CHAMGAP

Multicomponent digital weight management × Mean weight loss at 12 months

Select a review item to see its details.
Required evidence, verification status and materials actually read
ItemAVerification statusBReading scopeCReview itemDCurrent findingsEWhy unverifiedFRequired materials and conditionsGFurther research
1 Partly verified Full text not readStored summary read N01 · Evidence conditionSelected mean-weight claim and original gradeRequired
The selected subclaim is “Mean weight loss at 12 months,” with grade C and a note of a −3.8 kg between-group difference. Subclaim score/status/axes are absent; the parent C56 is not used to fill the subclaim score.
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. Subclaim score, status and axes are absent. Mean results and reaching the 5% threshold are not combined as one endpoint. Existing content review remains incomplete.
Distinction between original wording/grade, parent score/axes and responder outcomes
A proposed follow-up study specifying mean change and responder endpoints separately; no new investigation, calculation or trial was performed.
2 Partly verified Full text not readStored summary read N02 · Evidence conditionPopulation, obesity and comorbiditiesRequired
The population comprised 351 people aged 21–65 at US community health centers, with obesity and at least one of hypertension, diabetes or hyperlipidemia. Results are not extended to other age or health groups.
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. Obesity/condition definitions, detailed recruitment/exclusions, baseline weight, distribution of conditions and baseline balance remain unverified. Existing content review remains incomplete.
Actual eligibility, recruitment, baseline weight/conditions and applicable population
Proposed follow-up comparative research specifying population conditions; no new investigation, calculation or trial was performed in this production.
3 Partly verified Full text not readStored summary read N03 · Evidence conditionAttribution within multicomponent TrackRequired
The intervention was Track combining an app, a cellular smart scale, 18 dietitian calls and clinician counseling. Which component produced the mean effect cannot be separated.
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. Independent component effects, designs separating components and their relative contributions remain unverified. Existing content review remains incomplete.
Distinction between the bundled program and effects of individual components
A proposed follow-up comparison distinguishing attribution to a bundle, single components and combinations; no new investigation, calculation or trial was performed.
4 Partly verified Full text not readStored summary read N04 · Evidence conditionApp and algorithm rolesRequired
The original record states that app-based goal self-monitoring and algorithm-tailored feedback were included in the bundle. This is not converted into an effect of a stand-alone app or all digital products.
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. App version/algorithm, delivery/access, usage, changes and individual effects remain unverified. Existing content review remains incomplete.
Actual study identity of app-based goal self-monitoring and tailored feedback
A proposed follow-up study distinguishing the app component from counseling and other elements; no new investigation, calculation or trial was performed.
5 Partly verified Full text not readStored summary read N05 · Evidence conditionSmart-scale self-monitoringRequired
Daily cellular smart-scale weighing was a self-monitoring element of the research intervention. The primary outcome used separate standardized weight measurement at research visits. No new measurement or management instructions are created.
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. Device/connectivity, actual use, missing records and correspondence between original data and visit measurements remain unverified. Existing content review remains incomplete.
Distinction between the connected scale’s intervention role and outcome measurement
A proposed study reporting intervention self-monitoring separately from endpoint measurement; no new investigation, calculation or trial was performed.
6 Partly verified Full text not readStored summary read N06 · Evidence condition18 dietitian callsRequired
18 dietitian calls were included in the bundled intervention. The planned number is not converted into actual completion by every participant or an effect of counseling alone.
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. Delivery/use of each call, counseling intensity, missed calls, providers and other contacts remain unverified. Existing content review remains incomplete.
Distinction between counseling plans, actual delivery/use and other contacts
A proposed study distinguishing counseling delivery, actual use and component attribution; no new investigation, calculation or trial was performed.
7 Partly verified Full text not readStored summary read N07 · Evidence conditionClinician counseling and record integrationRequired
Clinician counseling based on electronic-record recommendations was also included. The original interpretation of technology as an adjunct to counseling is retained; no guidance replacing clinical care or treatment is created.
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. Actual counseling/contact, decisions, concurrent condition/medication management and differences between groups remain unverified. Existing content review remains incomplete.
Research scope of electronic-record recommendations, clinician counseling and concurrent management
A proposed study distinguishing attribution to clinical integration and other elements; no new investigation, calculation or trial was performed.
8 Partly verified Full text not readStored summary read N08 · Evidence conditionUsual-care comparison conditionsRequired
The original allocation of 176 intervention participants versus 175 receiving usual care is preserved. Usual care is not changed into a group with no management or contact.
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. Usual-care content, additional control-group support/exposure, crossover use and contact differences remain unverified. Existing content review remains incomplete.
Actual usual-care management/contact and differences between intervention and control
A proposed follow-up trial clearly disclosing actual comparison conditions; no new investigation, calculation or trial was performed.
9 Partly verified Full text not readStored summary read N09 · Evidence condition12-month time point and actual exposureRequired
The primary endpoint was weight change at 12 months. Planned intervention components are not equated with actual use, and no effects of continuation or discontinuation beyond 12 months are generated.
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. Visit windows, actual exposure duration for each component, follow-up beyond 12 months and changes in use remain unverified. Existing content review remains incomplete.
Distinction between final 12-month analysis and intervention duration/use
A proposed follow-up study distinguishing the final time point from continuation/discontinuation follow-up; no new investigation, calculation or trial was performed.
10 Partly verified Full text not readStored summary read N10 · Evidence conditionRandom sequence and allocation concealmentRequired
The manuscript records that a statistician generated the random sequence and concealed it from study staff until assignment. This is a historical procedure narrative in the preserved summary, not current original-source review or certification.
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. Allocation records, implementation, exceptions and correspondence with the original protocol/registration remain unread. Existing content review remains incomplete.
Original allocation-procedure narrative and scope of actual source verification
Proposed follow-up trial disclosing allocation procedures; no new investigation, calculation or trial was performed in this production.
11 Partly verified Full text not readStored summary read N11 · Evidence conditionMasked outcome assessors and unmasked participantsRequired
The manuscript records that outcome-measurement staff were masked to allocation, while participants could not be masked because of the intervention. The historical B0 narrative is not used as current verification of all masking.
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. Original data on assessor/analyst roles, maintenance/breaking of masking and expectation effects remain unread. Existing content review remains incomplete.
Distinction between assessor masking and intervention characteristics
A proposed study distinguishing assessor masking from participant expectation effects; no new investigation, calculation or trial was performed.
12 Partly verified Full text not readStored summary read N12 · Evidence conditionStandardized measurements and weight-change definitionRequired
The primary endpoint was standardized measured weight change at research visits at 12 months. App entries, self-reports and daily smart-scale logs are not used as the same endpoint.
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. Details of baseline/visit measurements, equipment/calibration, conditions, measurement windows and handling of repeats remain unverified. Existing content review remains incomplete.
Visit measurements, change from baseline, units and measurement windows
A proposed study reporting measured outcomes separately from remote self-monitoring; no new investigation, calculation or trial was performed.
13 Partly verified Full text not readStored summary read N13 · Evidence conditionGroup-specific mean changes and CIsRequired
Original values are preserved: intervention −4.0 kg (95% CI −4.9 to −3.0) and usual care −0.1 kg (−1.0 to 0.8). Rounded group values are not newly subtracted or converted into final absolute weights.
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. Group-specific baseline/final absolute values, model/adjustment details for each estimate and individual distributions remain unverified. Existing content review remains incomplete.
Separate estimands for changes within each group and the between-group effect
A proposed study reporting group changes and the between-group estimate distinctly together; no new investigation, calculation or trial was performed.
14 Partly verified Full text not readStored summary read N14 · Evidence conditionBetween-group difference of −3.8 kgRequired
The between-group difference was −3.8 kg (95% CI −5.0 to −2.5), P<0.001. The original estimate is preserved; no new difference/CI, standardized effect or relative weight-loss rate is calculated.
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. Exact model terms, adjustment/baseline correspondence and data for reproducing estimates remain unread. Existing content review remains incomplete.
Exact original 12-month between-group difference, CI and P value
A proposed follow-up study disclosing the primary effect estimate and uncertainty; no new investigation, calculation or trial was performed.
15 Partly verified Full text not readStored summary read N15 · Evidence conditionMean, individual response and the 5% thresholdRequired
At least 5% weight loss, 40% versus 17% with P<0.001, was a separate secondary responder result. Threshold attainment or event counts are not calculated from mean values of −4.0/−0.1 or −3.8 kg.
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. Individual baseline/change distributions, threshold calculation, responder denominators/event counts and CIs remain unverified. Existing content review remains incomplete.
Distinction between continuous mean change and the secondary responder endpoint
A proposed follow-up trial distinguishing mean and prespecified responder outcomes; no new investigation, calculation or trial was performed.
16 Partly verified Full text not readStored summary read N16 · Evidence condition351 participants, 176/175 and denominatorsRequired
351 randomized participants (176/175) are preserved as recorded. Enrollment is not used to imply measurement of every participant at 12 months or the observed denominator for every analysis.
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. 12-month measurement, model-analysis, group-specific visit/response denominators and analysis-inclusion criteria remain unverified. Existing content review remains incomplete.
Randomized population and endpoint-specific analysis/measurement denominators
A proposed follow-up study distinguishing randomized, observed and estimated denominators; no new investigation, calculation or trial was performed.
17 Partly verified Full text not readStored summary read N17 · Evidence conditionITT principle and estimand populationRequired
The manuscript records following the ITT principle. This historical narrative is not used to establish analysis-population details, completeness of all observations or current content-review verification.
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. Primary-effect inclusion criteria, estimand-population definitions, analysis exceptions and original PPS/sensitivity results remain unread. Existing content review remains incomplete.
ITT narrative and outcome-specific analysis conditions
A proposed study disclosing ITT separately from other analyses; no new investigation, calculation or trial was performed.
18 Partly verified Full text not readStored summary read N18 · Evidence conditionMissing data and maximum-likelihood modelRequired
The manuscript records that missing observations were estimated by maximum likelihood in the prespecified model. This is not changed into measurement of all participants or absence of missing-data effects.
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. Group-specific reasons/timing of missingness/attrition, model terms/assumptions, sensitivity to non-random missingness and actual numbers remain unverified. Existing content review remains incomplete.
Distinction between missing-data narratives, missingness/attrition and model assumptions
A proposed study distinguishing observations from estimates when reporting missing-data effects; no new investigation, calculation or trial was performed.
19 Partly verified Full text not readStored summary read N19 · Evidence conditionRegistration and prespecified primary endpointRequired
Original records of NCT01827800, posting on 2013-04-10 and allocation starting on 2013-06-18 are preserved. The narrative that these matched the primary 12-month weight-change endpoint is historical; full registration/plans remain unread in this work.
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. Registration changes, protocol/SAP, the complete pre-recruitment analysis conditions and original-source correspondence remain unread. Existing content review remains incomplete.
Preserved scope of the NCT identifier, advance dates and endpoint plan
A proposed study openly linking advance plans and actual primary analysis; no new investigation, calculation or trial was performed.
20 Partly verified Full text not readStored summary read N20 · Evidence conditionMultiple outcomes, time points and hierarchyRequired
The manuscript’s primary mean weight endpoint at 12 months is distinguished from the secondary 5% responder result. Reductions in blood pressure, glucose or disease events, or primary effects at other time points, are not generated.
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. The complete outcomes/time points, multiplicity adjustment, analysis/reporting changes and secondary-result tables remain unverified. Existing content review remains incomplete.
Advance hierarchy of the primary mean endpoint, responders and other outcomes
A proposed study distinguishing the primary endpoint from secondary results; no new investigation, calculation or trial was performed.
21 Unverified Full text not readStored summary read N21 · Evidence conditionConcurrent management, medication and lifestyleRequired
This was a bundled study involving comorbidities and clinician counseling. It does not establish that concurrent management, medication or lifestyle beyond the app, scale and counseling were equal or had no effect.
Information currently needed is unverified in the preserved summary. Details of concurrent management/medication changes, diet/activity, group-specific exposure and handling of differences remain unverified. Existing content review remains incomplete.
Group-specific effects of conditions/medication, diet/activity and clinical contact
A proposed follow-up study distinguishing concurrent management from intervention components; no new investigation, calculation or trial was performed.
22 Partly verified Full text not readStored summary read N22 · Evidence conditionWeight, clinical events and importanceRequired
The original verdict distinguishes weight from actual events such as disease onset or death. The manuscript’s statement that no prespecified success threshold or externally validated minimum clinically important difference was declared is preserved.
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. Declared clinical-importance/success criteria, disease events and long-term functional effects remain unverified. Existing content review remains incomplete.
Distinction between weight change, clinical events and success/importance criteria
A proposed study distinguishing weight from clinical outcomes important to patients; no new investigation, calculation or trial was performed.
23 Partly verified Full text not readStored summary read N23 · Evidence conditionNIH public fundingRequired
NIH NIDDK support through R01DK093829 is preserved as recorded. Public funding is not converted into absence of all support/author relationships or new independence certification.
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. Funder roles, agreements, data/publication decisions and complete original support statements remain unread. Existing content review remains incomplete.
Distinction between actual funder/grant and other support categories
A proposed follow-up trial disclosing support roles; no new investigation, calculation or trial was performed.
24 Partly verified Full text not readStored summary read N24 · Evidence conditionCommercial, scale, analysis/writing/publication supportRequired
The manuscript states that the pivotal paper did not report commercial sponsorship, donated scales, outsourced analysis, medical writing or publication-fee support. Non-reporting is not judged as actual absence.
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. Each support category, actual agreements, complete originals and research roles remain unread. Existing content review remains incomplete.
Scope of category-specific non-reporting in the pivotal paper
A proposed study disclosing support categories separately; no new investigation, calculation or trial was performed.
25 Partly verified Full text not readStored summary read N25 · Evidence conditionLater author relationships and historical attributionRequired
The manuscript records a later paper disclosing Gary Bennett’s WW scientific-adviser role and equity in Coeus Health. A later disclosure after the pivotal trial is not applied retrospectively as confirmation of funding or roles during that trial.
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. Specific later bibliography/disclosure dates, contemporaneous agreements, relationships during the original trial and complete COI remain unlinked/unread. Existing content review remains incomplete.
Timing, individuals and relation of later disclosures to the original trial
A proposed study reporting support and author relationships separately by period; no new investigation, calculation or trial was performed.
26 Partly verified Full text not readStored summary read N26 · Evidence conditionOther low-intensity null trials and applicability differencesRequired
Null trials of app-only or low-intensity technology support are mentioned, but the original explanation treats them as generalization limits rather than direct refutations of Track because composition and intensity differ. Unlinked reports are not created as new trials.
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. Specific bibliography, population/intervention/denominators, endpoints and results of the other trials are not linked. Existing content review remains incomplete.
Distinction between references to null programs and direct Track comparisons
A proposed follow-up study matching composition and intensity for comparison; no new investigation, calculation or trial was performed.
27 Partly verified Full text not readStored summary read N27 · Evidence conditionSame report, sibling sheets and independent replicationRequired
The mean and 5% sheets share the same Bennett2018 Track report of 351 randomized participants. Groups, time points, app/counseling components, bibliography/registration and sibling sheets are not added as new independent trials or participants.
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. Independent reproduction with the same composition/endpoint and unique trial/participant totals are not established. Existing content review remains incomplete.
Report-to-trial-to-group/time-point/denominator relationships
A proposed independent follow-up comparison of the same bundle/endpoint; no new investigation, calculation or trial was performed.
28 Partly verified Full text not readStored summary read N28 · Evidence conditionPersistence and generalization across products/populationsRequired
Results are limited to the population and duration of the Track bundle including counseling. They are not extended to all apps/commercial products, other populations, persistence beyond 12 months or disease-treatment effects.
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. Long-term/discontinuation follow-up, other populations/compositions and direct single-component comparisons remain unverified. Existing content review remains incomplete.
12-month bundle results versus later effects or other programs
A proposed follow-up study distinguishing applicability by bundle, population and duration; no new investigation, calculation or trial was performed.
29 Partly verified Full text not readStored summary read N29 · Harm-information gaps supplementing the efficacy tableOriginal safety record and reporting gapsSupplementary
Parent safety is unknown, and the manuscript states that the pivotal paper did not systematically present adverse events as a prespecified safety endpoint. Mean weight loss is not used as absence of harm or safety of disease management.
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. Adverse-event collection/adjudication, group-specific frequencies/denominators, discontinuation and long-term/vulnerable-population harms remain unverified. Existing content review remains incomplete.
Prespecification, collection and group-specific denominators/follow-up for adverse events
A proposed study specifying harm collection and population-specific follow-up; no new investigation, calculation or trial was performed.
30 Partly verified Full text not readStored summary read N30 · Evidence conditionParent/subclaim, Korean/English, dates and historyRequired
Parent C56, B/S/R1/I2/E+/B0, unrecorded precision, three false flags, empty override reasons and subclaim grade C/note are preserved. Korean/English text, 2026-08-26, empty corrections/deliberation and historical cross-checking are not current review or a subclaim score.
Only relevant preserved-summary information is recorded; detailed originals remain unread and existing content review incomplete. Missing subclaim score/status/axes are not filled with parent values. No new efficacy/method certification. Existing content review remains incomplete.
Separation of original values/axes from corrections and historical verification narratives
A proposed study distinguishing original values/history from the applicability of later updates; no new investigation, calculation or trial was performed.
31 Partly verified Full text not readStored summary read N31 · Evidence conditionActual summary reading and external linksRequired
The full preserved JSON summary and bibliography were used for production, and links are retained. Papers, registration, protocol, SAP and original later disclosures/support materials remain unread with no access attempt; links were not tested.
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. External-source contents, exact denominators/models and actual accessibility remain unverified. Existing content review remains incomplete.
Reading the preserved JSON versus access to external originals, registration, plans and COI
A proposed follow-up study updating acquisition, timing and scope separately; no new investigation, calculation or trial was performed.
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31 itemsWhat the statuses mean

