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Comparison of an alternative schedule of extended care contacts to a self-directed control: a randomized trial of weight loss maintenance

Overview of attention for article published in International Journal of Behavioral Nutrition and Physical Activity, August 2017
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  • Good Attention Score compared to outputs of the same age (69th percentile)

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Title
Comparison of an alternative schedule of extended care contacts to a self-directed control: a randomized trial of weight loss maintenance
Published in
International Journal of Behavioral Nutrition and Physical Activity, August 2017
DOI 10.1186/s12966-017-0564-1
Pubmed ID
Authors

Gareth R. Dutton, Marissa A. Gowey, Fei Tan, Dali Zhou, Jamy Ard, Michael G. Perri, Cora E. Lewis

Abstract

Behavioral interventions for obesity produce clinically meaningful weight loss, but weight regain following treatment is common. Extended care programs attenuate weight regain and improve weight loss maintenance. However, less is known about the most effective ways to deliver extended care, including contact schedules. We compared the 12-month weight regain of an extended care program utilizing a non-conventional, clustered campaign treatment schedule and a self-directed program among individuals who previously achieved ≥5% weight reductions. Participants (N = 108; mean age = 51.6 years; mean weight = 92.6 kg; 52% African American; 95% female) who achieved ≥5% weight loss during an initial 16-week behavioral obesity treatment were randomized into a 2-arm, 12-month extended care trial. A clustered campaign condition included 12 group-based visits delivered in three, 4-week clusters. A self-directed condition included provision of the same printed intervention materials but no additional treatment visits. The study was conducted in a U.S. academic medical center from 2011 to 2015. Prior to randomization, participants lost an average of -7.55 ± 3.04 kg. Participants randomized to the 12-month clustered campaign program regained significantly less weight (0.35 ± 4.62 kg) than self-directed participants (2.40 ± 3.99 kg), which represented a significant between-group difference of 2.28 kg (p = 0.0154) after covariate adjustments. This corresponded to maintaining 87% and 64% of lost weight in the clustered campaign and self-directed conditions, respectively, which was a significant between-group difference of 29% maintenance of lost weight after covariate adjustments, p = 0.0396. In this initial test of a clustered campaign treatment schedule, this novel approach effectively promoted 12-month maintenance of lost weight. Future trials should directly compare the clustered campaigns with conventional (e.g., monthly) extended care schedules. Clinicaltrials.gov NCT02487121 . Registered 06/26/2015 (retrospectively registered).

X Demographics

X Demographics

The data shown below were collected from the profiles of 8 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 91 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 91 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 15 16%
Student > Bachelor 11 12%
Researcher 8 9%
Student > Ph. D. Student 8 9%
Student > Doctoral Student 6 7%
Other 10 11%
Unknown 33 36%
Readers by discipline Count As %
Medicine and Dentistry 20 22%
Nursing and Health Professions 14 15%
Psychology 10 11%
Agricultural and Biological Sciences 5 5%
Sports and Recreations 2 2%
Other 3 3%
Unknown 37 41%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 5. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 29 August 2017.
All research outputs
#6,030,445
of 22,997,544 outputs
Outputs from International Journal of Behavioral Nutrition and Physical Activity
#1,428
of 1,937 outputs
Outputs of similar age
#94,846
of 316,580 outputs
Outputs of similar age from International Journal of Behavioral Nutrition and Physical Activity
#41
of 47 outputs
Altmetric has tracked 22,997,544 research outputs across all sources so far. This one has received more attention than most of these and is in the 73rd percentile.
So far Altmetric has tracked 1,937 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 28.8. This one is in the 26th percentile – i.e., 26% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 316,580 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 69% of its contemporaries.
We're also able to compare this research output to 47 others from the same source and published within six weeks on either side of this one. This one is in the 12th percentile – i.e., 12% of its contemporaries scored the same or lower than it.