A Study to See if an iPhone Weight Management App Can Help Promote Weight Loss in Adolescents and Young Adults After a Stem Cell Transplant
Behavioral Weight Loss Intervention Utilizing Mobile Health Technology in Hematopoietic Stem Cell Transplant Patients (BWL001)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
PRIMARY OBJECTIVE:
I. To evaluate the effectiveness of an addiction-based weight loss intervention, embodied as a smartphone application (app) with telephone coaching, on weight outcomes of overweight and obese post hematopoietic stem cell transplantation (HSCT) adolescents and young adults.
SECONDARY OBJECTIVES:
I. To evaluate the changes in metabolic parameters and physical activity levels, in addition to modifications in addictive eating behaviors, motivation, and self-regulatory behaviors.
II. To evaluate the feasibility, adherence, and satisfaction of this intervention.
OUTLINE:
Patients receive an iPhone with W8Loss2Go app, a body scale and a digital food scale to weigh themselves and food daily. Patients interact with coaches via text messages for 4 days weekly and receive weekly 15 minute phone calls for appointment reminders, emotional support, progress discussion, and follow up on items discussed in a prior visit or phone call. Patients also have telemedicine interviews with the coach lasting 60 minutes at 2 and 4 months to elicit both positive and negative impacts on weight management and to identify barriers such as emotional eating, displacement behaviors, poor coping skills to life stressors, and social challenges. Patients who opt to extend the intervention until month 12 attend an additional telemedicine meeting with the coach. Patients also complete questionnaires over approximately 1.5 hours.
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
California
-
Los Angeles, California, United States, 90095
- Recruiting
- UCLA / Jonsson Comprehensive Cancer Center
-
Contact:
- Theodore B. Moore
- Phone Number: 310-794-8929
- Email: tbmoore@mednet.ucla.edu
-
Principal Investigator:
- Theodore B. Moore
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patients with a history of HSCT of any type, at least 100 days post-transplant at initial consultation of the study, will be eligible for the study
- Patients must classify as obese, represented as body mass index (BMI) >= 85th percentile for age and gender
- Patients must also be able to read English since the app intervention is only available in English form
- No patients will be excluded for any specific underlying medical condition, but decisions will be made on a case by case basis if a patient's functioning is deemed to significantly interfere with intervention participation
- PARENT:
- His/her child meets all inclusion criteria
- >= 18 years of age
- Can speak English
Exclusion Criteria:
- Patients who are < 100 days post-transplant at initial consultation will not be eligible for the study, but may become eligible if they are > 100 days post-transplant at their next consultation that falls within the enrollment window
- Patients whose BMI does not fall under the obese category will be excluded
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Supportive Care (app, scales, coaching, questionnaire)
Patients receive an iPhone with W8Loss2Go app, a body scale and a digital food scale to weigh themselves and food daily.
Patients interact with coaches via text messages for 4 days weekly and receive weekly 15 minute phone calls for appointment reminders, emotional support, progress discussion, and follow up on items discussed in a prior visit or phone call.
Patients also have telemedicine interviews with the coach lasting 60 minutes at 2 and 4 months to elicit both positive and negative impacts on weight management and to identify barriers such as emotional eating, displacement behaviors, poor coping skills to life stressors, and social challenges.
Patients who opt to extend the intervention until month 12 attend an additional telemedicine meeting with the coach.
Patients also complete questionnaires over approximately 1.5 hours.
|
Complete questionnaires
Participate in interviews
Receive iPhone with W8Loss2Go app
Receive body scale and food scale
Other Names:
Receive telephone calls
Receive text message
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in body mass index (BMI) status
Time Frame: Baseline up to 12 months
|
The main outcomes measures will be height (meters), weight (kg), and BMI (kg/m^2).
Height will be measured to assess consistency in height measurements.
Weight will be measured to assess trends in weight over the time span of the intervention.
BMI will be measured as a product of weight and height to obtain an appropriate metric that accounts for these measures, and is the standard measure to assess weight progression in weight intervention studies.
|
Baseline up to 12 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Adherence
Time Frame: Up to 12 months
|
Compliance with app intervention will be measured by daily interaction with the application and the coach.
A point system has been designed in the application to measure compliance with the app intervention, measured by +/- weight measured daily, logging of problem foods, logging of snacking panel, and logging of meals.
The coach interacts with the participants through text daily, and through phone calls weekly.
|
Up to 12 months
|
|
Fasting lab test analysis: HbA1c
Time Frame: At four months up to 12 months
|
HbA1c: Glycated hemoglobin (A1C) test result reflects your average blood sugar level for the past two to three months.
Specifically, the A1C test measures what percentage of your hemoglobin is coated with sugar.