Assessment scope

Stored-material review date
Not recorded
Original evidence cut-off
2026-08-26
Scope actually checked
Existing review summaries and stored records of methodological application. Full papers, supplements, registrations, plans and original data were not read.
What the dates mean
This is the date the stored materials were checked, not the date of a new search of the clinical literature.
Population
351 adults aged 21–65 with obesity at US community health centers, with at least one of hypertension, diabetes or hyperlipidemia. Original randomized denominators: 176 intervention/175 usual care. Detailed eligibility, baseline weight/conditions, visit-specific observations/analyses and attrition/missingness remain unverified.
Ingredient, formulation and route
Multicomponent Track: app-based goal self-monitoring, algorithm-tailored feedback, daily cellular smart-scale weighing, 18 dietitian calls and clinician counseling based on electronic-record recommendations. Stand-alone app/scale/counseling effects cannot be separated. Only the research composition is preserved; no implementation instructions or recommendations are created.
Dose
Only original planned elements such as 18 counseling calls and daily self-monitoring, and the 12-month evaluation, are preserved. Actual component-specific delivery/use, cumulative contacts, adherence and discontinuation remain unverified; completion by all participants is not assumed.
Comparator
Parallel comparison with usual care. Actual control management, contact/support, use of other programs, concurrent medication/condition/lifestyle management and crossover use remain unverified. Usual care is not converted into no intervention or contact.
Measured outcome
Standardized measured mean weight change at research visits at 12 months. Intervention −4.0 kg (95% CI −4.9 to −3.0), usual care −0.1 kg (−1.0 to 0.8) and between-group difference −3.8 kg (−5.0 to −2.5), P<0.001, are preserved as separate original estimands. At least 5% weight loss, 40% versus 17% with P<0.001, is a secondary proportion; proportions or event counts are not calculated from means.
Duration
Study context for 12-month weight/responder outcomes. Visit windows, changes by time point, continuation/discontinuation beyond 12 months and long-term clinical/harm follow-up remain unverified.
Questions outside this scope
Newly subtracting group-specific −4.0/−0.1 kg to recalculate the original between-group difference of −3.8 kg and CI; Calculating 5% attainment rates, responder events/denominators or individual outcomes from continuous mean change; Applying 176/175 to 40%/17% to calculate event counts or new differences/RR/OR/NNT/CIs; Automatically substituting daily smart-scale/app entries for standardized visit measurements or actual adjudication values for secondary proportions; Repurposing general ITT/prespecified maximum-likelihood narratives as complete verification of responder missingness/denominator rules; Upgrading the secondary 5% endpoint into a primary endpoint, prespecified success threshold, validated minimum clinically important difference or reductions in blood pressure/glucose/disease events; Repurposing the app/smart-scale/counseling bundle result as effects of a stand-alone app, individual components or all products/populations; Using 351 participants, 176/175, groups, time points, components, bibliography/registration or sibling sheets as new independent trial/participant totals; Judging non-reporting of pivotal-trial support as actual absence, or retrospectively confirming later WW/Coeus disclosures as original-trial relationships; Creating unlinked low-intensity null trials or later disclosures as new reports, direct refutations or independent replications; Inheriting original parent values, axes and historical verification as a subclaim score or current content review/registration/original-source reading; New calculations, invented quantities, effects/CIs, grades, independence certification, app/product recommendations or weight/diet/exercise/weight-loss/treatment-replacement instructions

Evidence and sources

The links below lead to the sources. A link alone does not mean the original source was read or its latest publication status verified.

S01 · Bennett GG et al. 2018 Track

PubMed

Material type
Community-health-center randomized usual-care-controlled effectiveness trial
Materials actually read
Summary read; external material unread
Findings recorded in the stored summary
−4.0 kg versus −0.1 kg; between-group difference −3.8 kg (95% CI −5.0 to −2.5), P<0.001. At least 5% weight loss was 40% versus 17%, P<0.001, but this was a secondary responder criterion rather than the primary endpoint. Null trials of app-only or low-intensity technology support are also noted; this result is limited to the Track bundle including counseling.
Record level
Outcome wording in the stored summary
Study overlap and independent replication
S01 Bennett2018 Track is one 12-month parallel report comparing bundled Track with usual care in 351 adults (176/175) aged 21–65 with obesity and at least one of hypertension/diabetes/hyperlipidemia at US community health centers. Individual effects of the app, cellular smart scale, 18 dietitian calls and clinician counseling cannot be separated. The two sheets share the same people/report. Standardized research-visit mean changes of −4.0 kg (95% CI −4.9 to −3.0) versus −0.1 kg (−1.0 to 0.8), and between-group difference −3.8 kg (−5.0 to −2.5), P<0.001, are primary continuous results. At least 5% weight loss, 40% versus 17%, P<0.001, is a secondary responder result; proportions or event counts are not calculated from means. Registration, ITT/maximum likelihood, public funding and later author disclosures are preserved historical narratives, not current external reading/content review. Specific bibliographies for other low-intensity null trials and later disclosures are unlinked, so no new report is created. Groups, time points, thresholds, bibliography/registration and sibling sheets are not added as new independent trials or participants; report-item counts are not unique clinical totals.
Public availability, access and reading status by material
MaterialPublic availabilityAccess statusActually readNotes
Stored summaryStored fileStored summarySummary readOnly stored-summary and bibliographic content was used for production. External material verification/review is not complete.
External paperPublic availability unverified; only bibliography links preservedUnread; access not attemptedNot readNo external access or click testing was performed in the original preparation. URLs or registration identifiers alone do not upgrade acquisition/reading status.
Registration materialPublic availability unverified; only bibliography links preservedUnread; access not attemptedNot readNo external access or click testing was performed in the original preparation. URLs or registration identifiers alone do not upgrade acquisition/reading status.
ProtocolPublic availability unverified; only bibliography links preservedUnread; access not attemptedNot readNo external access or click testing was performed in the original preparation. URLs or registration identifiers alone do not upgrade acquisition/reading status.
Statistical analysis planPublic availability unverified; only bibliography links preservedUnread; access not attemptedNot readNo external access or click testing was performed in the original preparation. URLs or registration identifiers alone do not upgrade acquisition/reading status.
Funding, product-support and COI materialPublic availability unverified; only bibliography links preservedUnread; access not attemptedNot readNo external access or click testing was performed in the original preparation. URLs or registration identifiers alone do not upgrade acquisition/reading status.

