- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04055259
A Mobile Health and Wellness Coaching Intervention for Weight Loss
Six-Month Randomized Controlled Trial of Text-Based Mobile Health and Wellness Coaching for Weight Loss
The objective of this study was to assess the effectiveness of a 6-month text-based mobile health and wellness (mHWC) intervention, as compared to usual care (UC), for weight loss in adults. Participants were randomly assigned to one of the two groups (mHWC or UC). At the beginning of the study, both groups were given a Fitbit wearable device, and a weight scale. All participants also received a counseling session from a dietician focused on diet, physical activity, and sleep, and were set up on the Nudge app, a commercially-available mHWC platform. Participants in the mHWC group received text-based coaching messages via Nudge and did not return to the clinic for the duration of the 6-month intervention. Those in the UC group met once a month with a pharmacist or dietician for 6 months. In both groups, the focus was on facilitating health behavior change related to diet, physical activity, and sleep to promote weight loss.
We hypothesized that weight loss at 6 months would be greater in the mHWC group vs. the UC group.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Alabama
-
Auburn, Alabama, United States, 36849
- Auburn University Pharmaceutical Care Center
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- BMI ≥27 kg/m^2
- Waist circumference ≥35 inches (women) or ≥40 inches (men)
- Own an Android smartphone or iPhone capable of running the Nudge and Fitbit applications.
- Indicate sending at least one text-based (e.g., SMS, Facebook, Twitter) message via their smartphone on most days
Exclusion Criteria:
- Pregnant
- Pacemaker or other electronic implant
- Weight ≥400 pounds
- Weight loss ≥5% of bodyweight in previous 6 months
- High cardiovascular risk, as determined by Physical Activity Readiness Questionnaire (PAR-Q) and physician review, as needed.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Usual Care
|
Participants in the usual care (UC) group met in-person once a month with either a pharmacist or dietician for the duration of the 6-month intervention.
The focus of these sessions was on facilitating the adoption and maintenance of health behaviors related to diet, physical activity and sleep to promote weight loss.
These participants were set up on the Nudge app, but they did not use the mHWC (texting) feature.
|
Experimental: mobile Health and Wellness Coaching
|
Participants in the mobile health and wellness coaching (mHWC) group received text-based mHWC messages and did not return to the clinic until the end of the 6 month intervention.
Messages were sent at least weekly and focused on facilitating the adoption and maintenance of health behaviors related to diet, physical activity and sleep to promote weight loss.
Participants could respond via text at any time.
The Nudge platform was used for all messaging.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Weight
Time Frame: 6 months (mean 193 ± 21 days)
|
Assessed at baseline and follow-up
|
6 months (mean 193 ± 21 days)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change Waist Circumference
Time Frame: 6 months (mean 193 ± 21 days)
|
Assessed at baseline and follow-up
|
6 months (mean 193 ± 21 days)
|
Change in Self-Reported Physical Activity
Time Frame: 6 months (mean 193 ± 21 days)
|
Assessed via Exercise Vital Sign (EVS) at baseline and follow-up.
The EVS is used to assess via self-report the amount of physical activity or exercise an individual engages in during an average week.
It asks: 1.
On average, how many days a week do you perform physical activity or exercise, such as walking or jogging?
and 2. On average, how many minutes of physical activity or exercise do you perform on those days?
|
6 months (mean 193 ± 21 days)
|
Change in Self-Reported Sleep Quantity
Time Frame: 6 months (mean 193 ± 21 days)
|
Assessed via Pittsburgh Sleep Quality Index (PSQI) at baseline and follow-up.
The PSQI is used to assess via self-report an individual's nightly average sleep quality and quantity over the previous 30 day period.
As for quality, the higher the score, the lower the quality of sleep.
|
6 months (mean 193 ± 21 days)
|
Change in Self-Reported Daily Caloric Consumption
Time Frame: 6 months (mean 193 ± 21 days)
|
Assessed via the Automated Self-Assessment 24-hour (ASA24) Dietary Assessment at baseline and follow-up.
The ASA24 is a detailed 24-hour food recall that can be used to estimate via self-report diet quality and quantity.
|
6 months (mean 193 ± 21 days)
|
Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Joshua C Hollingsworth, PharmD, PhD, VCOM-Auburn
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 17-278 MR 1707
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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