A Novel Telehealth Intervention Using Nutrition and Exercise to Extend Intervention Benefits: Enhancing Physical Function in the Long-term for Obese Older Adults
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Weight Loss Maintenance
- Sponsor
- Duke University
- Enrollment
- 14
- Locations
- 1
- Primary Endpoint
- Acceptability as Measured by Participant Satisfaction
- Status
- Completed
- Last Updated
- 10 months ago
Overview
Brief Summary
The intervention being studied is a 12-week nutrition and physical activity intervention, delivered using videoconference technology by registered dietitian clinicians to maintain weight loss and functional gains in older adults who successfully completed a weight loss intervention. The "Legacy Intervention" will include cognitive behavioral strategies (e.g., goal setting, self-monitoring, and social support), and draw upon a toolbox of e-approaches, including daily and weekly text reminders, virtual exercise classes, virtual individual and group nutrition classes, and step tracking device.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Participated in a weight loss intervention in the last 9 months and lost ≥ 3% body weight and improved SPPB score by ≥ 1 point or 6MWT by ≥ 50 meters
- •Able to speak and understand spoken and written English.
- •Able to record dietary intake and weight
Exclusion Criteria
- •Presence of unstable or symptomatic life-threatening illness
- •Neurological conditions causing functional impairment, including Parkinson's disease, multiple sclerosis, and permanent disability due to stroke
- •Inability to complete physical function assessment
- •No access to internet connection to participate in the tele-intervention
- •Unable or unwilling to use provided tablet to participant in tele-intervention
- •History of cognitive impairment
Outcomes
Primary Outcomes
Acceptability as Measured by Participant Satisfaction
Time Frame: 12 week endpoint
Participants will asked to rate their satisfaction by answering the question "Overall, I'm glad I participated in this weight maintenance program" with the following possible responses: 1- strongly disagree , 2- disagree, 3 - neither agree nor disagree, 4- agree, and and 5 -strongly agree. Score ranges from 1- 5 with higher score indicating greater satisfaction
Proportion Retention
Time Frame: 12 week endpoint
Proportion retention will be computed by dividing the number of retained subjects at the end of the intervention by the total number of participants
Secondary Outcomes
- Change in Physical Performance as Measured by the Short Physical Performance Battery(0 weeks, 12 weeks)
- Change in Physical Function as Measured Using the 6 Minute Walk Test(0 weeks, 12 weeks)
- Change in Body Weight as Measured by the Aria Fitbit Scale(0 weeks, 12 weeks)
- Change in Average Weekly Steps Measured Using Garmin Watch(0 weeks, 12 weeks)
- Change in Total Calories Using 3-day Food Record (Participants Record Everything They Eat and Drink for Three Days)(0 weeks,12 weeks)
- Change in Stress Using the Perceived Stress Scale(0 weeks, 12 weeks)
- Change in Self-reported Depression Using the Center for Epidemiologic Studies Depression Scale (CES-D)(0 weeks, 12 weeks)
- Change in Mood Using the Profile of Mood States Questionnaire(0 weeks, 12 weeks)
- Quality of Life Using the SF-36 Questionnaire - SF-36 Physical Functioning Scale(0 weeks, 12 weeks)
- Quality of Life Using the SF-36 Questionnaire - Role Limitations Due to Physical Health Scale(0 weeks, 12 weeks)
- Quality of Life Using the SF-36 Questionnaire - Role Limitations Due to Emotional Problems Scale(0 weeks, 12 weeks)
- Quality of Life Using the SF-36 Questionnaire - Energy/Fatigue Scale(0 weeks, 12 weeks)
- Quality of Life Using the SF-36 Questionnaire - Emotional Well-Being Scale(0 weeks, 12 weeks)
- Quality of Life Using the SF-36 Questionnaire - Social Functioning Scale(0 weeks, 12 weeks)
- Quality of Life Using the SF-36 Questionnaire - Pain Scale(0 weeks, 12 weeks)
- Quality of Life Using the SF-36 Questionnaire - General Health Scale(0 weeks, 12 weeks)