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Testing the Effectiveness of WW Clinic GLP1

24 Week External Single-arm Study Testing the Effectiveness of WW GLP1 Behavioral Program + Sequence Medical Weight Management on Weight Loss and Related Outcomes

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT06034457
Acronym
WW Clinic
Enrollment
180
Registered
2023-09-13
Start date
2024-01-18
Completion date
2024-10-17
Last updated
2025-12-19

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Obesity, Weight Loss

Brief summary

The study objective is to evaluate the efficacy of the WeightWatchers (WW) GLP-1 behavioral program + WW Clinic (formerly known as Sequence medical weight management program) on weight loss and related outcomes. Participants will be invited to take part and answer surveys at 0, 12 and 24 weeks.

Detailed description

This is a 24 week prospective single-arm efficacy outcomes study. Up to 180 adult participants who are currently enrolled in WW GLP-1 behavioral program program + WW Clinic (formerly known as Sequence medical weight management program) and already prescribed semaglutide or tirzepatide. The application of a comprehensive lifestyle-based intervention focused on dietary intake, physical activity, support and behavioral principles in conjunction with anti-obesity medication (AOM) is novel and may increase AOM efficacy while minimizing maintenance concerns. As obesity care can now be delivered virtually, it will also include an innovative strategy of virtual/remotely delivered medical care via Sequence and WW. Further, this study will examine multiple psychosocial domains associated with weight loss and weight loss related outcomes including physical activity, dietary behavior, disordered eating, depression symptoms, internalized weight bias and community, that have not been examined in AOM trials.

Interventions

None listed

Sponsors

The Cleveland Clinic
Lead SponsorOTHER

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

1. 18 years or older 2. BMI of \>30 or BMI of \>27 with one or more weight related medically qualifying condition (hypertension, dyslipidemia, sleep apnea, cardiovascular disease) 3. Access to a smartphone or tablet that runs iOS/iPadOS 15.0 or later, or Android 7.0 or later 4. A prescription for Wegovy, Mounjaro, or Zepbound

Exclusion criteria

1. Diabetes 2. Personal or family history of medullary thyroid carcinoma or Multiple Endocrine Neoplasia type 2 3. History of pancreatitis within 180 days 4. Previous surgical obesity treatment 5. Use of other anti-obesity medication in last 90 days 6. Use of GLP-1 within the last 180 days 7. Lost weight \>11 lbs in the last 90 days 8. Pregnant, breastfeeding, intends to become pregnant, of child-bearing potential and not using a highly effective contraceptive method

Design outcomes

Primary

MeasureTime frameDescription
Change in Weight in Pounds From Week 0 to Week 240 to 24 weeksEffect of WW GLP1 behavioral program + WW Clinic (formerly known as Sequence) on absolute change of weight loss at 24 weeks.

Secondary

MeasureTime frameDescription
Weight Loss Percentage Change From Week 0 to Week 240 to 24 weeksEffect of WW + WW Clinic (formerly known as Sequence) on weight loss and % reaching 5, 10, 15, 20 % body weight loss at 24 weeks.

