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Monday-Focused Tailored Rapid Interactive Mobile Messaging for Weight Management 2 (M-TRIMM2)

7. August 2020 aktualisiert von: Johns Hopkins Bloomberg School of Public Health
This study, involves the implementation and evaluation of a Monday-focused, individually tailored mobile health application to assist overweight or obese adults who would like to achieve a healthful weight. The goal was to evaluate the application of a Monday-focused delivery system for the M-TRIMM2 intervention on participants who worked or lived in areas in or adjacent to Johns Hopkins East Baltimore medical campus.Targeting mobile messaging occurred at strategic intervals throughout each week, with the intent of prompting participants to renew their health resolutions each Monday combined with lifestyle behavioral education.

Studienübersicht

Detaillierte Beschreibung

The specific aims of this research project are to:

  1. Develop a targeted delivery system for mobile health messages which focused on improving physical activity and diet, and setting healthy resolutions each week.
  2. Deliver the M-TRIMM intervention, which encourages healthy behavior and the weekly renewal of health resolutions.
  3. Evaluate the effectiveness of this intervention on individuals' weight loss, self-efficacy, and motivation to sustain changes in lifestyle behaviors.
  4. Assess the benefit of receiving the message content only (in a paper document), versus a scheduled weekly delivery via mobile messaging.

Studientyp

Interventionell

Einschreibung (Tatsächlich)

154

Phase

  • Unzutreffend

Teilnahmekriterien

Forscher suchen nach Personen, die einer bestimmten Beschreibung entsprechen, die als Auswahlkriterien bezeichnet werden. Einige Beispiele für diese Kriterien sind der allgemeine Gesundheitszustand einer Person oder frühere Behandlungen.

Zulassungskriterien

Studienberechtigtes Alter

18 Jahre bis 70 Jahre (Erwachsene, Älterer Erwachsener)

Akzeptiert gesunde Freiwillige

Nein

Studienberechtigte Geschlechter

Weiblich

Beschreibung

Inclusion Criteria:

  • age ≥ 18 and <71
  • BMI > 25
  • having a phone that was capable of receiving text-messages and being willing to receive text-messages

Exclusion Criteria:

  • age <18 or ≥ 71
  • BMI ≤ 25
  • not having a phone that was capable of receiving text-messages or not being willing to receive text-messages

Studienplan

Dieser Abschnitt enthält Einzelheiten zum Studienplan, einschließlich des Studiendesigns und der Messung der Studieninhalte.

Wie ist die Studie aufgebaut?

Designdetails

  • Hauptzweck: Behandlung
  • Zuteilung: Zufällig
  • Interventionsmodell: Parallele Zuordnung
  • Maskierung: Single

Waffen und Interventionen

Teilnehmergruppe / Arm
Intervention / Behandlung
Experimental: Intervention Group - Receiving Text Messages

The 16-weeks text-messaging intervention centered around 8 goal topics: eating only when hungry, increasing PA, eating a lower fat diet, eating less sugar and reducing calories from beverages, exercising more, eating a balance diet, portion control, and making healthier food choices in social situations.

Messaging

Sun evening: asked to pick 1 of 3 goal topics

Mon morning: received a goal to focus on for the week

Mon evening: asked whether plans were made to reach the goal

Wed morning: received a tip to help reach goal

Wed evening: reminded that if having cravings, text "tip" to automatically receive a tip

Fri morning: received end of the week congratulations, encouragement to keep goals in mind over the weekend

Fri evening: asked for weight, congratulated if lost weight, or encouraged if no weight lost

see arm/group descriptions
After the baseline assessment and the 1st follow-up (~8 weeks post randomization), participants received educational materials regarding physical activity and healthier diets. The study staff reviewed these materials with the participants
Aktiver Komparator: Control Group - Written Messages

Participants in the control group, received a printed copy of the same messages that the intervention group received. However, the first eight-weeks' worth of messages and craving tips were given after the baseline assessment, and the rest were given after the first follow-up assessment (~ 8 weeks post randomization).

The messages for each week were clearly laid out and labeled. Participants were given spaces to record their answers (i.e. to which goal they were selecting for each week). The study staff reviewed the first week's messages together with the study participants to get the participants comfortable with the format that the printed messages were presented in.

After the baseline assessment and the 1st follow-up (~8 weeks post randomization), participants received educational materials regarding physical activity and healthier diets. The study staff reviewed these materials with the participants
see arm/group descriptions

Was misst die Studie?

