Sustaining the Reach of a Scalable Weight Loss Intervention Through Financial Incentives
- Conditions
- Overweight and Obesity
- Interventions
- Other: Financial incentives
- Registration Number
- NCT04225234
- Lead Sponsor
- University of Nebraska
- Brief Summary
This study seeks to assess how different incentive strategies may reduce the initial attrition gap when implementing weight management in a primary care clinic predominantly serving African American patients. This will be done through an innovative research-practice partnership involving primary care, research expertise, and a small business. Participants will be randomly assigned to one of four financial incentive conditions respectively tied to: weight loss, weigh-ins, weigh-ins and weight-loss, and incentive choice. Participants will be followed for 3 and 6 months to assess program reach, sustaining the reach after initial weigh-in, and weight loss outcomes based on records on participant enrollment and subsequent weigh-ins automatically collected through a kiosk at the clinic.
- Detailed Description
The proposed study "Sustaining the Reach of a Scalable Weight Loss Intervention through Financial Incentives: an Exploratory Randomized Trial" seeks to assess how the use of different incentive strategies may reduce the initial attrition gap when implementing weight management in a primary care clinic predominantly serving African American patients through an innovative research-practice partnership involving primary care, research expertise, and a small business.
The sample will include approximately 200 persons ages 19+ from Nebraska Medicine or the greater Omaha community. The inclusion criteria are (1) age 19+ years; (2) are obese (BMI \>=30) or overweight (BMI \>=25 yet smaller than 30); (3) have internet access. Following the completion of an automated informed consent embedded within the program registration using a kiosk placed at the Fontenelle Clinic, we plan to conduct a 4-arm, pragmatic randomized controlled trial (RCT) that will randomly assign overweight/obese patients at the Nebraska Medicine Fontenelle clinic to one of four financial incentive conditions respectively tied to: weight loss, weigh-ins, weigh-ins and weight-loss, and incentive choice, following the completion of an automated informed consent embedded within the program registration and initial weigh-in. Participants will be followed for 3 and 6 months to assess program reach, sustaining the reach after initial weigh-in, and weight loss outcomes based on records on participant enrollment and subsequent weigh-ins automatically collected through a kiosk placed at the Fontenelle clinic.
Recruitment & Eligibility
- Status
- TERMINATED
- Sex
- All
- Target Recruitment
- 119
- Overweight or obese participants who are of 19 years or older and have internet access
- Not meeting the inclusion criteria.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Weight loss incentive Financial incentives Participants will receive incentive rewards based on WEIGHT LOSS outcomes. Combination incentive Financial incentives Participants will receive half of the incentive from WEIGHT LOSS and WEIGH-INs Weigh-in incentive Financial incentives Participants will receive incentive rewards based on WEIGH-INs frequency Choice option incentive Financial incentives Participants will choose one out of the three incentive programs (Weight-loss, Weigh-ins, and Combination).
- Primary Outcome Measures
Name Time Method Sustaining the reach 3, 6, and 12 months Percentage of participants returning to weigh-in 3, 6, and 12 months after initial program registration
- Secondary Outcome Measures
Name Time Method Clinical meaningful weight loss 3, 6, and 12 months Percentage of participants achieving clinically significant weight loss (percentage of patients who lost \>3% or \>5% of their initial bodyweight)
Weight loss 3, 6, and 12 months weight loss achieved at 3, 6 and 12 months
Trial Locations
- Locations (1)
Nebraska Medicine Fontenelle clinic
🇺🇸Omaha, Nebraska, United States