Other

MeasureTime frameDescription
Changes in Well-being Scores From Week 0 to Week 240 to 24 weeksEffect of WW + WW Clinic (formerly known as Sequence) on absolute change of Well-being at 24 weeks using WHO Well-Being Index 5 Scale Name + Description of scale: Well-being Index 5 (WHO-5) is a 5-item questionnaire that assesses subjective well-being through five statements about feeling cheerful, calm, active, interested and rested over the past two weeks. Scale Ranges (min, max) 0-25 Description of scoring: Lower scores indicate worse overall well-being, higher scores indicate better overall well-being. A positive mean change indicates improvement in well-being.
Changes in Disordered Eating Scores From Week 0 to Week 240 to 24 weeksEffect of WW + WW Clinic (formerly known as Sequence) on absolute change of Disordered Eating at 24 weeks using Eating Disorder Examination-Questionnaire Scale Name + Description of scale: Eating Disorder Examination-Questionnaire (EDE-Q) is a 28-item self-report questionnaire, adapted from the semi-structured interview, the Eating Disorder Examination (EDE). The questionnaire is designed to assess the range, frequency and severity of behaviors associated with a diagnosis of an eating disorder. Scale Ranges (min, max): 0-6 Description of scoring: Lower scores indicate less problematic eating disordered behaviors and cognitions and higher scores indicate more problematic eating disordered behaviors and cognitions. A positive mean change indicates an increase in eating disordered symptoms. A negative mean change could indicate a decrease in eating disorder symptoms.
Changes in Strength Training Scores From Week 0 to Week 240 to 24 weeksEffect of WW + WW Clinic (formerly known as Sequence) on absolute change of Strength Training Behavior at 24 weeks using the Strength Training Behavior Scale Scale Name + Description of scale: Stage of Change for Strength Training Strength training is defined as all activities that serve to enhance muscle strength and endurance (free weights, body weight exercises, etc.) Regular resistance training is described as engaging in these activities at least two times per week. Scale Ranges (min, max): 0-7 Description of scoring: Lower scores indicate less days strength training. Higher scores equal more days of strength training. A positive mean change indicates an increase in number of days of strength training.
Changes in Stress Scores From Week 0 to Week 240 to 24 weeksEffect of WW + WW Clinic (formerly known as Sequence) on absolute change of Stress at 24 weeks using the Perceived Stress Scale Scale Name + Description of scale: Perceived Stress Scale, PSS-10 is a self-report scale that asks about feelings and thoughts related to stressful things during the last month. Scale Ranges (min, max): 10-50 Description of scoring: Higher scores indicate more perceived stress and lower scores indicate less perceived stress. A negative mean change indicates improvement in perceived stress.
Changes in Emotional Eating Scores From Week 0 to Week 240 to 24 weeksEffect of WW + WW Clinic (formerly known as Sequence) on absolute change of Emotional Eating scores using the Palatable Eating Motives Scale-Coping Subscale Scale Name + Description of scale: Palatable Eating Motives Scale - Coping Subscale (PEMs-Coping) is a four-item coping subscale of the PEMs self-report that measures eating behavior as a method of coping with problems and negative feelings. Scale Ranges (min, max): 4-20 Description of scoring: Lower scores indicate lower frequency of eating as a method of coping with problems and negative feelings. Higher scores indicate higher frequency of eating as a method of coping with problems and negative feelings. A negative mean score indicates a decrease in using eating to cope with problems and negative feelings.
Changes in UnHealthy Habits Strength Scores From Week 0 to Week 240 to 24 weeksEffect of WW + WW Clinic (formerly known as Sequence) on absolute change of Unhealthy Habits scores using Self-Reported Behavioral Automaticity Index Scale Name + Description of scale: Self-Reported Behavioral Automaticity Index (SRBAI)-Unhealthy Habits Subscale is a self-report measure to assess how automatic or habitual certain behaviors are, often used to understand unhealthy habits. Unhealthy habits included are eating sugary foods, fried foods and drinking sugary drinks. Scale Ranges (min, max): 1-7 Description of scoring: Lower scores indicate less automatic or habitual unhealthy habits. Higher scores indicate more automatic or habitual unhealthy habits. A negative mean change indicates a decrease in automatic or habitual unhealthy behaviors.
Blood Pressure Changes (Systolic and Diastolic) in mmHg From Week 0 to Week 240 to 24 weeksEffect of WW + WW Clinic (formerly known as Sequence) on absolute change of blood pressure at 24 weeks