Report counts versus independent study counts

S01 Bennett2018 Track is one 12-month parallel report comparing bundled Track with usual care in 351 adults (176/175) aged 21–65 with obesity and at least one of hypertension/diabetes/hyperlipidemia at US community health centers. Individual effects of the app, cellular smart scale, 18 dietitian calls and clinician counseling cannot be separated. The two sheets share the same people/report. Standardized research-visit mean changes of −4.0 kg (95% CI −4.9 to −3.0) versus −0.1 kg (−1.0 to 0.8), and between-group difference −3.8 kg (−5.0 to −2.5), P<0.001, are primary continuous results. At least 5% weight loss, 40% versus 17%, P<0.001, is a secondary responder result; proportions or event counts are not calculated from means. Registration, ITT/maximum likelihood, public funding and later author disclosures are preserved historical narratives, not current external reading/content review. Specific bibliographies for other low-intensity null trials and later disclosures are unlinked, so no new report is created. Groups, time points, thresholds, bibliography/registration and sibling sheets are not added as new independent trials or participants; report-item counts are not unique clinical totals.

Review criteria

Version 1.0 · Criteria record date 2026-10-06. These are Chamgap's own application conditions, informed by the referenced methods. They do not constitute official assessment-tool certification or a new efficacy score.

N01 · Selected mean-weight claim and original grade
Required materials and conditions
Distinction between original wording/grade, parent score/axes and responder outcomes
Conditions for verification
Corresponding original materials and analysis scope for distinction between original wording/grade, parent score/axes and responder outcomes must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Requirement and applicability
Required
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Why this condition is needed
An applied item distinguishing distinction between original wording/grade, parent score/axes and responder outcomes to connect the selected question’s needed materials with current materials.
Referenced methods
M03 §3.1, §3.2.1–3.2.4 question-clarification principles; detailed separation rules are custom design; M03 §3.2.4, M15 §15.3.1–15.3.3; question-specific outcome adaptation is custom design; M04 §4.5, §4.6.3; limits on current material conversion reflect the review scope and custom design
N02 · Population, obesity and comorbidities
Required materials and conditions
Actual eligibility, recruitment, baseline weight/conditions and applicable population
Conditions for verification
Corresponding original materials and analysis scope for actual eligibility, recruitment, baseline weight/conditions and applicable population must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Requirement and applicability
Required
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Why this condition is needed
An applied item distinguishing actual eligibility, recruitment, baseline weight/conditions and applicable population to connect the selected question’s needed materials with current materials.
Referenced methods
M03 §3.2.1; Detailed population conditions are Chamgap design; M03 §3.2.1–3.2.4; Dose, duration and effect-modifier details are Chamgap design
N03 · Attribution within multicomponent Track
Required materials and conditions
Distinction between the bundled program and effects of individual components
Conditions for verification
Corresponding original materials and analysis scope for distinction between the bundled program and effects of individual components must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Requirement and applicability
Required
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Why this condition is needed
An applied item distinguishing distinction between the bundled program and effects of individual components to connect the selected question’s needed materials with current materials.
Referenced methods
M03 §3.2.2–3.2.3; Reverse-direction labels and assessment adaptation are Chamgap design; M03 §3.2.3 and M08 §8.2.2–8.2.3; Chamgap application
N04 · App and algorithm roles
Required materials and conditions
Actual study identity of app-based goal self-monitoring and tailored feedback
Conditions for verification
Corresponding original materials and analysis scope for actual study identity of app-based goal self-monitoring and tailored feedback must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Requirement and applicability
Required
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Why this condition is needed
An applied item distinguishing actual study identity of app-based goal self-monitoring and tailored feedback to connect the selected question’s needed materials with current materials.
Referenced methods
M03 §3.2.2–3.2.3; Reverse-direction labels and assessment adaptation are Chamgap design; M03 §3.2.3 and M08 §8.2.2–8.2.3; Chamgap application
N05 · Smart-scale self-monitoring
Required materials and conditions
Distinction between the connected scale’s intervention role and outcome measurement
Conditions for verification
Corresponding original materials and analysis scope for distinction between the connected scale’s intervention role and outcome measurement must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Requirement and applicability
Required
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Why this condition is needed
An applied item distinguishing distinction between the connected scale’s intervention role and outcome measurement to connect the selected question’s needed materials with current materials.
Referenced methods
M03 §3.2.2–3.2.3; reverse-direction labeling and test adaptation are custom design; M03 §3.2.4, M15 §15.3.1–15.3.3; question-specific outcome adaptation is custom design; M08 Table 8.2.a, M03 §3.2.4; custom application
N06 · 18 dietitian calls
Required materials and conditions
Distinction between counseling plans, actual delivery/use and other contacts
Conditions for verification
Corresponding original materials and analysis scope for distinction between counseling plans, actual delivery/use and other contacts must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Requirement and applicability
Required
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Why this condition is needed
An applied item distinguishing distinction between counseling plans, actual delivery/use and other contacts to connect the selected question’s needed materials with current materials.
Referenced methods
M03 §3.2.2–3.2.3; Reverse-direction labels and assessment adaptation are Chamgap design; M03 §3.2.3 and M08 §8.2.2–8.2.3; Chamgap application
N07 · Clinician counseling and record integration
Required materials and conditions
Research scope of electronic-record recommendations, clinician counseling and concurrent management
Conditions for verification
Corresponding original materials and analysis scope for research scope of electronic-record recommendations, clinician counseling and concurrent management must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Requirement and applicability
Required
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Why this condition is needed
An applied item distinguishing research scope of electronic-record recommendations, clinician counseling and concurrent management to connect the selected question’s needed materials with current materials.
Referenced methods
M03 §3.2.2–3.2.3; Reverse-direction labels and assessment adaptation are Chamgap design; M03 §3.2.3 and M08 §8.2.2–8.2.3; Chamgap application
N08 · Usual-care comparison conditions
Required materials and conditions
Actual usual-care management/contact and differences between intervention and control
Conditions for verification
Corresponding original materials and analysis scope for actual usual-care management/contact and differences between intervention and control must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Requirement and applicability
Required
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Why this condition is needed
An applied item distinguishing actual usual-care management/contact and differences between intervention and control to connect the selected question’s needed materials with current materials.
Referenced methods
M03 §3.2.2–3.2.3; Reverse-direction labels and assessment adaptation are Chamgap design; M03 §3.2.3 and M08 §8.2.2–8.2.3; Chamgap application
N09 · 12-month time point and actual exposure
Required materials and conditions
Distinction between final 12-month analysis and intervention duration/use
Conditions for verification
Corresponding original materials and analysis scope for distinction between final 12-month analysis and intervention duration/use must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Requirement and applicability
Required
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Why this condition is needed
An applied item distinguishing distinction between final 12-month analysis and intervention duration/use to connect the selected question’s needed materials with current materials.
Referenced methods
M03 §3.2.4 and M15 §§15.3.1–15.3.3; question-specific outcome adaptation is Chamgap-designed; M03 §3.2.3 and M08 §§8.2.2–8.2.3; Chamgap adaptation; M03 §§3.2.1–3.2.4; dose, durability and effect-modification details are Chamgap-designed
N10 · Random sequence and allocation concealment
Required materials and conditions
Original allocation-procedure narrative and scope of actual source verification
Conditions for verification
Corresponding original materials and analysis scope for original allocation-procedure narrative and scope of actual source verification must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Requirement and applicability
Required
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Why this condition is needed
An applied item distinguishing original allocation-procedure narrative and scope of actual source verification to connect the selected question’s needed materials with current materials.
Referenced methods
M08 §8.1–8.2.3; internal application; M04 §4.5–4.6 collection/selection principles; access/reading separation and hyperlink specifications are internally designed
N11 · Masked outcome assessors and unmasked participants
Required materials and conditions
Distinction between assessor masking and intervention characteristics
Conditions for verification
Corresponding original materials and analysis scope for distinction between assessor masking and intervention characteristics must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Requirement and applicability
Required
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Why this condition is needed
An applied item distinguishing distinction between assessor masking and intervention characteristics to connect the selected question’s needed materials with current materials.
Referenced methods
M08 Table 8.2.a, M03 §3.2.4; CHAMGAP adaptation; Material collection/selection principles in M04 §4.5–4.6; Separating access from reading and defining hyperlink behavior are designed by CHAMGAP
N12 · Standardized measurements and weight-change definition
Required materials and conditions
Visit measurements, change from baseline, units and measurement windows
Conditions for verification
Corresponding original materials and analysis scope for visit measurements, change from baseline, units and measurement windows must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Requirement and applicability
Required
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Why this condition is needed
An applied item distinguishing visit measurements, change from baseline, units and measurement windows to connect the selected question’s needed materials with current materials.
Referenced methods
M03 §3.2.4, M15 §15.3.1–15.3.3; question-specific outcome adaptations are internally designed; M08 Table 8.2.a, M03 §3.2.4; internal application; M08 §8.2.2, M15 §15.3.1; internal application
N13 · Group-specific mean changes and CIs
Required materials and conditions
Separate estimands for changes within each group and the between-group effect
Conditions for verification
Corresponding original materials and analysis scope for separate estimands for changes within each group and the between-group effect must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Requirement and applicability
Required
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Why this condition is needed
An applied item distinguishing separate estimands for changes within each group and the between-group effect to connect the selected question’s needed materials with current materials.
Referenced methods
M03 §3.2.4, M15 §15.3.1–15.3.3; question-specific outcome adaptations are Chamgap's own design; M08 §8.2.2, M15 §15.3.1; Chamgap's own application; M15 §15.3.1–15.3.3; Chamgap's own application
N14 · Between-group difference of −3.8 kg
Required materials and conditions
Exact original 12-month between-group difference, CI and P value
Conditions for verification
Corresponding original materials and analysis scope for exact original 12-month between-group difference, CI and P value must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Requirement and applicability
Required
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Why this condition is needed
An applied item distinguishing exact original 12-month between-group difference, CI and P value to connect the selected question’s needed materials with current materials.
Referenced methods
M08 §8.2.2, M15 §15.3.1; Chamgap application; M15 §15.3.1–15.3.3; Chamgap application; M08 Table 8.2.a, M15 §15.3, M19 §19.1.2–19.2.4; design-specific adaptations are Chamgap's own design
N15 · Mean, individual response and the 5% threshold
Required materials and conditions
Distinction between continuous mean change and the secondary responder endpoint
Conditions for verification
Corresponding original materials and analysis scope for distinction between continuous mean change and the secondary responder endpoint must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Requirement and applicability
Required
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Why this condition is needed
An applied item distinguishing distinction between continuous mean change and the secondary responder endpoint to connect the selected question’s needed materials with current materials.
Referenced methods
M03 §3.2.4, M15 §15.3.1–15.3.3; question-specific outcome adaptation is custom design; M08 Table 8.2.a, M04 §4.6.3; custom application; M15 §15.3.1–15.3.3; custom application
N16 · 351 participants, 176/175 and denominators
Required materials and conditions
Randomized population and endpoint-specific analysis/measurement denominators
Conditions for verification
Corresponding original materials and analysis scope for randomized population and endpoint-specific analysis/measurement denominators must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Requirement and applicability
Required
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Why this condition is needed
An applied item distinguishing randomized population and endpoint-specific analysis/measurement denominators to connect the selected question’s needed materials with current materials.
Referenced methods
M08 Table 8.2.a, M15 §15.3 and M19 §19.1.2–19.2.4; Design-specific adaptation is Chamgap design; M08 §8.2.2 and M15 §15.3.1; Chamgap application
N17 · ITT principle and estimand population
Required materials and conditions
ITT narrative and outcome-specific analysis conditions
Conditions for verification
Corresponding original materials and analysis scope for iTT narrative and outcome-specific analysis conditions must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Requirement and applicability
Required
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Why this condition is needed
