MedPath

Remote Delivery of Weight Management by Phone and Social Media

Not Applicable
Completed
Conditions
Obesity
Interventions
Behavioral: Group Phone Calls
Behavioral: Social Media
Registration Number
NCT02496871
Lead Sponsor
University of Kansas Medical Center
Brief Summary

The purpose of this study is to compare two different weight management delivery methods, social media versus a traditional care model.

Detailed Description

Obesity is a major public health issue as 68% of the US population is either overweight or obese. Weight loss and weight loss maintenance is difficult. Traditionally, successful weight loss programs are weekly behaviorally-based clinics which utilize a combination of calorie restriction and physical activity. Traditional "face to face" weekly meetings may not be feasible for everyone.

An alternative to provide weight loss and weight maintenance created by KUMC researchers uses weekly group phone conference calls. While this method produced equal weight loss with fewer burdens to participants when compared to the traditional "face to face" format, weight regain during maintenance was still high.

This study will investigate a new delivery method (social media platform "Facebook") compared to the group phone conference calls. In the social media platform participants will be able to socialize with other participants in their group by commenting on posts from other participants or posting messages themselves. Social media delivered programs have potential to be a more a cost-effective approach to reach a large group of individuals.

Participants who are eligible and decided to be in this study will take part in study related activities for 6 months.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
70
Inclusion Criteria
  • Body mass index (BMI) of 30 to 45 kg/m^2
  • Have access to a computer, smart phone, or tablet
  • Give informed consent to participate
Exclusion Criteria
  • Unable to participate in moderate intensity PA (i.e., walking)
  • Participation in a weight loss or physical activity program in the previous 6 mos.
  • Greater than 3, 30-min bouts of planned exercise/week
  • Not weight stable (±4.6 kg) for 3 mos. prior to intake
  • Unwilling to be randomized to 1 of the 2 study groups
  • Report being pregnant during the previous 6 mos., currently lactating, or planned pregnancy in the following 6 mos.
  • Serious medical risk such as cancer, recent cardiac event (i.e. heart attack, stroke, angioplasty) as determined by the individual's PCP via the clearance to participate in the investigation
  • Current use of antipsychotics or untreated depression
  • Adherence to specialized diet regimens, i.e., multiple food allergies, vegetarian, macrobiotic
  • Binge eating disorder as assessed by the Binge Eating Scale
  • Living in the same household as another study participant

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
KWMP-GPGroup Phone CallsWeekly group phone calls for 6 months. Group phone calls will last about 45 minutes each. Phone calls will include groups of 12-18 participants.
KWMP-SMSocial MediaParticipants interact through a private Facebook group. New activities for participants to complete each week for 6 months.
Primary Outcome Measures
NameTimeMethod
Change in weightChange from Baseline to Month 6
Secondary Outcome Measures
NameTimeMethod
Physical activity - stepsMonth 6

Measured using pedometer to report steps per day on a weekly basis

Physical activity - total minutesMonth 6

Average of total minutes per week of physical activity

Physical activity - ActiGraph Activity Level (Count/Minute; CPM)7 days

Average ActiGraph counts/minute over 7-day period. Activity level based on cut points used in NHANES as described by Troiano. Cut points used will be Sedentary: 0 - 99 CPM; Light: 100 - 2019 CPM; Moderate: 2020 - 5998 CPM; Vigorous: 5999 - ∞ CPM.

Change in BMIChange from Baseline to Month 6
Dietary assessment - self-reported logMonth 6

Participants will complete dietary intake log, including 2 weekdays and 1 weekend day, using MyFitnessPal application prior to baseline and month 6 visits.

Quality of Life Assessment (SF-36)Change from Baseline to Month 6

Measured using the Short Form 36 (SF-12) Health Survey.

Quality of Life - Weight RelatedChange from Baseline to Month 6

Measured using the SHIELD-WQ-9 Questionnaire

Feasibility of Interventions - adherence to protocol proceduresMonth 6

Participants adherence to diet, physical activity and attendance/participation in weight loss sessions.

Trial Locations

Locations (1)

University of Kansas Medical Center

🇺🇸

Kansas City, Kansas, United States

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