Changes in Weight Bias Internalization Scores From Week 0 to Week 240 to 24 weeksEffect of WW + WW Clinic (formerly known as Sequence) on absolute change of Weight Bias Internalization scores using Weight Bias Internalization Scale Scale Name + Description of scale: Weight Bias Internalization Scale, WBIS-2F is a 13-item measure developed to assess weight related self-stigma. Scale Ranges (min, max): 13-91 Description of scoring: Lower scores indicate more weight related self-stigma, higher scores indicate less weight related self-stigma. A negative mean change indicates a decrease in weight related self-stigma.
Changes in Self-Compassion Scores From Week 0 to Week 240 to 24 weeksEffect of WW + WW Clinic (formerly known as Sequence) on absolute change of Self-Compassion scores using the Self-Compassion Scale Scale Name + Description of scale: Self-Compassion Scale is a self-report questionnaire that asks how someone typically acts towards themselves in difficult times. Scale Ranges (min, max): 1-5 Description of scoring: Lower scores indicate that an individual might be more critical of themselves during difficult times. Higher scores might indicate someone who might be less critical on themselves during difficult times. A positive mean change indicates more self-compassion.
Number of Participants With GLP1 Side Effects From Week 0 to Week 240 to 24 weeksNumber of Participants with GLP1 Side Effects from week 0 to week 24
Changes in Restraint/Disinhibition Scores From Week 0 to Week 240 to 24 weeksEffect of WW + WW Clinic (formerly known as Sequence) on absolute change of Restraint/Disinhibition scores using the Three Factor Eating Questionnaire Scale Name + Description of scale: Three Factor Eating Questionnaires, TFEQ. Is a self-report scale that measures three dimensions of eating behavior: cognitive restraint, disinhibition and hunger. The first two factors were included. Scale Ranges (min, max): restraint 0-21, disinhibition 0-16 Description of scoring: Lower scores indicate less restraint. Higher scores indicate more restraint. A positive change indicates improvement in restraint. Lower scores indicate less disinhibition. Higher scores indicate more disinhibition. A negative mean change improvement in disinhibition.
Changes in Depression Symptom Scores From Week 0 to Week 240 to 24 weeksEffect of WW + WW Clinic (formerly known as Sequence) on absolute change of Depression symptoms using the Patient Health Questionnaire-8 Scale Name + Description of scale: Patient Health Questionniare-8 item is a self-report scale that rates depressive symptoms including questions about interest, enjoyment, sadness, sleep, appetite, energy, guilt, concentration. Scale Ranges (min, max): 0-24 Description of scoring: Lower scores indicate fewer depressive symptoms, higher scores indicate more depressive symptoms. A negative mean change indicates an improvement in depressive symptoms.
Changes in Healthy Habits Strength Scores From Week 0 to Week 240 to 24 weeksEffect of WW + WW Clinic (formerly known as Sequence) on absolute change of Habit Strength scores using the Self-Reported Behavioral Automaticity Index for Healthy Habits Scale Name + Description of scale: Self-Reported Behavioral Automaticity Index (SRBAI) Healthy Habits Subscale is a self-report measure to assess how automatic or habitual certain behaviors are, often used to understand healthy habits. Healthy habits included are portion control, food tracking, protein content, eating vegetables, weighing self, physical activity, positive self-talk after a setback, arranging kitchen so healthy foods are easy to access and meal planning. Scale Ranges (min, max): 1-7 Description of scoring: Lower scores indicate less automatic or habitual healthy habits. Higher scores indicate more automatic or habitual healthy habits. A positive mean change indicates an increase in automatic or habitual healthy behaviors.
Change in Quality of Life Scores From Week 0 to Week 240 to 24 weeksEffect of WW + WW Clinic (formerly known as Sequence) on absolute change of Quality of Life (QOL) scores using Impact of Weight on Quality of Life-Lite Scale Scale Name + Description of scale: Impact of Weight on Quality of Life-Lite (IWQOL-Lite) Is a validated, 31-item, self-report measure of obesity-specific quality of life in adults. There are five domains include physical function, self-esteem, sexual life, public distress and work. Scale Ranges (min, max): 0-100 Description of scoring: Higher scores represent lower quality of life (i.e., greater impact of obesity on quality of life). Lower scores represent a better quality of life (i.e., less impact of obesity). A negative mean change indicates improvement in quality of life.

