Text Messaging for Weight Loss in Primary Care Patients
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Obesity
- Sponsor
- The University of Texas Health Science Center, Houston
- Enrollment
- 91
- Locations
- 1
- Primary Endpoint
- Change in weight from baseline
- Status
- Completed
- Last Updated
- 10 years ago
Overview
Brief Summary
Overweight and obese adults recruited from the primary care setting (n=150) will be enrolled in a 6-month randomized trial of the INTERVENTION versus CONTROL. Both groups will receive usual medical care, printed materials, and educational text messages. The INTERVENTION group will also receive personalized coaching and feedback, as well as peer support, via text message.
The investigators hypothesize that compared to those in the Control group, patients in the Intervention group will lose more weight and demonstrate more favorable changes in fruit and vegetable intake, exercise, and social support for weight loss.
Investigators
Kevin Hwang, MD
Assistant Professor - Internal Medicine
The University of Texas Health Science Center, Houston
Eligibility Criteria
Inclusion Criteria
- •Approved to participate by PCP (Patients with diabetes, hypertension, or dyslipidemia will be eligible if approved by their PCP)
- •Age ≥ 21 years
- •Body mass index (BMI) 25 to 45 kg/m2 and weight ≤ 400 pounds
- •Goal of losing weight (not just maintain weight)
- •Willing to change diet, physical activity in order to lose weight.
- •Currently uses text messaging in English on mobile phone
- •Willing to use send and receive text messages for this study without direct compensation for cost of messages (general compensation for study participation will be provided)
- •Have a scale at home for self-monitoring weight
- •Fluent in English (speak, read, write)
- •Commit to return for follow-up weight at 6 months regardless of amount of weight lost
Exclusion Criteria
- •Involuntary or voluntary weight loss of ≥ 5% body weight in previous 6 months
- •Participating in research project involving weight loss, exercise, or dietary modification in the previous 6 months
- •Any of the following medical conditions which could affect weight or for which weight loss is contraindicated
- •End-stage liver disease
- •End-stage kidney disease
- •Cancer within previous 2 years (except non-melanoma skin cancer)
- •Myocardial infarction, stroke, or transient ischemic attack within previous 6 months
- •Unstable angina
- •Severe arthritis or other medical conditions which would prevent brisk walking
- •Schizophrenia
Outcomes
Primary Outcomes
Change in weight from baseline
Time Frame: baseline and 6 months
Weight in a lightweight hospital gown with no shoes (calibrated digital scale)
Secondary Outcomes
- Change in diet measured by Fruit and Vegetable Screener (NCI)(baseline and 6 months)
- Change in physical activity as measured by Paffenbarger physical activity questionnaire(baseline and 6 months)
- Change in executive function as measured by Behavior Rating Inventory of Executive Function-Adult Version (BRIEF-A)(baseline and 6 months)
- Change in social support as measured by Weight Management Support Inventory(baseline and 6 months)