An applied item distinguishing iTT narrative and outcome-specific analysis conditions to connect the selected question’s needed materials with current materials.
Referenced methods
M08 §8.2.2, M15 §15.3.1; internal application; M04 §4.5–4.6 collection/selection principles; access/reading separation and hyperlink specifications are internally designed
N18 · Missing data and maximum-likelihood model
Required materials and conditions
Distinction between missing-data narratives, missingness/attrition and model assumptions
Conditions for verification
Corresponding original materials and analysis scope for distinction between missing-data narratives, missingness/attrition and model assumptions must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Requirement and applicability
Required
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Why this condition is needed
An applied item distinguishing distinction between missing-data narratives, missingness/attrition and model assumptions to connect the selected question’s needed materials with current materials.
Referenced methods
M08 Table 8.2.a, M15 §15.3 and M19 §19.1.2–19.2.4; Design-specific adaptation is Chamgap design; M08 §8.2.2 and M15 §15.3.1; Chamgap application
N19 · Registration and prespecified primary endpoint
Required materials and conditions
Preserved scope of the NCT identifier, advance dates and endpoint plan
Conditions for verification
Corresponding original materials and analysis scope for preserved scope of the NCT identifier, advance dates and endpoint plan must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Requirement and applicability
Required
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Why this condition is needed
An applied item distinguishing preserved scope of the NCT identifier, advance dates and endpoint plan to connect the selected question’s needed materials with current materials.
Referenced methods
M08 Table 8.2.a, M04 §4.6.3; custom application; M04 §4.5–4.6 material-collection/selection principles; separation of access/reading and hyperlink conventions are custom design; M04 §4.5, §4.6.3; limits on current material conversion reflect the review scope and custom design
N20 · Multiple outcomes, time points and hierarchy
Required materials and conditions
Advance hierarchy of the primary mean endpoint, responders and other outcomes
Conditions for verification
Corresponding original materials and analysis scope for advance hierarchy of the primary mean endpoint, responders and other outcomes must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Requirement and applicability
Required
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Why this condition is needed
An applied item distinguishing advance hierarchy of the primary mean endpoint, responders and other outcomes to connect the selected question’s needed materials with current materials.
Referenced methods
M08 Table 8.2.a, M04 §4.6.3; custom application; M03 §3.2.4, M15 §15.3.1–15.3.3; question-specific outcome adaptation is custom design; M03 §3.2.4; custom extension boundary
N21 · Concurrent management, medication and lifestyle
Required materials and conditions
Group-specific effects of conditions/medication, diet/activity and clinical contact
Conditions for verification
Corresponding original materials and analysis scope for group-specific effects of conditions/medication, diet/activity and clinical contact must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Requirement and applicability
Required
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Why this condition is needed
An applied item distinguishing group-specific effects of conditions/medication, diet/activity and clinical contact to connect the selected question’s needed materials with current materials.
Referenced methods
M03 §3.2.3, M08 §8.2.2–8.2.3; own application; M03 §3.2.2–3.2.3; reverse-direction labels and test adaptations are our own design
N22 · Weight, clinical events and importance
Required materials and conditions
Distinction between weight change, clinical events and success/importance criteria
Conditions for verification
Corresponding original materials and analysis scope for distinction between weight change, clinical events and success/importance criteria must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Requirement and applicability
Required
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Why this condition is needed
An applied item distinguishing distinction between weight change, clinical events and success/importance criteria to connect the selected question’s needed materials with current materials.
Referenced methods
M15 §15.3.1–15.3.3; Chamgap's own application; M03 §3.2.4; Chamgap's own limits on extension
N23 · NIH public funding
Required materials and conditions
Distinction between actual funder/grant and other support categories
Conditions for verification
Corresponding original materials and analysis scope for distinction between actual funder/grant and other support categories must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Requirement and applicability
Required
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Why this condition is needed
An applied item distinguishing distinction between actual funder/grant and other support categories to connect the selected question’s needed materials with current materials.
Referenced methods
Chamgap's own conditions for independence and attribution. The official methodological sections used in this example do not validate every detail of these items.
N24 · Commercial, scale, analysis/writing/publication support
Required materials and conditions
Scope of category-specific non-reporting in the pivotal paper
Conditions for verification
Corresponding original materials and analysis scope for scope of category-specific non-reporting in the pivotal paper must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Requirement and applicability
Required
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Why this condition is needed
An applied item distinguishing scope of category-specific non-reporting in the pivotal paper to connect the selected question’s needed materials with current materials.
Referenced methods
Chamgap independence/attribution conditions. The referenced official method sections do not certify every detail of these items; Data collection/selection principles in M04 §4.5–4.6; Access/reading separation and hyperlink rules are Chamgap design
N25 · Later author relationships and historical attribution
Required materials and conditions
Timing, individuals and relation of later disclosures to the original trial
Conditions for verification
Corresponding original materials and analysis scope for timing, individuals and relation of later disclosures to the original trial must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Requirement and applicability
Required
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Why this condition is needed
An applied item distinguishing timing, individuals and relation of later disclosures to the original trial to connect the selected question’s needed materials with current materials.
Referenced methods
Chamgap’s custom independence/attribution conditions. The official methodology sections used in this pilot do not guarantee all these detailed items; M04 §4.5, §4.6.3; current conversion limits reflect review scope and custom design; M04 §4.6.1–4.6.2 distinction between studies and reports; cohort/outcome linkage is custom application
N26 · Other low-intensity null trials and applicability differences
Required materials and conditions
Distinction between references to null programs and direct Track comparisons
Conditions for verification
Corresponding original materials and analysis scope for distinction between references to null programs and direct Track comparisons must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Requirement and applicability
Required
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Why this condition is needed
An applied item distinguishing distinction between references to null programs and direct Track comparisons to connect the selected question’s needed materials with current materials.
Referenced methods
M04 §4.6.3, M15 §15.3.1–15.3.3; status separation is custom design; M04 §4.6.1–4.6.2 distinction between studies and reports; cohort/outcome linkage is custom application; M03 §3.2.2–3.2.3; reverse-direction labeling and test adaptation are custom design
N27 · Same report, sibling sheets and independent replication
Required materials and conditions
Report-to-trial-to-group/time-point/denominator relationships
Conditions for verification
Corresponding original materials and analysis scope for report-to-trial-to-group/time-point/denominator relationships must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Requirement and applicability
Required
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Why this condition is needed
An applied item distinguishing report-to-trial-to-group/time-point/denominator relationships to connect the selected question’s needed materials with current materials.
Referenced methods
Study/report distinction in M04 §4.6.1–4.6.2; Cohort/outcome linkage is Chamgap application; M04 §4.6.1–4.6.2 and M15 §15.3.1; Chamgap application
N28 · Persistence and generalization across products/populations
Required materials and conditions
12-month bundle results versus later effects or other programs
Conditions for verification
Corresponding original materials and analysis scope for 12-month bundle results versus later effects or other programs must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Requirement and applicability
Required
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Why this condition is needed
An applied item distinguishing 12-month bundle results versus later effects or other programs to connect the selected question’s needed materials with current materials.
Referenced methods
M03 §3.2.1–3.2.4; dose/duration/effect-modification details are internally designed; M03 §3.2.2–3.2.3; reverse-direction labels and testing adaptations are internally designed; M03 §3.2.4; internal extension boundaries
N29 · Original safety record and reporting gaps
Required materials and conditions
Prespecification, collection and group-specific denominators/follow-up for adverse events
Conditions for verification
Corresponding original materials and analysis scope for prespecification, collection and group-specific denominators/follow-up for adverse events must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Requirement and applicability
Supplementary
Application exceptions
Supplements safety-data gaps for the selected subclaim. Mean weight, 5% responder results and parent caution wording are not used to judge safety or generate harm incidence or new use instructions.
Why this condition is needed
An applied item distinguishing prespecification, collection and group-specific denominators/follow-up for adverse events to connect the selected question’s needed materials with current materials.
Referenced methods
M19 §19.1.2–19.2.4; detailed distinctions are Chamgap’s own design; M19 §19.1.2–19.2.4; Chamgap application; M19 §19.1.2–19.2.4; Chamgap application; M19 §19.1.2–19.2.4; Chamgap application
N30 · Parent/subclaim, Korean/English, dates and history
Required materials and conditions
Separation of original values/axes from corrections and historical verification narratives
Conditions for verification
Corresponding original materials and analysis scope for separation of original values/axes from corrections and historical verification narratives must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Requirement and applicability
Required
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Why this condition is needed
An applied item distinguishing separation of original values/axes from corrections and historical verification narratives to connect the selected question’s needed materials with current materials.
Referenced methods
M04 §4.5, §4.6.3; limits of this material conversion follow the review scope and internal design; M03 §3.1, §3.2.1–3.2.4 question-clarification principles; detailed separation rules are internally designed
N31 · Actual summary reading and external links
Required materials and conditions
Reading the preserved JSON versus access to external originals, registration, plans and COI
Conditions for verification
Corresponding original materials and analysis scope for reading the preserved JSON versus access to external originals, registration, plans and COI must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Requirement and applicability
Required
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Why this condition is needed
An applied item distinguishing reading the preserved JSON versus access to external originals, registration, plans and COI to connect the selected question’s needed materials with current materials.
Referenced methods
M04 §4.5–4.6 material collection/selection principles; acquisition/reading separation and hyperlink specifications are internally designed; M04 §4.5, §4.6.3; limits of this material conversion follow the review scope and internal design
Referenced methods and the sections actually reviewed

M03 · Cochrane Handbook 6.5 (2024), chapter updated 2023-08

Official methodology · §3.1, §3.2.1–3.2.3, MECIR C5/C7/C13

Referenced principle
Clearly record the question, eligibility conditions and reasons for changes, and distinguish variations in interventions.
Extent of review
Preserved method HTML copies; no current method-content re-review or official tool execution

M04 · Cochrane Handbook 6.5.1 (2025), chapter updated 2025-03

Official methodology · §4.5, §4.6.1–4.6.3, MECIR C42

Referenced principle
Distinguish studies from reports and link them; do not omit a study solely because results are unreported.
Extent of review
Preserved method HTML copies; no current method-content re-review or official tool execution

M08 · Cochrane Handbook 6.5 (2024), chapter updated 2019-10

Official methodology · §8.1–8.2.3, Table 8.2.a

Referenced principle
Define the outcome and effect of interest, then examine randomization, deviations, missing data, measurement and selective reporting.
Extent of review
Preserved method HTML copies; no current method-content re-review or official tool execution

M15 · Cochrane Handbook 6.5 (2024), chapter updated 2023-08

Official methodology · §15.2.4, §15.3.1–15.3.3

Referenced principle
Distinguish effect estimates, intervals, importance and applicability. Sample size alone does not determine precision.
Extent of review
Preserved method HTML copies; no current method-content re-review or official tool execution

M19 · Cochrane Handbook 6.5 (2024), chapter updated 2019-10

Official methodology · §19.1.2, §19.2.1–19.2.4

Referenced principle
Harm questions may require different designs, populations and follow-up from efficacy questions. Case reports do not establish incidence rates.
Extent of review
Preserved method HTML copies; no current method-content re-review or official tool execution
What the statuses mean
Met
Status for necessary evidence confirmed after existing content review. No completion is declared in the current presentation.
Partly verified
Some information in the stored summary is linked into the table. External comparison/content review is not complete.
Unverified
The article leaves this unverified, or required material is absent from the current stored summary. This is distinct from zero, absence or safety.
Review incomplete
Existing content review remains incomplete.
Not reported
Not reported within the stored material actually read; not extended to the entire primary paper.
Inaccessible
Means an actual access failure. Access not attempted here is not assigned this state.
Not applicable
Not used as a substitute for an evidence gap.
Conflicting data
Requires an observed disagreement under the same comparison criteria; not automatically judged in this production.
Insufficient evidence for the conditions
Marks a gap in additional material required by the selected conditions; not a new efficacy grade.