Countries

United States

Participant flow

Participants by arm

ArmCount
Single Arm
WW GLP-1 behavioral program program + Sequence medical weight management prescribed semaglutide or tirzepatide.
180
Total180

Baseline characteristics

CharacteristicSingle Arm
Age, Continuous44.11 years
STANDARD_DEVIATION 10.41
Ethnicity (NIH/OMB)
Hispanic or Latino
14 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
166 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
2 Participants
Race (NIH/OMB)
Asian
2 Participants
Race (NIH/OMB)
Black or African American
20 Participants
Race (NIH/OMB)
More than one race
4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
Race (NIH/OMB)
Unknown or Not Reported
5 Participants
Race (NIH/OMB)
White
146 Participants
Sex/Gender, Customized
Female
164 Participants
Sex/Gender, Customized
Intersex
0 Participants
Sex/Gender, Customized
Male
16 Participants
Sex/Gender, Customized
Prefer not to say
0 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
0 / 180
other
Total, other adverse events
0 / 180
serious
Total, serious adverse events
0 / 180

Outcome results

Primary

Change in Weight in Pounds From Week 0 to Week 24

Effect of WW GLP1 behavioral program + WW Clinic (formerly known as Sequence) on absolute change of weight loss at 24 weeks.

Time frame: 0 to 24 weeks

ArmMeasureValue (MEAN)Dispersion
Single ArmChange in Weight in Pounds From Week 0 to Week 24-27.41 poundsStandard Deviation 14.86
Secondary

Weight Loss Percentage Change From Week 0 to Week 24

Effect of WW + WW Clinic (formerly known as Sequence) on weight loss and % reaching 5, 10, 15, 20 % body weight loss at 24 weeks.

Time frame: 0 to 24 weeks

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Single ArmWeight Loss Percentage Change From Week 0 to Week 24Number of participants with >= 5% weight loss at 24 weeks161 Participants
Single ArmWeight Loss Percentage Change From Week 0 to Week 24Number of participants with >= 10% weight loss at 24 weeks121 Participants
Single ArmWeight Loss Percentage Change From Week 0 to Week 24Number of participants with >= 15% weight loss at 24 weeks81 Participants
Single ArmWeight Loss Percentage Change From Week 0 to Week 24Number of participants with >= 20% weight loss at 24 weeks20 Participants
Other Pre-specified

Blood Pressure Changes (Systolic and Diastolic) in mmHg From Week 0 to Week 24

Effect of WW + WW Clinic (formerly known as Sequence) on absolute change of blood pressure at 24 weeks

Time frame: 0 to 24 weeks

ArmMeasureGroupValue (MEAN)Dispersion
Single ArmBlood Pressure Changes (Systolic and Diastolic) in mmHg From Week 0 to Week 24Change in diastolic blood pressure at 24 weeks-5.66 mmHgStandard Deviation 13.29
Single ArmBlood Pressure Changes (Systolic and Diastolic) in mmHg From Week 0 to Week 24Change in systolic blood pressure at 24 weeks-11.17 mmHgStandard Deviation 14.96
Other Pre-specified

Change in Quality of Life Scores From Week 0 to Week 24

Effect of WW + WW Clinic (formerly known as Sequence) on absolute change of Quality of Life (QOL) scores using Impact of Weight on Quality of Life-Lite Scale Scale Name + Description of scale: Impact of Weight on Quality of Life-Lite (IWQOL-Lite) Is a validated, 31-item, self-report measure of obesity-specific quality of life in adults. There are five domains include physical function, self-esteem, sexual life, public distress and work. Scale Ranges (min, max): 0-100 Description of scoring: Higher scores represent lower quality of life (i.e., greater impact of obesity on quality of life). Lower scores represent a better quality of life (i.e., less impact of obesity). A negative mean change indicates improvement in quality of life.

Time frame: 0 to 24 weeks

ArmMeasureGroupValue (MEAN)Dispersion
Single ArmChange in Quality of Life Scores From Week 0 to Week 24Physical Function-20.13 score on a scaleStandard Deviation 17.79
Single ArmChange in Quality of Life Scores From Week 0 to Week 24Self-Esteem-27.98 score on a scaleStandard Deviation 22.5
Single ArmChange in Quality of Life Scores From Week 0 to Week 24Work-12.08 score on a scaleStandard Deviation 19.81
Single ArmChange in Quality of Life Scores From Week 0 to Week 24Total Score-19.19 score on a scaleStandard Deviation 13.42
Single ArmChange in Quality of Life Scores From Week 0 to Week 24Sexual Life-18.27 score on a scaleStandard Deviation 23.1
Single ArmChange in Quality of Life Scores From Week 0 to Week 24Public Distress-11.44 score on a scaleStandard Deviation 17.99
Other Pre-specified

Changes in Depression Symptom Scores From Week 0 to Week 24

Effect of WW + WW Clinic (formerly known as Sequence) on absolute change of Depression symptoms using the Patient Health Questionnaire-8 Scale Name + Description of scale: Patient Health Questionniare-8 item is a self-report scale that rates depressive symptoms including questions about interest, enjoyment, sadness, sleep, appetite, energy, guilt, concentration. Scale Ranges (min, max): 0-24 Description of scoring: Lower scores indicate fewer depressive symptoms, higher scores indicate more depressive symptoms. A negative mean change indicates an improvement in depressive symptoms.

