Obesity, Overweight
Conditions
Brief summary
The study compares the effectiveness of adults living with overweight or obesity taking weight management medications alone vs taking them with behavioral and lifestyle support. The primary outcome is percent body weight lost at 12-weeks.
Interventions
BEHAVIORALWW Clinic
Telehealth platform that specializes in medical weight management and integrates the behavioral and lifestyle support from WW
Sponsors
Michelle Cardel, PhD, MS, RD
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* BMI of \>30 or BMI of \>27 with one or more weight related medically qualifying condition (hypertension, dyslipidemia, sleep apnea, cardiovascular disease) * Determined eligible for Bupropion/Naltrexone or Liraglutide by WW Clinic medical provider and initiated a medication management plan
Exclusion criteria
* Diabetes * Uncontrolled hypertension * History of seizures * History of glaucoma * History of chronic kidney disease * Currently taking bupropion * Currently taking naltrexone * Current or previous history of anorexia or bulimia nervosa * Engagement with vomiting or laxative use within the last 28 days with the aim of controlling their shape or weight * Currently taking opioids * Previous surgical obesity treatment * Use of other anti-obesity medication in last 90 days or a GLP1 in the last 180 days * Lost weight \>11 lbs in the last 90 days * Pregnant, breastfeeding, intends to become pregnant, of child-bearing potential and not using a highly effective contraceptive method * Any other reason rendering a participant unsuitable for trial participation, as determined by a clinician or study investigator
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percent body weight lost at 12 weeks | Baseline, 12 weeks | Measurement of weight using a bluetooth body weight scale |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Physical Activity and Sedentary Behavior | Baseline, 12 weeks | The Global Physical Activity Questionnaire (GPAQ) is a 16 item scale. |
| Dietary Intake | Baseline, 12 weeks | Diet ID is powered by Diet Quality Photo Navigation (DQPN®). It is a digital toolkit and 1 component will be used in the study: ID assessment. |
| Habit/Automaticity | Baseline, 12 weeks | The Self-Report Behavioral Automaticity Index (SRBAI) is a 4-item measure. |
| Hunger VAS (Visual Analogue Scale) | Baseline, 12 weeks | The Hunger VAS (Visual Analogue Scale) is a reliable measure for appetite research. The Hunger VAS asks How hungry did you feel over the past week and is composed of a line with words anchored at each end describing the extremes (Not at all hungry, Extremely hungry). Participants are asked to make a mark on the line corresponding to their feelings and quantification of the measurement is done by measuring the distance from the left end of the mark. |
| Impact on Quality of Life | Baseline, 12 weeks | The Impact of Weight on Quality of Life-Lite (IWQOL-Lite) is a validated self-report measure for an individual's perception of how their weight affects their day-to-day life |
| Change in body weight (in kg or pounds) at 12 weeks | Baseline, 12 weeks | Measurement of weight using a bluetooth body weight scale |
| Body Appreciation | Baseline, 12 weeks | The Body Appreciation Scale (BAS-2) measures individuals acceptance of, favorable opinions toward, and respect for their bodies. There are 10 items, each assessed on a scale from 1-never to 5-always. Higher scores indicate higher body appreciation. |
| Food Cravings | Baseline, 12 weeks | The Food Cravings Inventory (FCI-II) is a 33-item self-report measure designed to assess the subjective experience of food craving across 33 different foods |
| Self-Compassion | Baseline, 12 weeks | The Self-Compassion Scale (SCS) is a 26-item measure of self-compassion that is psychometrically valid and theoretically coherent. The SCS consists of six subscales: self-kindness, self-judgment, common humanity, isolation, mindfulness, and over-identified. Subscales are computed by calculating the mean of subscale item responses. A total self-compassion score can be obtained by reverse scoring the negative subscale items (self-judgment, isolation, and over-identification) and computing a grand mean of all six subscale means. Higher scores indicate greater self compassion. |
| Weight Bias | Baseline, 12 weeks | The Weight Bias Internalization Scale (WBIS-2F) has 13 items and responses are rated on a 7-point Likert scale(strongly disagree -strongly agree). Responses provide insight on the participant's internalized beliefs and feelings regarding their weight. There are two subscales: Weight-Related Distress (7 items; 7-13; Cronbach's alpha =0.910) and Weight-Related Self-Devaluation (6 items; 1-6; Cronbach's alpha =0.763). The WBIS-2F has been tested for validity in people with overweight and obesity and the two factor model demonstrated good to excellent fit with the data. Scores are calculated by taking an average of the response values. Questions 1,2,4,5, should be reverse scored before calculating the average. Higher scores indicating greater internalized weight bias. |
| Well-being | Baseline, 12 weeks | The World Health Organization (WHO-5) Well-being Index consists of five statements, which respondents rate, in relation to the past two weeks, using a six-point Likert scale |
Countries
United States
Outcome results
None listed