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dc.contributor.authorBirch, Jacken
dc.contributor.authorGriffin, Simonen
dc.contributor.authorKelly, Mikeen
dc.contributor.authorAhern, Amyen
dc.date.accessioned2020-11-10T00:30:59Z
dc.date.available2020-11-10T00:30:59Z
dc.date.issued2020-11-14en
dc.identifier.issn2044-6055
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/312669
dc.description.abstractIntroduction: It has been suggested that interventions focusing on individual behaviour change, such as behavioural weight management interventions, may exacerbate health inequalities. These intervention-generated inequalities may occur at different stages, including intervention uptake, adherence and effectiveness. We will synthesise evidence on how different measures of inequality moderate the uptake, adherence and effectiveness of behavioural weight management interventions in adults. Methods and analysis: We will update a previous systematic literature review from the United States Preventive Services Taskforce to identify trials of behavioural weight management interventions in adults aged 18 and over that were, or could feasibly be, conducted in or recruited from primary care. Medline, Cochrane database (CENTRAL) and PsycINFO will be searched. Only RCTs and cluster-RCTs will be included. Two investigators will independently screen articles for eligibility and conduct risk of bias assessment. We will curate publication families for eligible trials. The PROGRESS-Plus acronym (place of residence, race/ethnicity, occupation, gender, religion, education, socioeconomic status, social capital, plus other discriminating factors) will be used to consider a comprehensive range of health inequalities. Data on trial uptake, intervention adherence, weight change, and PROGRESS-Plus related-data will be extracted. Data will be synthesised narratively. We will present a Harvest plot for each PROGRESS-Plus criterion and whether each trial found a negative, positive or no health inequality gradient. We will also identify potential sources of unpublished original research data on these factors which can be synthesised through a future individual participant data meta-analysis. Ethics and dissemination: Ethical approval is not required as no primary data are being collected. The completed systematic review will be disseminated in a peer-reviewed journal, at conferences, and contribute to the lead author’s PhD thesis. Authors of trials included in the completed systematic review may be invited to collaborate on a future individual participant data meta-analysis.
dc.description.sponsorshipJMB, SJG and ALA are supported by the Medical Research Council (MRC) (Grant MC_UU_12015/4). The University of Cambridge has received salary support in respect of SJG from the National Health Service in the East of England through the Clinical Academic Reserve.
dc.format.mediumElectronicen
dc.languageengen
dc.publisherBMJ Journals
dc.rightsAll rights reserved
dc.rights.uri
dc.titleInequalities in the uptake of, adherence to and effectiveness of behavioural weight management interventions: systematic review protocol.en
dc.typeArticle
prism.issueIdentifier11en
prism.publicationDate2020en
prism.publicationNameBMJ openen
prism.startingPagee039518
prism.volume10en
dc.identifier.doi10.17863/CAM.59767
dcterms.dateAccepted2020-10-29en
rioxxterms.versionofrecord10.1136/bmjopen-2020-039518en
rioxxterms.versionAM
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserveden
rioxxterms.licenseref.startdate2020-11-14en
dc.contributor.orcidBirch, Jack [0000-0001-6292-1647]
dc.contributor.orcidGriffin, Simon [0000-0002-2157-4797]
dc.contributor.orcidKelly, Mike [0000-0002-2029-5841]
dc.contributor.orcidAhern, Amy [0000-0001-5069-4758]
dc.identifier.eissn2044-6055
rioxxterms.typeJournal Article/Reviewen
pubs.funder-project-idMRC (MC_UU_12015/4)
pubs.funder-project-idMRC (MC_UU_00006/6)
cam.orpheus.counter3*
rioxxterms.freetoread.startdate2023-11-09


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