Change history

2026-10-14 · Public page/material version 1.0

A public view and materials were prepared from the existing31 items. No new clinical search, verification-status change or scoring was performed.

The stored-material review date (Not recorded) and original evidence cut-off (2026-08-26) were retained unchanged.

Researcher downloads

These materials provide the same evidence, scope and verification status as this page.

View all item details

N01 · Selected mean-weight claim and original grade

Current findings
The selected subclaim is “Mean weight loss at 12 months,” with grade C and a note of a −3.8 kg between-group difference. Subclaim score/status/axes are absent; the parent C56 is not used to fill the subclaim score.
Verification status
Partly verified
Materials actually read
Summary read; external material unread
Why unverified
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. Subclaim score, status and axes are absent. Mean results and reaching the 5% threshold are not combined as one endpoint. Existing content review remains incomplete.
Reason for missing information
Subclaim score, status and axes are absent. Mean results and reaching the 5% threshold are not combined as one endpoint.
Required materials and conditions
Distinction between original wording/grade, parent score/axes and responder outcomes
Materials to obtain first
Original selected subclaim and parent verdict, and user correction comments
Further research
A proposed follow-up study specifying mean change and responder endpoints separately; no new investigation, calculation or trial was performed.
Remaining uncertainty
This record links preserved-summary statements; it does not establish external-paper comparison, a new efficacy verdict or completed content review.
Conditions for verification
Corresponding original materials and analysis scope for distinction between original wording/grade, parent score/axes and responder outcomes must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Why this condition is needed
An applied item distinguishing distinction between original wording/grade, parent score/axes and responder outcomes to connect the selected question’s needed materials with current materials.
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Referenced methods
M03 §3.1, §3.2.1–3.2.4 question-clarification principles; detailed separation rules are custom design; M03 §3.2.4, M15 §15.3.1–15.3.3; question-specific outcome adaptation is custom design; M04 §4.5, §4.6.3; limits on current material conversion reflect the review scope and custom design

Related sources S01

N02 · Population, obesity and comorbidities

Current findings
The population comprised 351 people aged 21–65 at US community health centers, with obesity and at least one of hypertension, diabetes or hyperlipidemia. Results are not extended to other age or health groups.
Verification status
Partly verified
Materials actually read
Summary read; external material unread
Why unverified
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. Obesity/condition definitions, detailed recruitment/exclusions, baseline weight, distribution of conditions and baseline balance remain unverified. Existing content review remains incomplete.
Reason for missing information
Obesity/condition definitions, detailed recruitment/exclusions, baseline weight, distribution of conditions and baseline balance remain unverified.
Required materials and conditions
Actual eligibility, recruitment, baseline weight/conditions and applicable population
Materials to obtain first
Eligibility, recruitment and baseline-characteristics tables
Further research
Proposed follow-up comparative research specifying population conditions; no new investigation, calculation or trial was performed in this production.
Remaining uncertainty
This record links preserved-summary statements; it does not establish external-paper comparison, a new efficacy verdict or completed content review.
Conditions for verification
Corresponding original materials and analysis scope for actual eligibility, recruitment, baseline weight/conditions and applicable population must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Why this condition is needed
An applied item distinguishing actual eligibility, recruitment, baseline weight/conditions and applicable population to connect the selected question’s needed materials with current materials.
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Referenced methods
M03 §3.2.1; Detailed population conditions are Chamgap design; M03 §3.2.1–3.2.4; Dose, duration and effect-modifier details are Chamgap design

Related sources S01

N03 · Attribution within multicomponent Track

Current findings
The intervention was Track combining an app, a cellular smart scale, 18 dietitian calls and clinician counseling. Which component produced the mean effect cannot be separated.
Verification status
Partly verified
Materials actually read
Summary read; external material unread
Why unverified
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. Independent component effects, designs separating components and their relative contributions remain unverified. Existing content review remains incomplete.
Reason for missing information
Independent component effects, designs separating components and their relative contributions remain unverified.
Required materials and conditions
Distinction between the bundled program and effects of individual components
Materials to obtain first
Full intervention manual and component-specific delivery/use records
Further research
A proposed follow-up comparison distinguishing attribution to a bundle, single components and combinations; no new investigation, calculation or trial was performed.
Remaining uncertainty
This record links preserved-summary statements; it does not establish external-paper comparison, a new efficacy verdict or completed content review.
Conditions for verification
Corresponding original materials and analysis scope for distinction between the bundled program and effects of individual components must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Why this condition is needed
An applied item distinguishing distinction between the bundled program and effects of individual components to connect the selected question’s needed materials with current materials.
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Referenced methods
M03 §3.2.2–3.2.3; Reverse-direction labels and assessment adaptation are Chamgap design; M03 §3.2.3 and M08 §8.2.2–8.2.3; Chamgap application

Related sources S01

N04 · App and algorithm roles

Current findings
The original record states that app-based goal self-monitoring and algorithm-tailored feedback were included in the bundle. This is not converted into an effect of a stand-alone app or all digital products.
Verification status
Partly verified
Materials actually read
Summary read; external material unread
Why unverified
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. App version/algorithm, delivery/access, usage, changes and individual effects remain unverified. Existing content review remains incomplete.
Reason for missing information
App version/algorithm, delivery/access, usage, changes and individual effects remain unverified.
Required materials and conditions
Actual study identity of app-based goal self-monitoring and tailored feedback
Materials to obtain first
Research descriptions and delivery/use records for the app and feedback
Further research
A proposed follow-up study distinguishing the app component from counseling and other elements; no new investigation, calculation or trial was performed.
Remaining uncertainty
This record links preserved-summary statements; it does not establish external-paper comparison, a new efficacy verdict or completed content review.
Conditions for verification
Corresponding original materials and analysis scope for actual study identity of app-based goal self-monitoring and tailored feedback must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Why this condition is needed
An applied item distinguishing actual study identity of app-based goal self-monitoring and tailored feedback to connect the selected question’s needed materials with current materials.
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Referenced methods
M03 §3.2.2–3.2.3; Reverse-direction labels and assessment adaptation are Chamgap design; M03 §3.2.3 and M08 §8.2.2–8.2.3; Chamgap application

Related sources S01

N05 · Smart-scale self-monitoring

Current findings
Daily cellular smart-scale weighing was a self-monitoring element of the research intervention. The primary outcome used separate standardized weight measurement at research visits. No new measurement or management instructions are created.
Verification status
Partly verified
Materials actually read
Summary read; external material unread
Why unverified
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. Device/connectivity, actual use, missing records and correspondence between original data and visit measurements remain unverified. Existing content review remains incomplete.
Reason for missing information
Device/connectivity, actual use, missing records and correspondence between original data and visit measurements remain unverified.
Required materials and conditions
Distinction between the connected scale’s intervention role and outcome measurement
Materials to obtain first
Intervention-scale records, visit-measurement protocol and data correspondence
Further research
A proposed study reporting intervention self-monitoring separately from endpoint measurement; no new investigation, calculation or trial was performed.
Remaining uncertainty
This record links preserved-summary statements; it does not establish external-paper comparison, a new efficacy verdict or completed content review.
Conditions for verification
Corresponding original materials and analysis scope for distinction between the connected scale’s intervention role and outcome measurement must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Why this condition is needed
An applied item distinguishing distinction between the connected scale’s intervention role and outcome measurement to connect the selected question’s needed materials with current materials.
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Referenced methods
M03 §3.2.2–3.2.3; reverse-direction labeling and test adaptation are custom design; M03 §3.2.4, M15 §15.3.1–15.3.3; question-specific outcome adaptation is custom design; M08 Table 8.2.a, M03 §3.2.4; custom application

Related sources S01

N06 · 18 dietitian calls

Current findings
18 dietitian calls were included in the bundled intervention. The planned number is not converted into actual completion by every participant or an effect of counseling alone.
Verification status
Partly verified
Materials actually read
Summary read; external material unread
Why unverified
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. Delivery/use of each call, counseling intensity, missed calls, providers and other contacts remain unverified. Existing content review remains incomplete.
Reason for missing information
Delivery/use of each call, counseling intensity, missed calls, providers and other contacts remain unverified.
Required materials and conditions
Distinction between counseling plans, actual delivery/use and other contacts
Materials to obtain first
Telephone-counseling delivery/completion and contact records
Further research
A proposed study distinguishing counseling delivery, actual use and component attribution; no new investigation, calculation or trial was performed.
Remaining uncertainty
This record links preserved-summary statements; it does not establish external-paper comparison, a new efficacy verdict or completed content review.
Conditions for verification
Corresponding original materials and analysis scope for distinction between counseling plans, actual delivery/use and other contacts must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Why this condition is needed
An applied item distinguishing distinction between counseling plans, actual delivery/use and other contacts to connect the selected question’s needed materials with current materials.
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Referenced methods
M03 §3.2.2–3.2.3; Reverse-direction labels and assessment adaptation are Chamgap design; M03 §3.2.3 and M08 §8.2.2–8.2.3; Chamgap application

Related sources S01

N07 · Clinician counseling and record integration

Current findings
Clinician counseling based on electronic-record recommendations was also included. The original interpretation of technology as an adjunct to counseling is retained; no guidance replacing clinical care or treatment is created.
Verification status
Partly verified
Materials actually read
Summary read; external material unread
Why unverified
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. Actual counseling/contact, decisions, concurrent condition/medication management and differences between groups remain unverified. Existing content review remains incomplete.
Reason for missing information
Actual counseling/contact, decisions, concurrent condition/medication management and differences between groups remain unverified.
Required materials and conditions
Research scope of electronic-record recommendations, clinician counseling and concurrent management
Materials to obtain first
Clinical integration, counseling and concurrent-management records
Further research
A proposed study distinguishing attribution to clinical integration and other elements; no new investigation, calculation or trial was performed.
Remaining uncertainty
This record links preserved-summary statements; it does not establish external-paper comparison, a new efficacy verdict or completed content review.
Conditions for verification
Corresponding original materials and analysis scope for research scope of electronic-record recommendations, clinician counseling and concurrent management must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Why this condition is needed
An applied item distinguishing research scope of electronic-record recommendations, clinician counseling and concurrent management to connect the selected question’s needed materials with current materials.
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Referenced methods
M03 §3.2.2–3.2.3; Reverse-direction labels and assessment adaptation are Chamgap design; M03 §3.2.3 and M08 §8.2.2–8.2.3; Chamgap application