Time frame: 0 to 24 weeks

ArmMeasureValue (MEAN)Dispersion
Single ArmChanges in Depression Symptom Scores From Week 0 to Week 24-2.99 score on a scaleStandard Deviation 4.59
Other Pre-specified

Changes in Disordered Eating Scores From Week 0 to Week 24

Effect of WW + WW Clinic (formerly known as Sequence) on absolute change of Disordered Eating at 24 weeks using Eating Disorder Examination-Questionnaire Scale Name + Description of scale: Eating Disorder Examination-Questionnaire (EDE-Q) is a 28-item self-report questionnaire, adapted from the semi-structured interview, the Eating Disorder Examination (EDE). The questionnaire is designed to assess the range, frequency and severity of behaviors associated with a diagnosis of an eating disorder. Scale Ranges (min, max): 0-6 Description of scoring: Lower scores indicate less problematic eating disordered behaviors and cognitions and higher scores indicate more problematic eating disordered behaviors and cognitions. A positive mean change indicates an increase in eating disordered symptoms. A negative mean change could indicate a decrease in eating disorder symptoms.

Time frame: 0 to 24 weeks

ArmMeasureGroupValue (MEAN)Dispersion
Single ArmChanges in Disordered Eating Scores From Week 0 to Week 24Eating Concerns Score-0.75 score on a scaleStandard Deviation 1.28
Single ArmChanges in Disordered Eating Scores From Week 0 to Week 24Restraint Score0.09 score on a scaleStandard Deviation 1.74
Single ArmChanges in Disordered Eating Scores From Week 0 to Week 24Shape Concern Score-1.04 score on a scaleStandard Deviation 1.07
Single ArmChanges in Disordered Eating Scores From Week 0 to Week 24Weight Concern Score-0.76 score on a scaleStandard Deviation 0.8
Single ArmChanges in Disordered Eating Scores From Week 0 to Week 24Global Score-0.61 score on a scaleStandard Deviation 0.95
Other Pre-specified

Changes in Emotional Eating Scores From Week 0 to Week 24

Effect of WW + WW Clinic (formerly known as Sequence) on absolute change of Emotional Eating scores using the Palatable Eating Motives Scale-Coping Subscale Scale Name + Description of scale: Palatable Eating Motives Scale - Coping Subscale (PEMs-Coping) is a four-item coping subscale of the PEMs self-report that measures eating behavior as a method of coping with problems and negative feelings. Scale Ranges (min, max): 4-20 Description of scoring: Lower scores indicate lower frequency of eating as a method of coping with problems and negative feelings. Higher scores indicate higher frequency of eating as a method of coping with problems and negative feelings. A negative mean score indicates a decrease in using eating to cope with problems and negative feelings.

Time frame: 0 to 24 weeks

ArmMeasureValue (MEAN)Dispersion
Single ArmChanges in Emotional Eating Scores From Week 0 to Week 24-3.99 score on a scaleStandard Deviation 4.79
Other Pre-specified

Changes in Healthy Habits Strength Scores From Week 0 to Week 24

Effect of WW + WW Clinic (formerly known as Sequence) on absolute change of Habit Strength scores using the Self-Reported Behavioral Automaticity Index for Healthy Habits Scale Name + Description of scale: Self-Reported Behavioral Automaticity Index (SRBAI) Healthy Habits Subscale is a self-report measure to assess how automatic or habitual certain behaviors are, often used to understand healthy habits. Healthy habits included are portion control, food tracking, protein content, eating vegetables, weighing self, physical activity, positive self-talk after a setback, arranging kitchen so healthy foods are easy to access and meal planning. Scale Ranges (min, max): 1-7 Description of scoring: Lower scores indicate less automatic or habitual healthy habits. Higher scores indicate more automatic or habitual healthy habits. A positive mean change indicates an increase in automatic or habitual healthy behaviors.

