Obesity
Conditions
Keywords
obesity, inpatient, intervention, weight loss
Brief summary
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.
Interventions
BEHAVIORALInpatient weight loss counseling
Weight loss counseling utilizing a 13 minute patient education video on weight loss and an 25 minute personalized health education session. Subjects set 3 specific behavior set three specific lifestyle goals prior to discharge including a calculated six month weight loss goal (10% of body weight) and specific dietary and fitness goals. Usual care group participants received no specific instruction regarding weight loss prior to discharge.
BEHAVIORALMotivational interviewing and troubleshooting via phone
All subjects were asked to track their weights over the 6 month duration of the study. Weights were obtained by phone at weeks 1,2,3,4, 8, 12, 16, 20 and 24. Phone calls for the intervention group utilized motivational and troubleshooting techniques whereas calls in the usual care group were used only to obtain weight and assess for changes in medications or health condition.
Sponsors
Northwestern University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Adults ages 18-65 years old * Body mass index between 30-50 kg/m2 * Admitted to an internal medicine service
Exclusion criteria
* 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
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Weight loss between groups | 6 months |
Secondary
| Measure | Time frame |
|---|---|
| Weight loss from baseline | 6 months |
| Change in Patient Reported Outcomes Measurement Information System (PROMIS) scores | 6 months |
| Change in waist-to-hip ratios | 6 months |
Countries
United States
Outcome results
None listed