Overweight and Obesity
Conditions
Keywords
weight management, body weight, behavioral, weighing
Brief summary
Many adults with obesity continue to gain weight even though they do not want to. This project will test the effects of a primary care intervention in which people with obesity receive an electronic scale and recommendations to weigh themselves daily. This will help us understand whether daily self-weighing might be a way to prevent continued weight gain.
Interventions
BEHAVIORALStandard Care
Standard care includes standardized educational materials to promote self-management of body weight along with provision of $60 for participants to purchase supplies or equipment to facilitate weight management.
BEHAVIORALDaily Self-Weighing
Participants will receive a wireless digital scale and will be asked to keep the scale in their home, weigh daily at the same time, and view their weight trajectory on the scale's digital display.
Sponsors
University of Alabama at Birmingham
Indiana University
Cornell University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
19 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
* Age 19-65 years * Body mass index (BMI) 30 - 50 kg/m2 * Receives care at one of the participating primary care clinics * Resides in one location at least 5 days each week * Possesses a smartphone with data plan * Wi-Fi or Bluetooth internet connection in home
Exclusion criteria
* Pregnancy or anticipating pregnancy during study duration. This is a weight loss study and weight gain/loss due to pregnancy and/or delivery would confound study results. Additionally, weight loss is not recommended for pregnant women. * Unwilling or unable to do any of the following: give informed consent, accept random assignment, attend five measurement assessments * Likely to relocate and no longer be seen at UAB primary care in the next 2 years * Weight loss ≥5% of body weight in past 6 months (other than postpartum) * Weight \>180 kg (396lbs) due to the limitation of the scale being used. * Current participation in another weight loss study * Bariatric surgery or revision in the past two years * Prescription weight loss medications within the past 6 months * Another household member already participating in the study * Potential participants living farther than 50 miles driving distance from UAB will be excluded from the study. It is expected that those living farther away will be more difficult to retain as study participants.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in body weight from baseline to month 6 | 6 months | Body weight measured to the nearest 0.1 kg using a calibrated electronic scale |
| Change in body weight from baseline to month 12 | 12 months | Body weight measured to the nearest 0.1 kg using a calibrated electronic scale |
| Change in body weight from baseline to month 18 | 18 months | Body weight measured to the nearest 0.1 kg using a calibrated electronic scale |
| Change in body weight from baseline to month 24 | 24 months | Body weight measured to the nearest 0.1 kg using a calibrated electronic scale |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Average number of weight control behaviors endorsed on the Weight Control Practices Survey at month 6 | baseline to month 6 | A modified version of the 23-item Weight Control Practices Survey will assess a variety of strategies for weight control, including participation in structured programs and/or self-directed weight control behaviors (e.g., reducing fat intake, maintaining food records, increasing physical activity, frequency of self-weighing). The survey measures presence and duration (in weeks) of each behavior. |
| Average number of weight control behaviors endorsed on the Weight Control Practices Survey at month 12 | month 6 to month 12 | A modified version of the 23-item Weight Control Practices Survey will assess a variety of strategies for weight control, including participation in structured programs and/or self-directed weight control behaviors (e.g., reducing fat intake, maintaining food records, increasing physical activity, frequency of self-weighing). The survey measures presence and duration (in weeks) of each behavior. |
| Average number of weight control behaviors endorsed on the Weight Control Practices Survey at month 18 | month 12 to month 18 | A modified version of the 23-item Weight Control Practices Survey will assess a variety of strategies for weight control, including participation in structured programs and/or self-directed weight control behaviors (e.g., reducing fat intake, maintaining food records, increasing physical activity, frequency of self-weighing). The survey measures presence and duration (in weeks) of each behavior. |
| Average number of weight control behaviors endorsed on the Weight Control Practices Survey at month 24 | month 18 to month 24 | A modified version of the 23-item Weight Control Practices Survey will assess a variety of strategies for weight control, including participation in structured programs and/or self-directed weight control behaviors (e.g., reducing fat intake, maintaining food records, increasing physical activity, frequency of self-weighing). The survey measures presence and duration (in weeks) of each behavior. |
Countries
United States
Outcome results
None listed