Time frame: 0 to 24 weeks

ArmMeasureGroupValue (MEAN)Dispersion
Single ArmChanges in Healthy Habits Strength Scores From Week 0 to Week 24Portion1.72 score on a scaleStandard Deviation 1.68
Single ArmChanges in Healthy Habits Strength Scores From Week 0 to Week 24Tracking0.55 score on a scaleStandard Deviation 1.86
Single ArmChanges in Healthy Habits Strength Scores From Week 0 to Week 24Points1.24 score on a scaleStandard Deviation 1.82
Single ArmChanges in Healthy Habits Strength Scores From Week 0 to Week 24Vegetables0.48 score on a scaleStandard Deviation 1.4
Single ArmChanges in Healthy Habits Strength Scores From Week 0 to Week 24Weighing1.29 score on a scaleStandard Deviation 2.01
Single ArmChanges in Healthy Habits Strength Scores From Week 0 to Week 24Physically1.02 score on a scaleStandard Deviation 1.57
Single ArmChanges in Healthy Habits Strength Scores From Week 0 to Week 24Self-Talk0.82 score on a scaleStandard Deviation 1.74
Single ArmChanges in Healthy Habits Strength Scores From Week 0 to Week 24Healthy Food0.97 score on a scaleStandard Deviation 1.79
Single ArmChanges in Healthy Habits Strength Scores From Week 0 to Week 24Snacking0.61 score on a scaleStandard Deviation 1.81
Other Pre-specified

Changes in Restraint/Disinhibition Scores From Week 0 to Week 24

Effect of WW + WW Clinic (formerly known as Sequence) on absolute change of Restraint/Disinhibition scores using the Three Factor Eating Questionnaire Scale Name + Description of scale: Three Factor Eating Questionnaires, TFEQ. Is a self-report scale that measures three dimensions of eating behavior: cognitive restraint, disinhibition and hunger. The first two factors were included. Scale Ranges (min, max): restraint 0-21, disinhibition 0-16 Description of scoring: Lower scores indicate less restraint. Higher scores indicate more restraint. A positive change indicates improvement in restraint. Lower scores indicate less disinhibition. Higher scores indicate more disinhibition. A negative mean change improvement in disinhibition.

Time frame: 0 to 24 weeks

ArmMeasureGroupValue (MEAN)Dispersion
Single ArmChanges in Restraint/Disinhibition Scores From Week 0 to Week 24Restraint Score2.42 score on a scaleStandard Deviation 4.03
Single ArmChanges in Restraint/Disinhibition Scores From Week 0 to Week 24Disinhibition Score-3.72 score on a scaleStandard Deviation 3.49
Other Pre-specified

Changes in Self-Compassion Scores From Week 0 to Week 24

Effect of WW + WW Clinic (formerly known as Sequence) on absolute change of Self-Compassion scores using the Self-Compassion Scale Scale Name + Description of scale: Self-Compassion Scale is a self-report questionnaire that asks how someone typically acts towards themselves in difficult times. Scale Ranges (min, max): 1-5 Description of scoring: Lower scores indicate that an individual might be more critical of themselves during difficult times. Higher scores might indicate someone who might be less critical on themselves during difficult times. A positive mean change indicates more self-compassion.

Time frame: 0 to 24 weeks

ArmMeasureValue (MEAN)Dispersion
Single ArmChanges in Self-Compassion Scores From Week 0 to Week 240.05 score on a scaleStandard Deviation 0.32
Other Pre-specified

Changes in Strength Training Scores From Week 0 to Week 24

Effect of WW + WW Clinic (formerly known as Sequence) on absolute change of Strength Training Behavior at 24 weeks using the Strength Training Behavior Scale Scale Name + Description of scale: Stage of Change for Strength Training Strength training is defined as all activities that serve to enhance muscle strength and endurance (free weights, body weight exercises, etc.) Regular resistance training is described as engaging in these activities at least two times per week. Scale Ranges (min, max): 0-7 Description of scoring: Lower scores indicate less days strength training. Higher scores equal more days of strength training. A positive mean change indicates an increase in number of days of strength training.

Time frame: 0 to 24 weeks

ArmMeasureValue (MEAN)Dispersion
Single ArmChanges in Strength Training Scores From Week 0 to Week 240.48 score on a scaleStandard Deviation 1.37
Other Pre-specified

Changes in Stress Scores From Week 0 to Week 24

Effect of WW + WW Clinic (formerly known as Sequence) on absolute change of Stress at 24 weeks using the Perceived Stress Scale Scale Name + Description of scale: Perceived Stress Scale, PSS-10 is a self-report scale that asks about feelings and thoughts related to stressful things during the last month. Scale Ranges (min, max): 10-50 Description of scoring: Higher scores indicate more perceived stress and lower scores indicate less perceived stress. A negative mean change indicates improvement in perceived stress.