Related sources S01

N08 · Usual-care comparison conditions

Current findings
The original allocation of 176 intervention participants versus 175 receiving usual care is preserved. Usual care is not changed into a group with no management or contact.
Verification status
Partly verified
Materials actually read
Summary read; external material unread
Why unverified
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. Usual-care content, additional control-group support/exposure, crossover use and contact differences remain unverified. Existing content review remains incomplete.
Reason for missing information
Usual-care content, additional control-group support/exposure, crossover use and contact differences remain unverified.
Required materials and conditions
Actual usual-care management/contact and differences between intervention and control
Materials to obtain first
Usual-care description and contact/concurrent-exposure records
Further research
A proposed follow-up trial clearly disclosing actual comparison conditions; no new investigation, calculation or trial was performed.
Remaining uncertainty
This record links preserved-summary statements; it does not establish external-paper comparison, a new efficacy verdict or completed content review.
Conditions for verification
Corresponding original materials and analysis scope for actual usual-care management/contact and differences between intervention and control must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Why this condition is needed
An applied item distinguishing actual usual-care management/contact and differences between intervention and control to connect the selected question’s needed materials with current materials.
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Referenced methods
M03 §3.2.2–3.2.3; Reverse-direction labels and assessment adaptation are Chamgap design; M03 §3.2.3 and M08 §8.2.2–8.2.3; Chamgap application

Related sources S01

N09 · 12-month time point and actual exposure

Current findings
The primary endpoint was weight change at 12 months. Planned intervention components are not equated with actual use, and no effects of continuation or discontinuation beyond 12 months are generated.
Verification status
Partly verified
Materials actually read
Summary read; external material unread
Why unverified
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. Visit windows, actual exposure duration for each component, follow-up beyond 12 months and changes in use remain unverified. Existing content review remains incomplete.
Reason for missing information
Visit windows, actual exposure duration for each component, follow-up beyond 12 months and changes in use remain unverified.
Required materials and conditions
Distinction between final 12-month analysis and intervention duration/use
Materials to obtain first
Visit schedule, component-specific delivery/use and long-term follow-up data
Further research
A proposed follow-up study distinguishing the final time point from continuation/discontinuation follow-up; no new investigation, calculation or trial was performed.
Remaining uncertainty
This record links preserved-summary statements; it does not establish external-paper comparison, a new efficacy verdict or completed content review.
Conditions for verification
Corresponding original materials and analysis scope for distinction between final 12-month analysis and intervention duration/use must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Why this condition is needed
An applied item distinguishing distinction between final 12-month analysis and intervention duration/use to connect the selected question’s needed materials with current materials.
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Referenced methods
M03 §3.2.4 and M15 §§15.3.1–15.3.3; question-specific outcome adaptation is Chamgap-designed; M03 §3.2.3 and M08 §§8.2.2–8.2.3; Chamgap adaptation; M03 §§3.2.1–3.2.4; dose, durability and effect-modification details are Chamgap-designed

Related sources S01

N10 · Random sequence and allocation concealment

Current findings
The manuscript records that a statistician generated the random sequence and concealed it from study staff until assignment. This is a historical procedure narrative in the preserved summary, not current original-source review or certification.
Verification status
Partly verified
Materials actually read
Summary read; external material unread
Why unverified
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. Allocation records, implementation, exceptions and correspondence with the original protocol/registration remain unread. Existing content review remains incomplete.
Reason for missing information
Allocation records, implementation, exceptions and correspondence with the original protocol/registration remain unread.
Required materials and conditions
Original allocation-procedure narrative and scope of actual source verification
Materials to obtain first
Original allocation/concealment text, protocol and baseline tables
Further research
Proposed follow-up trial disclosing allocation procedures; no new investigation, calculation or trial was performed in this production.
Remaining uncertainty
This record links preserved-summary statements; it does not establish external-paper comparison, a new efficacy verdict or completed content review.
Conditions for verification
Corresponding original materials and analysis scope for original allocation-procedure narrative and scope of actual source verification must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Why this condition is needed
An applied item distinguishing original allocation-procedure narrative and scope of actual source verification to connect the selected question’s needed materials with current materials.
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Referenced methods
M08 §8.1–8.2.3; internal application; M04 §4.5–4.6 collection/selection principles; access/reading separation and hyperlink specifications are internally designed

Related sources S01

N11 · Masked outcome assessors and unmasked participants

Current findings
The manuscript records that outcome-measurement staff were masked to allocation, while participants could not be masked because of the intervention. The historical B0 narrative is not used as current verification of all masking.
Verification status
Partly verified
Materials actually read
Summary read; external material unread
Why unverified
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. Original data on assessor/analyst roles, maintenance/breaking of masking and expectation effects remain unread. Existing content review remains incomplete.
Reason for missing information
Original data on assessor/analyst roles, maintenance/breaking of masking and expectation effects remain unread.
Required materials and conditions
Distinction between assessor masking and intervention characteristics
Materials to obtain first
Masking roles, measurement procedures and original materials
Further research
A proposed study distinguishing assessor masking from participant expectation effects; no new investigation, calculation or trial was performed.
Remaining uncertainty
This record links preserved-summary statements; it does not establish external-paper comparison, a new efficacy verdict or completed content review.
Conditions for verification
Corresponding original materials and analysis scope for distinction between assessor masking and intervention characteristics must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Why this condition is needed
An applied item distinguishing distinction between assessor masking and intervention characteristics to connect the selected question’s needed materials with current materials.
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Referenced methods
M08 Table 8.2.a, M03 §3.2.4; CHAMGAP adaptation; Material collection/selection principles in M04 §4.5–4.6; Separating access from reading and defining hyperlink behavior are designed by CHAMGAP

Related sources S01

N12 · Standardized measurements and weight-change definition

Current findings
The primary endpoint was standardized measured weight change at research visits at 12 months. App entries, self-reports and daily smart-scale logs are not used as the same endpoint.
Verification status
Partly verified
Materials actually read
Summary read; external material unread
Why unverified
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. Details of baseline/visit measurements, equipment/calibration, conditions, measurement windows and handling of repeats remain unverified. Existing content review remains incomplete.
Reason for missing information
Details of baseline/visit measurements, equipment/calibration, conditions, measurement windows and handling of repeats remain unverified.
Required materials and conditions
Visit measurements, change from baseline, units and measurement windows
Materials to obtain first
Standardized weight measurement, baseline/visit tables and calculation definitions
Further research
A proposed study reporting measured outcomes separately from remote self-monitoring; no new investigation, calculation or trial was performed.
Remaining uncertainty
This record links preserved-summary statements; it does not establish external-paper comparison, a new efficacy verdict or completed content review.
Conditions for verification
Corresponding original materials and analysis scope for visit measurements, change from baseline, units and measurement windows must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Why this condition is needed
An applied item distinguishing visit measurements, change from baseline, units and measurement windows to connect the selected question’s needed materials with current materials.
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Referenced methods
M03 §3.2.4, M15 §15.3.1–15.3.3; question-specific outcome adaptations are internally designed; M08 Table 8.2.a, M03 §3.2.4; internal application; M08 §8.2.2, M15 §15.3.1; internal application

Related sources S01

N13 · Group-specific mean changes and CIs

Current findings
Original values are preserved: intervention −4.0 kg (95% CI −4.9 to −3.0) and usual care −0.1 kg (−1.0 to 0.8). Rounded group values are not newly subtracted or converted into final absolute weights.
Verification status
Partly verified
Materials actually read
Summary read; external material unread
Why unverified
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. Group-specific baseline/final absolute values, model/adjustment details for each estimate and individual distributions remain unverified. Existing content review remains incomplete.
Reason for missing information
Group-specific baseline/final absolute values, model/adjustment details for each estimate and individual distributions remain unverified.
Required materials and conditions
Separate estimands for changes within each group and the between-group effect
Materials to obtain first
Original group values, change estimates and model descriptions
Further research
A proposed study reporting group changes and the between-group estimate distinctly together; no new investigation, calculation or trial was performed.
Remaining uncertainty
This record links preserved-summary statements; it does not establish external-paper comparison, a new efficacy verdict or completed content review.
Conditions for verification
Corresponding original materials and analysis scope for separate estimands for changes within each group and the between-group effect must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Why this condition is needed
An applied item distinguishing separate estimands for changes within each group and the between-group effect to connect the selected question’s needed materials with current materials.
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Referenced methods
M03 §3.2.4, M15 §15.3.1–15.3.3; question-specific outcome adaptations are Chamgap's own design; M08 §8.2.2, M15 §15.3.1; Chamgap's own application; M15 §15.3.1–15.3.3; Chamgap's own application

Related sources S01

N14 · Between-group difference of −3.8 kg

Current findings
The between-group difference was −3.8 kg (95% CI −5.0 to −2.5), P<0.001. The original estimate is preserved; no new difference/CI, standardized effect or relative weight-loss rate is calculated.
Verification status
Partly verified
Materials actually read
Summary read; external material unread
Why unverified
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. Exact model terms, adjustment/baseline correspondence and data for reproducing estimates remain unread. Existing content review remains incomplete.
Reason for missing information
Exact model terms, adjustment/baseline correspondence and data for reproducing estimates remain unread.
Required materials and conditions
Exact original 12-month between-group difference, CI and P value
Materials to obtain first
Original between-group contrast, model and CI results
Further research
A proposed follow-up study disclosing the primary effect estimate and uncertainty; no new investigation, calculation or trial was performed.
Remaining uncertainty
This record links preserved-summary statements; it does not establish external-paper comparison, a new efficacy verdict or completed content review.
Conditions for verification
Corresponding original materials and analysis scope for exact original 12-month between-group difference, CI and P value must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Why this condition is needed
An applied item distinguishing exact original 12-month between-group difference, CI and P value to connect the selected question’s needed materials with current materials.
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Referenced methods
M08 §8.2.2, M15 §15.3.1; Chamgap application; M15 §15.3.1–15.3.3; Chamgap application; M08 Table 8.2.a, M15 §15.3, M19 §19.1.2–19.2.4; design-specific adaptations are Chamgap's own design

Related sources S01

N15 · Mean, individual response and the 5% threshold

Current findings
At least 5% weight loss, 40% versus 17% with P<0.001, was a separate secondary responder result. Threshold attainment or event counts are not calculated from mean values of −4.0/−0.1 or −3.8 kg.
Verification status
Partly verified
Materials actually read
Summary read; external material unread
Why unverified
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. Individual baseline/change distributions, threshold calculation, responder denominators/event counts and CIs remain unverified. Existing content review remains incomplete.
Reason for missing information
Individual baseline/change distributions, threshold calculation, responder denominators/event counts and CIs remain unverified.
Required materials and conditions
Distinction between continuous mean change and the secondary responder endpoint
Materials to obtain first
Responder definitions, denominators/events and individual-result data
Further research
A proposed follow-up trial distinguishing mean and prespecified responder outcomes; no new investigation, calculation or trial was performed.
Remaining uncertainty
This record links preserved-summary statements; it does not establish external-paper comparison, a new efficacy verdict or completed content review.
Conditions for verification
Corresponding original materials and analysis scope for distinction between continuous mean change and the secondary responder endpoint must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Why this condition is needed
An applied item distinguishing distinction between continuous mean change and the secondary responder endpoint to connect the selected question’s needed materials with current materials.
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Referenced methods
M03 §3.2.4, M15 §15.3.1–15.3.3; question-specific outcome adaptation is custom design; M08 Table 8.2.a, M04 §4.6.3; custom application; M15 §15.3.1–15.3.3; custom application