The healthy range is between 4% and 5.6%
|
At four months up to 12 months
|
|
Fasting lab test analysis: Total cholesterol
Time Frame: At four months up to 12 months
|
Total cholesterol: This measures the overall amount of cholesterol in your blood.
The healthy range is < 170 mg/dL
|
At four months up to 12 months
|
|
Fasting lab test analysis: Low density lipoprotein
Time Frame: At four months up to 12 months
|
LDL: low density lipoprotein (LDL) is the bad cholesterol in your blood.
The healthy range is <100 mg/dL
|
At four months up to 12 months
|
|
Fasting lab test analysis: High density lipoprotein
Time Frame: At four months up to 12 months
|
HDL: high density lipoprotein (HDL) is the good cholesterol in your blood.
The healthy range is > 45 mg/dL
|
At four months up to 12 months
|
|
Fasting lab test analysis: triglycerides
Time Frame: At four months up to 12 months
|
TG: triglycerides (TG) are a type of lipid in your blood.
The healthy range is < 150 mg/dL
|
At four months up to 12 months
|
|
Fasting lab test analysis: aspartate/alanine aminotransferase
Time Frame: At four months up to 12 months
|
AST/ALT: aspartate/alanine aminotransferase (AST/ALT) are liver enzymes to measure liver health.
The healthy range or AST is 10-34 IU/L and the healthy range for ALT is 8-37 IU/L.
|
At four months up to 12 months
|
|
Fasting lab test analysis: glucose
Time Frame: At four months up to 12 months
|
Glucose: This measures the amount of sugar in your blood.
We measure this after fasting for 8 hours.
The healthy range is 70-99 mg/dL
|
At four months up to 12 months
|
|
Yale Food Addiction Scale
Time Frame: Up to 12 months
|
visual analog scale (1: never to 5:always).
Higher scores may suggest more addictive like eating
|
Up to 12 months
|
|
Center for epidemiologic studies depression scale
Time Frame: Up to 12 months
|
4 categorical options (never/rarely, sometimes, moderately, all of the time).
A higher score suggests utility for screening for depression
|
Up to 12 months
|
|
Perceived stress scale
Time Frame: Up to 12 months
|
Likert Scale (0: never to 4:very often).
Higher scores suggests higher stress
|
Up to 12 months
|
|
Satisfaction with program
Time Frame: Up to 12 months
|
Measured by "Satisfaction Survey".
This Likert Scale will be completed by the participant and their parent at the end of the study.
This scale uses a Likert Scale where 1 = completely disagree to 7 = completely agree.
Higher scores suggest greater satisfaction with the intervention.
|
Up to 12 months
|
|
Demographic questionnaire
Time Frame: Up to 12 months
|
10 questions with varying options to inquire about common demographic questions (gender, age, primary language, etc).
Questions are descriptive in nature and no score is assigned.
|
Up to 12 months
|
|
Food craving questionnaire
Time Frame: Up to 12 months
|
Likert scale (1: never to 5: always).
A higher score suggests higher degrees of food cravings
|
Up to 12 months
|
|
Binge eating disorder screen
Time Frame: Up to 12 months
|
4 categorical options (never/rarely, sometimes, often, always).
A higher score suggests utility for screening for binge eating disorder
|
Up to 12 months
|
|
Physical activity questionnaire
Time Frame: Up to 12 months
|
participants identify number of times (0 to more than 7) that they conducted a particular physical activity in the past 7 days.
This includes skipping, rowing, etc.
|
Up to 12 months
|
|
S weight
Time Frame: Up to 12 months
|
Likert scale (1: strongly disagree to 5: strongly agree).
Higher scores indicates more motivation for change in weight
|
Up to 12 months
|
|
Height encounters questionnaire
Time Frame: Up to 12 months
|
six questions about the participants health care utilization in the past month.
Questions are descriptive in nature and no score is assigned.
|
Up to 12 months
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Theodore B Moore, UCLA / Jonsson Comprehensive Cancer Center
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Nutrition Disorders
- Overnutrition
- Body Weight
- Overweight
- Pathological Conditions, Signs and Symptoms
- Nutritional and Metabolic Diseases
- Signs and Symptoms
- Neoplasms
- Obesity
- Health Care Quality, Access, and Evaluation
- Investigative Techniques
- Epidemiologic Methods
- Data Collection
- Health Care Evaluation Mechanisms
- Quality of Health Care
- Public Health
- Environment and Public Health
- Equipment and Supplies
- Enzymes
- Enzymes and Coenzymes
- Transferases
- Alkyl and Aryl Transferases
- Self-Help Devices
- Interviews as Topic
- Weights and Measures
- Spermine Synthase
- Communication Devices for People with Disabilities
Other Study ID Numbers
Other Study ID Numbers
- 19-001992
- NCI-2020-02687 (Registry Identifier: CTRP (Clinical Trial Reporting Program))
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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