Evidence map›Paper›PMID 34672069›Full record

SynthesisObesity reviews : an official journal of the International Association for the Study of Obesity2022

Identifying effective characteristics of behavioral weight management interventions for people with serious mental illness: A systematic review with a qualitative comparative analysis.

Charlotte Lee, Carmen Piernas, Cristina Stewart, Moscho Michalopoulou, Anisa Hajzadeh, Rhiannon Edwards, Paul Aveyard, Felicity Waite

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Obesity reviews : an official journal of the International Association for the Study of Obesity, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 4 pooled it
2.0field-weighted citation impact, top 14% of its field
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

17 citing papers in PubMed, 4 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. The Australian and New Zealand journal of psychiatry · 2026
    Guideline
  3. EPA guidance on lifestyle interventions for adults with severe mental illness: A meta-review of the evidence.European psychiatry : the journal of the Association of European Psychiatrists · 2024
    Pooled it
  4. Pooled it
  5. The Influence of Relationships Within Behavioral Weight Management Interventions: An Overview.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
    Review
  6. Review
  7. Non-pharmacologicaL InterVEntions for Antipsychotic-Induced Weight Gain (RESOLVE) in People Living With Severe Mental Illness: A Realist Synthesis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. The psychological journey of weight gain in psychosis.Psychology and psychotherapy · 2022
    Article
  17. 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

8 authors at 2 institutions in 1 country.

Charlotte LeeNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, Oxfordshire, UK.ORCID 0000-0001-8252-9538
Carmen PiernasNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, Oxfordshire, UK.ORCID 0000-0002-7536-922X
Cristina StewartNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, Oxfordshire, UK.ORCID 0000-0002-3060-5874
Moscho MichalopoulouNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, Oxfordshire, UK.ORCID 0000-0002-6063-3307
Anisa HajzadehNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, Oxfordshire, UK.
Rhiannon EdwardsNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, Oxfordshire, UK.
Paul AveyardNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, Oxfordshire, UK.ORCID 0000-0002-1802-4217
Felicity WaiteDepartment of Psychiatry, University of Oxford, Warneford Hospital, Oxford, Oxfordshire, UK.ORCID 0000-0002-2749-1386
University of Oxford · GBOxford Health NHS Foundation Trust · GB

Funding

Wellcome TrustWellcome Trust, Our Planet Our Health (Livestock, Environment, and People) 102176/B/13/ZWellcome Trust, Our Planet Our Health (Livestock, Environment, and People) 205212/Z/16/Z
6 · The paper itself

Abstract

People with serious mental illness (SMI) have identified barriers to engaging in behavioral weight management interventions (BWMIs). We assessed whether BWMIs that addressed these barriers were more effective. First, we systematically reviewed qualitative literature and used a thematic analysis to identify the characteristics of BWMIs that promote engagement for adults with SMI. Second, we systematically reviewed randomized controlled trials (RCTs) of BWMIs in adults with SMI. Data on the characteristics that promoted engagement and weight outcomes were extracted. We then used a crisp-set qualitative comparative analysis (CsQCA) to identify which characteristics were associated with weight loss. For the qualitative review, 20 studies in 515 people with SMI were analyzed and nine characteristics were reported to promote engagement in BWMIs. For the systematic review, 34 RCTs testing 36 interventions in 4305 participants were included. The active interventions resulted in more weight loss (mean = -4.37 to +1 kg at 6 weeks to 18 months follow-up) compared with controls (-1.64 to +3.08 kg). The CsQCA showed BWMIs that offered regular contact, tools to support enactment, and tailored materials were associated with effectiveness. As these are all supplementary strategies, it may be possible to augment BWMIs available for the general population to engage people with SMI.

Indexed as

Mental DisordersNutrition TherapyAdultBehavior TherapyHumansbipolarschizophreniatreatmentweight

Identifiers

PMID34672069
PMCPMC8952200
OpenAlexW3206332098

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 Socratic graph.