Related sources S01

N16 · 351 participants, 176/175 and denominators

Current findings
351 randomized participants (176/175) are preserved as recorded. Enrollment is not used to imply measurement of every participant at 12 months or the observed denominator for every analysis.
Verification status
Partly verified
Materials actually read
Summary read; external material unread
Why unverified
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. 12-month measurement, model-analysis, group-specific visit/response denominators and analysis-inclusion criteria remain unverified. Existing content review remains incomplete.
Reason for missing information
12-month measurement, model-analysis, group-specific visit/response denominators and analysis-inclusion criteria remain unverified.
Required materials and conditions
Randomized population and endpoint-specific analysis/measurement denominators
Materials to obtain first
Participant flow and visit-specific measured/analysis denominators
Further research
A proposed follow-up study distinguishing randomized, observed and estimated denominators; no new investigation, calculation or trial was performed.
Remaining uncertainty
This record links preserved-summary statements; it does not establish external-paper comparison, a new efficacy verdict or completed content review.
Conditions for verification
Corresponding original materials and analysis scope for randomized population and endpoint-specific analysis/measurement denominators must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Why this condition is needed
An applied item distinguishing randomized population and endpoint-specific analysis/measurement denominators to connect the selected question’s needed materials with current materials.
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Referenced methods
M08 Table 8.2.a, M15 §15.3 and M19 §19.1.2–19.2.4; Design-specific adaptation is Chamgap design; M08 §8.2.2 and M15 §15.3.1; Chamgap application

Related sources S01

N17 · ITT principle and estimand population

Current findings
The manuscript records following the ITT principle. This historical narrative is not used to establish analysis-population details, completeness of all observations or current content-review verification.
Verification status
Partly verified
Materials actually read
Summary read; external material unread
Why unverified
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. Primary-effect inclusion criteria, estimand-population definitions, analysis exceptions and original PPS/sensitivity results remain unread. Existing content review remains incomplete.
Reason for missing information
Primary-effect inclusion criteria, estimand-population definitions, analysis exceptions and original PPS/sensitivity results remain unread.
Required materials and conditions
ITT narrative and outcome-specific analysis conditions
Materials to obtain first
Original ITT definition, inclusion/exclusion, model and sensitivity materials
Further research
A proposed study disclosing ITT separately from other analyses; no new investigation, calculation or trial was performed.
Remaining uncertainty
This record links preserved-summary statements; it does not establish external-paper comparison, a new efficacy verdict or completed content review.
Conditions for verification
Corresponding original materials and analysis scope for iTT narrative and outcome-specific analysis conditions must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Why this condition is needed
An applied item distinguishing iTT narrative and outcome-specific analysis conditions to connect the selected question’s needed materials with current materials.
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Referenced methods
M08 §8.2.2, M15 §15.3.1; internal application; M04 §4.5–4.6 collection/selection principles; access/reading separation and hyperlink specifications are internally designed

Related sources S01

N18 · Missing data and maximum-likelihood model

Current findings
The manuscript records that missing observations were estimated by maximum likelihood in the prespecified model. This is not changed into measurement of all participants or absence of missing-data effects.
Verification status
Partly verified
Materials actually read
Summary read; external material unread
Why unverified
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. Group-specific reasons/timing of missingness/attrition, model terms/assumptions, sensitivity to non-random missingness and actual numbers remain unverified. Existing content review remains incomplete.
Reason for missing information
Group-specific reasons/timing of missingness/attrition, model terms/assumptions, sensitivity to non-random missingness and actual numbers remain unverified.
Required materials and conditions
Distinction between missing-data narratives, missingness/attrition and model assumptions
Materials to obtain first
Flow, missing-data handling and model-assumption/sensitivity materials
Further research
A proposed study distinguishing observations from estimates when reporting missing-data effects; no new investigation, calculation or trial was performed.
Remaining uncertainty
This record links preserved-summary statements; it does not establish external-paper comparison, a new efficacy verdict or completed content review.
Conditions for verification
Corresponding original materials and analysis scope for distinction between missing-data narratives, missingness/attrition and model assumptions must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Why this condition is needed
An applied item distinguishing distinction between missing-data narratives, missingness/attrition and model assumptions to connect the selected question’s needed materials with current materials.
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Referenced methods
M08 Table 8.2.a, M15 §15.3 and M19 §19.1.2–19.2.4; Design-specific adaptation is Chamgap design; M08 §8.2.2 and M15 §15.3.1; Chamgap application

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N19 · Registration and prespecified primary endpoint

Current findings
Original records of NCT01827800, posting on 2013-04-10 and allocation starting on 2013-06-18 are preserved. The narrative that these matched the primary 12-month weight-change endpoint is historical; full registration/plans remain unread in this work.
Verification status
Partly verified
Materials actually read
Summary read; external material unread
Why unverified
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. Registration changes, protocol/SAP, the complete pre-recruitment analysis conditions and original-source correspondence remain unread. Existing content review remains incomplete.
Reason for missing information
Registration changes, protocol/SAP, the complete pre-recruitment analysis conditions and original-source correspondence remain unread.
Required materials and conditions
Preserved scope of the NCT identifier, advance dates and endpoint plan
Materials to obtain first
Registration history, protocol, and SAP
Further research
A proposed study openly linking advance plans and actual primary analysis; no new investigation, calculation or trial was performed.
Remaining uncertainty
This record links preserved-summary statements; it does not establish external-paper comparison, a new efficacy verdict or completed content review.
Conditions for verification
Corresponding original materials and analysis scope for preserved scope of the NCT identifier, advance dates and endpoint plan must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Why this condition is needed
An applied item distinguishing preserved scope of the NCT identifier, advance dates and endpoint plan to connect the selected question’s needed materials with current materials.
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Referenced methods
M08 Table 8.2.a, M04 §4.6.3; custom application; M04 §4.5–4.6 material-collection/selection principles; separation of access/reading and hyperlink conventions are custom design; M04 §4.5, §4.6.3; limits on current material conversion reflect the review scope and custom design

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N20 · Multiple outcomes, time points and hierarchy

Current findings
The manuscript’s primary mean weight endpoint at 12 months is distinguished from the secondary 5% responder result. Reductions in blood pressure, glucose or disease events, or primary effects at other time points, are not generated.
Verification status
Partly verified
Materials actually read
Summary read; external material unread
Why unverified
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. The complete outcomes/time points, multiplicity adjustment, analysis/reporting changes and secondary-result tables remain unverified. Existing content review remains incomplete.
Reason for missing information
The complete outcomes/time points, multiplicity adjustment, analysis/reporting changes and secondary-result tables remain unverified.
Required materials and conditions
Advance hierarchy of the primary mean endpoint, responders and other outcomes
Materials to obtain first
SAP, complete results and hierarchy/multiplicity materials
Further research
A proposed study distinguishing the primary endpoint from secondary results; no new investigation, calculation or trial was performed.
Remaining uncertainty
This record links preserved-summary statements; it does not establish external-paper comparison, a new efficacy verdict or completed content review.
Conditions for verification
Corresponding original materials and analysis scope for advance hierarchy of the primary mean endpoint, responders and other outcomes must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Why this condition is needed
An applied item distinguishing advance hierarchy of the primary mean endpoint, responders and other outcomes to connect the selected question’s needed materials with current materials.
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Referenced methods
M08 Table 8.2.a, M04 §4.6.3; custom application; M03 §3.2.4, M15 §15.3.1–15.3.3; question-specific outcome adaptation is custom design; M03 §3.2.4; custom extension boundary

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N21 · Concurrent management, medication and lifestyle

Current findings
This was a bundled study involving comorbidities and clinician counseling. It does not establish that concurrent management, medication or lifestyle beyond the app, scale and counseling were equal or had no effect.
Verification status
Unverified
Materials actually read
Summary read; external material unread
Why unverified
Information currently needed is unverified in the preserved summary. Details of concurrent management/medication changes, diet/activity, group-specific exposure and handling of differences remain unverified. Existing content review remains incomplete.
Reason for missing information
Details of concurrent management/medication changes, diet/activity, group-specific exposure and handling of differences remain unverified.
Required materials and conditions
Group-specific effects of conditions/medication, diet/activity and clinical contact
Materials to obtain first
Concurrent-exposure, condition/medication and lifestyle records and analyses
Further research
A proposed follow-up study distinguishing concurrent management from intervention components; no new investigation, calculation or trial was performed.
Remaining uncertainty
This record links preserved-summary statements; it does not establish external-paper comparison, a new efficacy verdict or completed content review.
Conditions for verification
Corresponding original materials and analysis scope for group-specific effects of conditions/medication, diet/activity and clinical contact must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Why this condition is needed
An applied item distinguishing group-specific effects of conditions/medication, diet/activity and clinical contact to connect the selected question’s needed materials with current materials.
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Referenced methods
M03 §3.2.3, M08 §8.2.2–8.2.3; own application; M03 §3.2.2–3.2.3; reverse-direction labels and test adaptations are our own design

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N22 · Weight, clinical events and importance

Current findings
The original verdict distinguishes weight from actual events such as disease onset or death. The manuscript’s statement that no prespecified success threshold or externally validated minimum clinically important difference was declared is preserved.
Verification status
Partly verified
Materials actually read
Summary read; external material unread
Why unverified
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. Declared clinical-importance/success criteria, disease events and long-term functional effects remain unverified. Existing content review remains incomplete.
Reason for missing information
Declared clinical-importance/success criteria, disease events and long-term functional effects remain unverified.
Required materials and conditions
Distinction between weight change, clinical events and success/importance criteria
Materials to obtain first
Prespecified importance criteria and clinical-outcome/follow-up materials
Further research
A proposed study distinguishing weight from clinical outcomes important to patients; no new investigation, calculation or trial was performed.
Remaining uncertainty
This record links preserved-summary statements; it does not establish external-paper comparison, a new efficacy verdict or completed content review.
Conditions for verification
Corresponding original materials and analysis scope for distinction between weight change, clinical events and success/importance criteria must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Why this condition is needed
An applied item distinguishing distinction between weight change, clinical events and success/importance criteria to connect the selected question’s needed materials with current materials.
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Referenced methods
M15 §15.3.1–15.3.3; Chamgap's own application; M03 §3.2.4; Chamgap's own limits on extension

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N23 · NIH public funding

Current findings
NIH NIDDK support through R01DK093829 is preserved as recorded. Public funding is not converted into absence of all support/author relationships or new independence certification.
Verification status
Partly verified
Materials actually read
Summary read; external material unread
Why unverified
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. Funder roles, agreements, data/publication decisions and complete original support statements remain unread. Existing content review remains incomplete.
Reason for missing information
Funder roles, agreements, data/publication decisions and complete original support statements remain unread.
Required materials and conditions
Distinction between actual funder/grant and other support categories
Materials to obtain first
Original funding disclosures, support roles and agreements
Further research
A proposed follow-up trial disclosing support roles; no new investigation, calculation or trial was performed.
Remaining uncertainty
This record links preserved-summary statements; it does not establish external-paper comparison, a new efficacy verdict or completed content review.
Conditions for verification
Corresponding original materials and analysis scope for distinction between actual funder/grant and other support categories must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Why this condition is needed
An applied item distinguishing distinction between actual funder/grant and other support categories to connect the selected question’s needed materials with current materials.
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Referenced methods
Chamgap's own conditions for independence and attribution. The official methodological sections used in this example do not validate every detail of these items.

