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Feasibility of a Social Media-based Weight Loss Program for Low Socioeconomic Status Individuals

Not Applicable
Completed
Conditions
Obesity
Interventions
Behavioral: Physical Activity
Behavioral: Diet
Behavioral: Social Support
Registration Number
NCT03337230
Lead Sponsor
Case Comprehensive Cancer Center
Brief Summary

The purpose of this study is to see if it is practical to use social media-based and traditional online weight loss intervention components among low socioeconomic status participants using the Facebook social media (SM) and Fitbit self-monitoring platforms. Also, the study will test the effectiveness of recruiting participants via social media and at community events and locations. The results of this study will be used to inform future research studies.

Detailed Description

The primary objectives of the proposed research are to:

1. assess the feasibility of social media-based (social support, social competition, and social rewards) and traditional online weight loss (education and goal setting) intervention components delivered to low-Socioeconomic Status (SES) participants using the Facebook SM and Fitbit self-monitoring platforms and

2. develop and assess methods for recruiting and retaining adequate numbers of low-SES participants for a future randomized controlled trial to assess the efficacy of an SM-based weight loss intervention. The study team will assess feasibility by conducting a 12-week pilot test of traditional and social media-based weight loss intervention components followed by qualitative and quantitative assessment with pilot participants.

The specific aims are:

Aim 1- Assess trial feasibility: The study team will assess intervention processes critical to the success of a larger efficacy trial during the 12-week pilot including: (1) participant recruitment and retention, (2) participant use of intervention components, (3) use of data collection strategies and instruments.

Aim 2 - Assess intervention acceptability: The study team will conduct structured interviews and surveys among participants to assess participants' experience during the intervention. This study focuses on: (1) intervention design and content, (2) participant use of intervention technologies (Facebook and Fitbit), (3) participant concerns about privacy, and (4) barriers and facilitators to recruitment, retention, and participation. Findings will be used to improve the design of a larger efficacy trial.

Study Design: This study will employ a one group pre-post design.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
55
Inclusion Criteria
  • able to speak English
  • regular access to an internet-enabled device that can be synched with the Fitbit wristband
  • Body mass index (BMI) 25-40 kg/m^2
  • < 30 minutes per day of self-reported moderate or vigorous physical activity
  • Considered eligible for Ohio Expanded Food and Nutrition Education Program (EFNEP) income guidelines
  • located in the greater Cleveland metropolitan area
  • not pregnant or planning on becoming pregnant
  • answers 'no' to all questions on the PA Readiness Questionnaire (PAR-Q) or is cleared in writing by a physician
  • does not have a recent history of alcohol or drug abuse or is in treatment
  • does not have schizophrenia
Exclusion Criteria
  • Does not meet all inclusion criteria

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Physical Activity + Diet + Social mediaPhysical ActivityEducational materials for the proposed study will be delivered via a secret social media Facebook group. These materials will promote simple, attainable forms of Physical Activity and lasting diet changes. A study moderator will deliver weekly communications to the Facebook group providing intervention content including social support, social competition and comparison, and social rewards
Physical Activity + Diet + Social mediaDietEducational materials for the proposed study will be delivered via a secret social media Facebook group. These materials will promote simple, attainable forms of Physical Activity and lasting diet changes. A study moderator will deliver weekly communications to the Facebook group providing intervention content including social support, social competition and comparison, and social rewards
Physical Activity + Diet + Social mediaSocial SupportEducational materials for the proposed study will be delivered via a secret social media Facebook group. These materials will promote simple, attainable forms of Physical Activity and lasting diet changes. A study moderator will deliver weekly communications to the Facebook group providing intervention content including social support, social competition and comparison, and social rewards
Primary Outcome Measures
NameTimeMethod
Ratio or participants screened to patients completing 12-week measuresUp to 12 weeks

This is a measure of feasibility

Average score of adapted INSHAPE computer-based questionnaireUp to 12 weeks

Computer-based questionnaires will be self-administered via the Qualtrics Survey platform. INSHAPE questionnaire is a 14 question survey gauging acceptability of the program

Secondary Outcome Measures
NameTimeMethod
Average change in score of the National Cancer Institute's Automated Self-Administered 24-Hour (ASA24) dietary assessment web-based assessment toolFrom baseline to 12 weeks

This is a measure of dietary intake

Number of eligible participantsUp to 12 weeks

This is a measure of feasibility

Number of consented participantsUp to 12 weeks

This is a measure of feasibility

Change in weightFrom baseline to 12 weeks

Trained study staff will determine weight at baseline and 12 weeks of the study

Average change in International physical activity questionnaire (IPAQ) scoreFrom baseline to 12 weeks

This is a measure of physical activity

Change in waist circumferenceFrom baseline to 12 weeks

Trained study staff will determine waist circumference at baseline and 12 weeks of the study

Average change in social support scoreFrom baseline to 12 weeks

This is a 31 question, multiple choice survey adapted from Gruber and Sallis

Average change in weight loss self-efficacy scoreFrom baseline to 12 weeks

Multiple choice questions and short answer survey which can be scored to gauge weight-loss self-efficacy. Adapted from Wilson

Average change in Fitbit activityFrom baseline to 12 weeks

This is a measure of physical activity

Average change in dietary knowledgeFrom baseline to 12 weeks

Multiple choice questions and short answer survey which can be scored to gauge dietary knowledge. Adapted from Jones

Trial Locations

Locations (1)

Case Western Reserve Univeristy

🇺🇸

Cleveland, Ohio, United States

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