Time frame: 0 to 24 weeks

ArmMeasureValue (MEAN)Dispersion
Single ArmChanges in Stress Scores From Week 0 to Week 24-2.66 score on a scaleStandard Deviation 6.51
Other Pre-specified

Changes in UnHealthy Habits Strength Scores From Week 0 to Week 24

Effect of WW + WW Clinic (formerly known as Sequence) on absolute change of Unhealthy Habits scores using Self-Reported Behavioral Automaticity Index Scale Name + Description of scale: Self-Reported Behavioral Automaticity Index (SRBAI)-Unhealthy Habits Subscale is a self-report measure to assess how automatic or habitual certain behaviors are, often used to understand unhealthy habits. Unhealthy habits included are eating sugary foods, fried foods and drinking sugary drinks. Scale Ranges (min, max): 1-7 Description of scoring: Lower scores indicate less automatic or habitual unhealthy habits. Higher scores indicate more automatic or habitual unhealthy habits. A negative mean change indicates a decrease in automatic or habitual unhealthy behaviors.

Time frame: 0 to 24 weeks

ArmMeasureGroupValue (MEAN)Dispersion
Single ArmChanges in UnHealthy Habits Strength Scores From Week 0 to Week 24Sugary Foods-1.64 score on a scaleStandard Deviation 1.86
Single ArmChanges in UnHealthy Habits Strength Scores From Week 0 to Week 24Fried Foods-1.13 score on a scaleStandard Deviation 1.81
Single ArmChanges in UnHealthy Habits Strength Scores From Week 0 to Week 24Drinking-0.83 score on a scaleStandard Deviation 1.66
Other Pre-specified

Changes in Weight Bias Internalization Scores From Week 0 to Week 24

Effect of WW + WW Clinic (formerly known as Sequence) on absolute change of Weight Bias Internalization scores using Weight Bias Internalization Scale Scale Name + Description of scale: Weight Bias Internalization Scale, WBIS-2F is a 13-item measure developed to assess weight related self-stigma. Scale Ranges (min, max): 13-91 Description of scoring: Lower scores indicate more weight related self-stigma, higher scores indicate less weight related self-stigma. A negative mean change indicates a decrease in weight related self-stigma.

Time frame: 0 to 24 weeks

ArmMeasureValue (MEAN)Dispersion
Single ArmChanges in Weight Bias Internalization Scores From Week 0 to Week 24-7.12 score on a scaleStandard Deviation 9.83
Other Pre-specified

Changes in Well-being Scores From Week 0 to Week 24

Effect of WW + WW Clinic (formerly known as Sequence) on absolute change of Well-being at 24 weeks using WHO Well-Being Index 5 Scale Name + Description of scale: Well-being Index 5 (WHO-5) is a 5-item questionnaire that assesses subjective well-being through five statements about feeling cheerful, calm, active, interested and rested over the past two weeks. Scale Ranges (min, max) 0-25 Description of scoring: Lower scores indicate worse overall well-being, higher scores indicate better overall well-being. A positive mean change indicates improvement in well-being.

Time frame: 0 to 24 weeks

ArmMeasureValue (MEAN)Dispersion
Single ArmChanges in Well-being Scores From Week 0 to Week 242.92 score on a scaleStandard Deviation 3.98
Other Pre-specified

Number of Participants With GLP1 Side Effects From Week 0 to Week 24

Number of Participants with GLP1 Side Effects from week 0 to week 24

Time frame: 0 to 24 weeks

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Single ArmNumber of Participants With GLP1 Side Effects From Week 0 to Week 24Diarrhea41 Participants
Single ArmNumber of Participants With GLP1 Side Effects From Week 0 to Week 24Abdominal Pain13 Participants
Single ArmNumber of Participants With GLP1 Side Effects From Week 0 to Week 24Complete Lack of Appetite10 Participants
Single ArmNumber of Participants With GLP1 Side Effects From Week 0 to Week 24Injection Site Reaction7 Participants
Single ArmNumber of Participants With GLP1 Side Effects From Week 0 to Week 24Hair Loss4 Participants
Single ArmNumber of Participants With GLP1 Side Effects From Week 0 to Week 24Nausea146 Participants
Single ArmNumber of Participants With GLP1 Side Effects From Week 0 to Week 24Other67 Participants
Single ArmNumber of Participants With GLP1 Side Effects From Week 0 to Week 24Constipation54 Participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026