Obesity

Secondary analysis of the Game of Stones trial for men with obesity: examining moderator effects and exploratory outcomes

Obesity (Silver Spring)Published Secondary analysis of the Game of Stones randomised trial

Authors' conclusion

The Game of Stones interventions were equally effective across various subgroups based on socioeconomic, health, or well-being status. Texts with financial incentives group participants showed better engagement for some intervention elements. The implementation of Game of Stones is unlikely to increase health inequalities. Future studies should focus on increasing engagement.

Study context

Population
Men with obesity
Participants
585 men
Comparison
Text messages with financial incentives, or text messages alone, vs waiting list control
Primary endpoint
Moderation of percentage weight change by 9 socioeconomic and 11 health factors
Follow-up
12 months
Methodological detailsthree-group
  • Three-group

Primary result

As reported in the abstract

Moderator effects on % weight change
  • No moderator effects were found by any factors for either comparison vs control

Further findings

Health behaviors (physical activity, sedentary behavior, smoking, alcohol)

No differences across groups for health behaviors

Engagement in weight-management strategies and confidence

Texts with incentives had higher engagement in 6 strategies (incl. weight goals, food changes, self-weighing) and higher confidence vs control

Original publication

Secondary analysis of the Game of Stones trial for men with obesity: examining moderator effects and exploratory outcomes. Obesity (Silver Spring). Published 9 July 2025. doi:10.1002/oby.24316

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