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N24 · Commercial, scale, analysis/writing/publication support

Current findings
The manuscript states that the pivotal paper did not report commercial sponsorship, donated scales, outsourced analysis, medical writing or publication-fee support. Non-reporting is not judged as actual absence.
Verification status
Partly verified
Materials actually read
Summary read; external material unread
Why unverified
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. Each support category, actual agreements, complete originals and research roles remain unread. Existing content review remains incomplete.
Reason for missing information
Each support category, actual agreements, complete originals and research roles remain unread.
Required materials and conditions
Scope of category-specific non-reporting in the pivotal paper
Materials to obtain first
Disclosures of commercial/in-kind, outsourced-analysis and writing/publication support
Further research
A proposed study disclosing support categories separately; no new investigation, calculation or trial was performed.
Remaining uncertainty
This record links preserved-summary statements; it does not establish external-paper comparison, a new efficacy verdict or completed content review.
Conditions for verification
Corresponding original materials and analysis scope for scope of category-specific non-reporting in the pivotal paper must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Why this condition is needed
An applied item distinguishing scope of category-specific non-reporting in the pivotal paper to connect the selected question’s needed materials with current materials.
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Referenced methods
Chamgap independence/attribution conditions. The referenced official method sections do not certify every detail of these items; Data collection/selection principles in M04 §4.5–4.6; Access/reading separation and hyperlink rules are Chamgap design

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N25 · Later author relationships and historical attribution

Current findings
The manuscript records a later paper disclosing Gary Bennett’s WW scientific-adviser role and equity in Coeus Health. A later disclosure after the pivotal trial is not applied retrospectively as confirmation of funding or roles during that trial.
Verification status
Partly verified
Materials actually read
Summary read; external material unread
Why unverified
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. Specific later bibliography/disclosure dates, contemporaneous agreements, relationships during the original trial and complete COI remain unlinked/unread. Existing content review remains incomplete.
Reason for missing information
Specific later bibliography/disclosure dates, contemporaneous agreements, relationships during the original trial and complete COI remain unlinked/unread.
Required materials and conditions
Timing, individuals and relation of later disclosures to the original trial
Materials to obtain first
Later original disclosures, dates and materials relating them to original-trial COI
Further research
A proposed study reporting support and author relationships separately by period; no new investigation, calculation or trial was performed.
Remaining uncertainty
This record links preserved-summary statements; it does not establish external-paper comparison, a new efficacy verdict or completed content review.
Conditions for verification
Corresponding original materials and analysis scope for timing, individuals and relation of later disclosures to the original trial must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Why this condition is needed
An applied item distinguishing timing, individuals and relation of later disclosures to the original trial to connect the selected question’s needed materials with current materials.
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Referenced methods
Chamgap’s custom independence/attribution conditions. The official methodology sections used in this pilot do not guarantee all these detailed items; M04 §4.5, §4.6.3; current conversion limits reflect review scope and custom design; M04 §4.6.1–4.6.2 distinction between studies and reports; cohort/outcome linkage is custom application

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N26 · Other low-intensity null trials and applicability differences

Current findings
Null trials of app-only or low-intensity technology support are mentioned, but the original explanation treats them as generalization limits rather than direct refutations of Track because composition and intensity differ. Unlinked reports are not created as new trials.
Verification status
Partly verified
Materials actually read
Summary read; external material unread
Why unverified
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. Specific bibliography, population/intervention/denominators, endpoints and results of the other trials are not linked. Existing content review remains incomplete.
Reason for missing information
Specific bibliography, population/intervention/denominators, endpoints and results of the other trials are not linked.
Required materials and conditions
Distinction between references to null programs and direct Track comparisons
Materials to obtain first
Comparison-program originals and relationships in composition/intensity/endpoints
Further research
A proposed follow-up study matching composition and intensity for comparison; no new investigation, calculation or trial was performed.
Remaining uncertainty
This record links preserved-summary statements; it does not establish external-paper comparison, a new efficacy verdict or completed content review.
Conditions for verification
Corresponding original materials and analysis scope for distinction between references to null programs and direct Track comparisons must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Why this condition is needed
An applied item distinguishing distinction between references to null programs and direct Track comparisons to connect the selected question’s needed materials with current materials.
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Referenced methods
M04 §4.6.3, M15 §15.3.1–15.3.3; status separation is custom design; M04 §4.6.1–4.6.2 distinction between studies and reports; cohort/outcome linkage is custom application; M03 §3.2.2–3.2.3; reverse-direction labeling and test adaptation are custom design

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N27 · Same report, sibling sheets and independent replication

Current findings
The mean and 5% sheets share the same Bennett2018 Track report of 351 randomized participants. Groups, time points, app/counseling components, bibliography/registration and sibling sheets are not added as new independent trials or participants.
Verification status
Partly verified
Materials actually read
Summary read; external material unread
Why unverified
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. Independent reproduction with the same composition/endpoint and unique trial/participant totals are not established. Existing content review remains incomplete.
Reason for missing information
Independent reproduction with the same composition/endpoint and unique trial/participant totals are not established.
Required materials and conditions
Report-to-trial-to-group/time-point/denominator relationships
Materials to obtain first
Report/cohort relationships and originals of separate independent studies
Further research
A proposed independent follow-up comparison of the same bundle/endpoint; no new investigation, calculation or trial was performed.
Remaining uncertainty
This record links preserved-summary statements; it does not establish external-paper comparison, a new efficacy verdict or completed content review.
Conditions for verification
Corresponding original materials and analysis scope for report-to-trial-to-group/time-point/denominator relationships must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Why this condition is needed
An applied item distinguishing report-to-trial-to-group/time-point/denominator relationships to connect the selected question’s needed materials with current materials.
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Referenced methods
Study/report distinction in M04 §4.6.1–4.6.2; Cohort/outcome linkage is Chamgap application; M04 §4.6.1–4.6.2 and M15 §15.3.1; Chamgap application

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N28 · Persistence and generalization across products/populations

Current findings
Results are limited to the population and duration of the Track bundle including counseling. They are not extended to all apps/commercial products, other populations, persistence beyond 12 months or disease-treatment effects.
Verification status
Partly verified
Materials actually read
Summary read; external material unread
Why unverified
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. Long-term/discontinuation follow-up, other populations/compositions and direct single-component comparisons remain unverified. Existing content review remains incomplete.
Reason for missing information
Long-term/discontinuation follow-up, other populations/compositions and direct single-component comparisons remain unverified.
Required materials and conditions
12-month bundle results versus later effects or other programs
Materials to obtain first
Long-term follow-up and direct trials by population/composition
Further research
A proposed follow-up study distinguishing applicability by bundle, population and duration; no new investigation, calculation or trial was performed.
Remaining uncertainty
This record links preserved-summary statements; it does not establish external-paper comparison, a new efficacy verdict or completed content review.
Conditions for verification
Corresponding original materials and analysis scope for 12-month bundle results versus later effects or other programs must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Why this condition is needed
An applied item distinguishing 12-month bundle results versus later effects or other programs to connect the selected question’s needed materials with current materials.
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Referenced methods
M03 §3.2.1–3.2.4; dose/duration/effect-modification details are internally designed; M03 §3.2.2–3.2.3; reverse-direction labels and testing adaptations are internally designed; M03 §3.2.4; internal extension boundaries

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N29 · Original safety record and reporting gaps

Current findings
Parent safety is unknown, and the manuscript states that the pivotal paper did not systematically present adverse events as a prespecified safety endpoint. Mean weight loss is not used as absence of harm or safety of disease management.
Verification status
Partly verified
Materials actually read
Summary read; external material unread
Why unverified
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. Adverse-event collection/adjudication, group-specific frequencies/denominators, discontinuation and long-term/vulnerable-population harms remain unverified. Existing content review remains incomplete.
Reason for missing information
Adverse-event collection/adjudication, group-specific frequencies/denominators, discontinuation and long-term/vulnerable-population harms remain unverified.
Required materials and conditions
Prespecification, collection and group-specific denominators/follow-up for adverse events
Materials to obtain first
Safety plans, adverse-event tables and discontinuation/long-term follow-up
Further research
A proposed study specifying harm collection and population-specific follow-up; no new investigation, calculation or trial was performed.
Remaining uncertainty
This record links preserved-summary statements; it does not establish external-paper comparison, a new efficacy verdict or completed content review.
Conditions for verification
Corresponding original materials and analysis scope for prespecification, collection and group-specific denominators/follow-up for adverse events must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Why this condition is needed
An applied item distinguishing prespecification, collection and group-specific denominators/follow-up for adverse events to connect the selected question’s needed materials with current materials.
Application exceptions
Supplements safety-data gaps for the selected subclaim. Mean weight, 5% responder results and parent caution wording are not used to judge safety or generate harm incidence or new use instructions.
Referenced methods
M19 §19.1.2–19.2.4; detailed distinctions are Chamgap’s own design; M19 §19.1.2–19.2.4; Chamgap application; M19 §19.1.2–19.2.4; Chamgap application; M19 §19.1.2–19.2.4; Chamgap application

Related sources S01

N30 · Parent/subclaim, Korean/English, dates and history

Current findings
Parent C56, B/S/R1/I2/E+/B0, unrecorded precision, three false flags, empty override reasons and subclaim grade C/note are preserved. Korean/English text, 2026-08-26, empty corrections/deliberation and historical cross-checking are not current review or a subclaim score.
Verification status
Partly verified
Materials actually read
Summary read; external material unread
Why unverified
Only relevant preserved-summary information is recorded; detailed originals remain unread and existing content review incomplete. Missing subclaim score/status/axes are not filled with parent values. No new efficacy/method certification. Existing content review remains incomplete.
Reason for missing information
Missing subclaim score/status/axes are not filled with parent values. No new efficacy/method certification.
Required materials and conditions
Separation of original values/axes from corrections and historical verification narratives
Materials to obtain first
Original corrections, versions and user correction comments
Further research
A proposed study distinguishing original values/history from the applicability of later updates; no new investigation, calculation or trial was performed.
Remaining uncertainty
This record links preserved-summary statements; it does not establish external-paper comparison, a new efficacy verdict or completed content review.
Conditions for verification
Corresponding original materials and analysis scope for separation of original values/axes from corrections and historical verification narratives must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Why this condition is needed
An applied item distinguishing separation of original values/axes from corrections and historical verification narratives to connect the selected question’s needed materials with current materials.
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Referenced methods
M04 §4.5, §4.6.3; limits of this material conversion follow the review scope and internal design; M03 §3.1, §3.2.1–3.2.4 question-clarification principles; detailed separation rules are internally designed

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N31 · Actual summary reading and external links

Current findings
The full preserved JSON summary and bibliography were used for production, and links are retained. Papers, registration, protocol, SAP and original later disclosures/support materials remain unread with no access attempt; links were not tested.
Verification status
Partly verified
Materials actually read
Summary read; external material unread
Why unverified
Only the relevant information in the preserved summary is recorded; detailed originals remain unread and existing content review incomplete. External-source contents, exact denominators/models and actual accessibility remain unverified. Existing content review remains incomplete.
Reason for missing information
External-source contents, exact denominators/models and actual accessibility remain unverified.
Required materials and conditions
Reading the preserved JSON versus access to external originals, registration, plans and COI
Materials to obtain first
Originals, registration, protocol, SAP, support/COI materials or user comments
Further research
A proposed follow-up study updating acquisition, timing and scope separately; no new investigation, calculation or trial was performed.
Remaining uncertainty
This record links preserved-summary statements; it does not establish external-paper comparison, a new efficacy verdict or completed content review.
Conditions for verification
Corresponding original materials and analysis scope for reading the preserved JSON versus access to external originals, registration, plans and COI must be available and unverified matters distinguishable. Preserved wording is linked here; existing content review remains incomplete.
Why this condition is needed
An applied item distinguishing reading the preserved JSON versus access to external originals, registration, plans and COI to connect the selected question’s needed materials with current materials.
Application exceptions
Limited to the preserved summary’s selected strategy/population/endpoint/period. It does not replace numbers for other strategies/trials/endpoints or unread external materials.
Referenced methods
M04 §4.5–4.6 material collection/selection principles; acquisition/reading separation and hyperlink specifications are internally designed; M04 §4.5, §4.6.3; limits of this material conversion follow the review scope and internal design

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