- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01448551
MPOWERed Messages: Tailored Mobile Messages to Enhance Weight Loss for Teens
Novel Individually Tailored Mobile Messages to Enhance Weight Loss for Teens
Obesity affects millions of American children and increases their risk of adult obesity, a myriad of serious illnesses, increased healthcare costs, and premature death. It is vital to find ways to reverse this epidemic. Multidisciplinary behavioral weight management programs offer the promise of effectively treating childhood obesity. However, participants in such programs often find it challenging to follow recommended treatment plans and frequently drop out from programs without completing them. The proposed project aims to address these problems through frequent contact with patients between office visits. This interim contact will be achieved by automatically sending tailored messages to the mobile phones of adolescents enrolled in a multidisciplinary weight management program (the MPOWER program), as an adjunct to clinic visits.
The investigators hypothesize that program participants who receive the tailored text messages will experience lower attrition rates, increased treatment adherence, and greater weight loss compared to those program participants who do not receive the messages.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Michigan
-
Ann Arbor, Michigan, United States, 48109
- University of Michigan
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- BMI ≥ 95th percentile for sex and age according to CDC growth charts
- Enrollment in the MPOWER program
- At least one parent willing and able to participate in the MPOWER program with the adolescent
- Absence of any major medical illness, disability, or moderate/severe mental disorder (e.g., liver disease, renal failure, cancer, bipolar disorder)
Exclusion Criteria:
- Presence of any major medical illness, disability, or moderate/severe mental disorder (e.g., renal failure, cancer, bipolar disorder)
- Physical, mental, or cognitive handicaps that prevent participation
- Chronic use of medications that may affect study outcomes (e.g., Diuretics, oral steroids)
- Girls who are pregnant, planning to become pregnant in the next 6 months, lactating, or within 6 months postpartum
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: SINGLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Text Messaging
|
For this trial adolescents will be allowed to use their own phone (with reimbursement for any study-related costs), or will be provided with a mobile phone, if requested.
Participants will receive messages delivered daily over the course of 20 weeks.
The content of the messages will be tailored on participants' responses to the MPOWER enrollment survey and the initial tailoring questionnaire.
On school days, all messages will be sent after 3 pm (which is after school hours for most Michigan middle and high schools).
Therefore, patients will not need to carry cell phones to school.
The tailored messages will utilize various degrees of personalization, adaptation and feedback - including momentary assessments with feedback requiring a text reply from the adolescents.
Other Names:
|
No Intervention: Control
Participation in the MPOWER program without receiving tailored text messages
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Session attendance
Time Frame: Over the course of 6 months
|
Over the course of 6 months
|
Adherence to MPOWER program homework assignments
Time Frame: Over the course of 6 months
|
Over the course of 6 months
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Satisfaction with the MPOWER program
Time Frame: At the completion of 3 months and 6 months in the program
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At the completion of 3 months and 6 months in the program
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Drop out
Time Frame: Prior to completion of the 6 month program
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Prior to completion of the 6 month program
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in body mass index
Time Frame: After 3 months and 6 months in the MPOWER program
|
After 3 months and 6 months in the MPOWER program
|
|
Objective measurement of daily participation in moderate to vigorous activity
Time Frame: After 3 months and 6 months in the MPOWER program
|
After 3 months and 6 months in the MPOWER program
|
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Self-efficacy for achieving MPOWER recommendations for the 6 target behaviors
Time Frame: After 3 months and 6 months in the MPOWER program6 month
|
Using a self-efficacy scale developed by Resnicow we will measure self-efficacy for consuming breakfast daily, achieving recommended amounts of fruits and vegetables, obtaining 60 to 90 minutes of moderate to vigorous physical activity on most days, limiting fast food consumption to no more than once per week, consuming no more than three 8 oz servings of sugar-sweetened beverages per week, and engaging in no more than 2 hours of screen time per day.
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After 3 months and 6 months in the MPOWER program6 month
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Intrinsic motivation to increase intake of fruits and vegetables and to increase physical activity
Time Frame: After 3 months and 6 months in the MPOWER program
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Intrinsic motivation will be measured using the Treatment Self-Regulation Questionnaire for Nutrition and the Treatment Self-Regulation Questionnaire for Physical Activity
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After 3 months and 6 months in the MPOWER program
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Change in self-report of the six behaviors targeted in the intervention
Time Frame: After 3 months and 6 months in the MPOWER program
|
The behaviors addressed are: Breakfast (self-report, in response to the question, During the last 7days, how many days did you eat breakfast?)
Fruits and vegetables (24 hour food recall) Fast food (self-report in response to the question, During the last 7 days, how often did you eat food purchased at a fast food restaurant?) Sugar-sweetened beverages (24 hour food recall) Screen time (self-report in response to questions regarding number of hours of screen time per day on school days and non-school days) Physical activity (self-report using the Fitnessgram Activity log)
|
After 3 months and 6 months in the MPOWER program
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Susan J Woolford, MD, MPH, University of Michigan
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- F022685-1
- 5K23HD058797-02 (U.S. NIH Grant/Contract)
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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