Inpatient Obesity: Can Weight Loss Intervention During Hospitalization Lead to Sustained Weight Loss at Six Months Following Discharge?
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 176
- 试验地点
- 1
- 主要终点
- Weight loss between groups
研究概览
简要总结
In this study we sought to determine whether inpatient weight loss counseling with post discharge phone follow-up would result in weight loss at six months. Secondary endpoints included weight change from baseline, changes in waist-to-hip ratios, assessment of weight perceptions and changes in patient reported health outcome measures. To our knowledge, this is the first randomized trial designed to evaluate the effects of an obesity intervention with post-discharge follow-up in an inpatient general medicine population.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adults ages 18-65 years old
- •Body mass index between 30-50 kg/m2
- •Admitted to an internal medicine service
排除标准
- •acute medical conditions known to affect weight (heart failure, cirrhosis, end-stage renal disease on dialysis, nephrotic syndrome, or pregnancy)
- •Charlson comorbidity index >3
- •moderate to severe major depression
- •prolonged steroid use (>2 weeks)
- •initiation of medications known to affect weight
- •non-English speaking
- •precontemplation stage of change
研究组 & 干预措施
Intervention Arm
Inpatient weight loss counseling Motivational interviewing and troubleshooting via phone
干预措施: Inpatient weight loss counseling (Behavioral)
Intervention Arm
Inpatient weight loss counseling Motivational interviewing and troubleshooting via phone
干预措施: Motivational interviewing and troubleshooting via phone (Behavioral)
Usual Care Arm
Participants in the usual care group were not provided with any specific instructions regarding weight loss, diet or exercise prior to discharge. Follow-up phone calls for usual care subject were used only to obtain weight and assess for changes in medications or health condition.
结局指标
主要结局
Weight loss between groups
时间窗: 6 months
次要结局
- Change in waist-to-hip ratios(6 months)
- Weight loss from baseline(6 months)
- Change in Patient Reported Outcomes Measurement Information System (PROMIS) scores(6 months)
研究者
Kelley Wachsberg
Assistant Professor
Northwestern University