Worksite Wellness Study
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Tufts University
- Enrollment
- 554
- Locations
- 1
- Primary Endpoint
- Weight (iDiet/Healthy Weight for Living arms)
Study Overview
Brief Summary
Worksites offer attractive locations for reducing the national prevalence of overweight and obesity. Interventions that are both effective and sustainable for producing long-term changes in health and employee wellness are urgently needed. In an 18-month worksite randomized controlled trial in 12 worksites, this study will test two lifestyle approaches designed to facilitate behavior modification for achieving long-term improvements in health and quality of life. Worksites randomized to the immediate intervention arm will receive the two on-site wellness programs and the randomized control sites will participate in outcomes assessments for the initial 6-month period, after which participants will receive vouchers to participate in the program of their choice. The primary focus of the worksite wellness study is to identify ways to improve health-related quality of life, with a particular focus on a decrease in cardiometabolic risk factors, including weight, improved weight-related wellness, and improved energy level in work and life. The two interventions will be separately tested against the control condition in intention-to-treat models and with a completers analysis.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Factorial
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 21 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Willingness to sign an informed consent form
- •Willingness to provide release from his/her physician before starting the intervention program-a requirement for each of the 3 wellness programs
- •Willingness to provide email identification (ID) and contact information to the commercial program facilitators to receive program materials and other feedback related to program progress
- •Willingness to complete outcome assessments and self-monitoring in order to track intervention effectiveness
- •BMI ≥ 20 kg/m2 and < 50 kg/m2 at screening, if participant opts into the HPI arm
- •BMI ≥ 25 kg/m2 and < 50 kg/m2 at screening, if participant opts into the weight loss arm
Exclusion Criteria
- •Employees who are temporary contract workers or employees who work remotely most of the time
- •< 21 years of age
- •Participation in a weight loss program or intensive wellbeing program at time of enrollment
- •Pregnant or lactating (per self-reports, now or intended during study)
- •Prior weight loss surgery or a medical complication that would prevent full participation
- •Multiple severe dietary intolerances (e.g. gluten combined with dairy or meat) which would reduce intervention adherence
- •Non-English speaking
- •Individuals who have lost > 15 pounds in the past 6 months
- •Mobility limitations (inhibiting the ability to stand on one's own or get on and off of the scale)
- •Major diseases including active cancer or cardiovascular disease
- •BMI < 25 kg/m2 or ≥ 50 kg/m2 at screening, for those that opt-in to the weight-loss group
- •BMI <20 kg/m2 or ≥ 50 kg/m2 at screening, for those that opt-in to the HPI group
- •For those interested in the weight loss intervention, additional exclusion criteria are as follows:
- •Any condition that influences the ability to absorb food (e.g. inflammatory bowel disease or celiac disease)
- •Very active individuals (> 2 hours/day or >14 hours/week of vigorous activity).
Arms & Interventions
Human Performance Institute©
These participants will be part of the intervention sites and will receive the Human Performance Institute© intervention for the duration of the study (18 months).
Intervention: Human Performance Institute© (Behavioral)
The iDiet® with Voucher
These participants will be part of the intervention sites and will receive the iDiet® with Voucher for the duration of the study (18 months).
Intervention: The iDiet® (also called Healthy Weight for Living when used as a not-for-profit intervention) with Voucher (Behavioral)
The iDiet® with Food
These participants will be part of the intervention sites and will receive the iDiet® with Food for the duration of the study (18 months).
Intervention: The iDiet® (also called Healthy Weight for Living when used as a not-for-profit intervention) with Food (Behavioral)
Wait-listed control
These participants will be part of the control sites and will participate in outcome assessments for a 6-month period only.
Outcomes
Primary Outcomes
Weight (iDiet/Healthy Weight for Living arms)
Time Frame: 1.5 years
Fasted measurements of weight obtained in duplicate to ±0.1 kg at baseline, 6, 12, and 18 months using the TANITA TBF-300A.
Quality of Life (HPI arm)
Time Frame: 1.5 years
Assessed by the RAND Short Form 36 Health Survey (SF-36) at baseline, 6, 12, and 18 months.
Secondary Outcomes
- Mood(1.5 years)
- Glucose(1.5 years)
- Blood pressure(1.5 years)
- Eating behavior (Three-Factor Eating)(1.5 years)
- Eating behavior (Food Cravings)(1.5 years)
- Productivity(1.5 years)
- Sleep(1.5 years)
- Depression(1.5 years)
- Cholesterol(1.5 years)
- Triglycerides(1.5 years)
- Eating behavior (Food Preferences)(1.5 years)
- Well-being(1.5 years)
- Hemoglobin A1c(1.5 years)
- Physical Activity(1.5 years)
Investigators
Sai Krupa Das
Scientist
Tufts University