout of obesity management medication in the National Health Service (NHS). This study aims to assess the effectiveness and cost-effectiveness of PROGROUP in SWMS and primary care. METHODS AND ANALYSIS: The RCT will be conducted in SWMS, alongside an implementation study in primary care. The RCT will recruit cohorts of 30 participants to be randomised 1:1 within-cohort to PROGROUP (intervention) or usual care (control). The implementation arm will recruit cohorts of 15 to PROGROUP. The primary objectives for the study are to undertake a process evaluation and economic evaluation of PROGROUP in the RCT and to assess its implementation in primary care. Baseline data and outcome differences at 6 months will be analysed. These will include weight, other clinical measures and patient-reported outcomes, including social and life-satisfaction measures. ETHICS AND DISSEMINATION: This study is approved by an NHS Research Ethics Committee (REC reference: 23/WS/0101). Results will be reported in a manuscript that will be submitted to a peer-reviewed medical journal as open access. A lay summary of the findings will be published online, and participants and sites will be signposted to this. TRIAL REGISTRATION NUMBER: ISRCTN13721429.

Indexed as

Behavior TherapyObesity, MorbidWeight Reduction ProgramsAdultCost-Effectiveness AnalysisHumansPrimary Health CareQuality of LifeRandomized Controlled Trials as TopicUnited KingdomWeight LossBehaviorClinical TrialHEALTH ECONOMICSObesityPrimary Care

Identifiers

PMID42498478
PMCPMC13404495

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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.