Primäre Ergebnismessungen

Ergebnis Maßnahme
Zeitfenster
Percent change in weight from baseline
Zeitfenster: ~8 weeks, ~16 weeks, and ~42 weeks post-randomization
~8 weeks, ~16 weeks, and ~42 weeks post-randomization

Sekundäre Ergebnismessungen

Ergebnis Maßnahme
Maßnahmenbeschreibung
Zeitfenster
Body Mass Index (BMI) change from baseline
Zeitfenster: ~8 weeks, ~16 weeks, and ~42 weeks post-randomization
BMI = kg/m2
~8 weeks, ~16 weeks, and ~42 weeks post-randomization

Andere Ergebnismessungen

Ergebnis Maßnahme
Maßnahmenbeschreibung
Zeitfenster
Change from baseline in self-efficacy to lose weight
Zeitfenster: ~8 weeks, ~16 weeks, and ~42 weeks post-randomization compared to baseline
Weight Efficacy Lifestyle Questionnaire (Clark, Abrams,& Niaura, 1991)
~8 weeks, ~16 weeks, and ~42 weeks post-randomization compared to baseline
Physical activity change from baseline
Zeitfenster: ~8 weeks, ~16 weeks, and ~42 weeks post-randomization compared to baseline
International Physical Activity Questionnaire - was used to calculate the total metabolic equivalents (MET)-minutes per week, and MET-minutes per week for four domains of physical activity: (1) PA activity performed at work or during volunteer activities, (2) transportation-related PA (such as walking to do errands), (3) PA performed during housework and caring for family, and (4) recreational, sport, and leisure-time PA.
~8 weeks, ~16 weeks, and ~42 weeks post-randomization compared to baseline
Change from baseline in fruit and vegetable servings intake from baseline
Zeitfenster: ~8 weeks, ~16 weeks, and ~42 weeks post-randomization compared to baseline
National Cancer Institute's (NCI) 19-item All -Day Fruit and Vegetable Screener was used to calculate daily averages of fruit and vegetable serving intake, using NCI's 2001 scoring protocol.
~8 weeks, ~16 weeks, and ~42 weeks post-randomization compared to baseline
Change from baseline in percent energy from fat intake
Zeitfenster: ~8 weeks, ~16 weeks, and ~42 weeks post-randomization compared to baseline
National Cancer Institute's 17-item Percent Energy from Fat Screener - All-Day Quick Food Scan was used and scored according to NCI's 2004 protocol.
~8 weeks, ~16 weeks, and ~42 weeks post-randomization compared to baseline
Change from baseline in scores of perceived exercise benefits and barriers to engaging in exercise and physical activity
Zeitfenster: ~8 weeks, ~16 weeks, and ~42 weeks post-randomization compared to baseline
The 43-item Exercise Benefits and Barriers Scale was used. Separate scores will be calculated for perceived benefits and for perceived barriers. (Sechrist, Walker, & Pender, 1987)
~8 weeks, ~16 weeks, and ~42 weeks post-randomization compared to baseline
Comparison of satisfaction with the program and suggestions for improvement between intervention and control groups
Zeitfenster: ~16 weeks, and ~42 weeks post-randomization compared to baseline

Participants completed a questionnaire that included quantitative and qualitative questions.

Most of the qualitative questions sought to assess what parts of the program worked well and what could have been done better. For instance, participants were asked for their suggestions about what could be done to improve the M-TRIMM2 program, what messages they liked and did not like, and why they would or would not recommend the program to their friends.

The quantitative questions covered a variety of topics, including participants engagement with the program (i.e. whether the participants read the messages they received), how useful messages were in helping participants reach the eight study goals (i.e. eating only when hungry, and exercising more), how helpful the goals were helping participants to achieve weight loss, and whether the program helped participants commit to new goals each Monday during the intervention.

~16 weeks, and ~42 weeks post-randomization compared to baseline

Mitarbeiter und Ermittler

Hier finden Sie Personen und Organisationen, die an dieser Studie beteiligt sind.

Ermittler

  • Hauptermittler: Lawrence Cheskin, MD, Johns Hopkins Bloomberg School of Public Health

Publikationen und hilfreiche Links

Die Bereitstellung dieser Publikationen erfolgt freiwillig durch die für die Eingabe von Informationen über die Studie verantwortliche Person. Diese können sich auf alles beziehen, was mit dem Studium zu tun hat.

Studienaufzeichnungsdaten

Diese Daten verfolgen den Fortschritt der Übermittlung von Studienaufzeichnungen und zusammenfassenden Ergebnissen an ClinicalTrials.gov. Studienaufzeichnungen und gemeldete Ergebnisse werden von der National Library of Medicine (NLM) überprüft, um sicherzustellen, dass sie bestimmten Qualitätskontrollstandards entsprechen, bevor sie auf der öffentlichen Website veröffentlicht werden.

Haupttermine studieren

Studienbeginn (Tatsächlich)

9. September 2016

Primärer Abschluss (Tatsächlich)

27. September 2018

Studienabschluss (Tatsächlich)

27. September 2018

Studienanmeldedaten

Zuerst eingereicht

7. August 2020

Zuerst eingereicht, das die QC-Kriterien erfüllt hat

7. August 2020

Zuerst gepostet (Tatsächlich)

10. August 2020

Studienaufzeichnungsaktualisierungen

Letztes Update gepostet (Tatsächlich)

10. August 2020

Letztes eingereichtes Update, das die QC-Kriterien erfüllt

7. August 2020

Zuletzt verifiziert

1. August 2020

Mehr Informationen

Begriffe im Zusammenhang mit dieser Studie

Plan für individuelle Teilnehmerdaten (IPD)

Planen Sie, individuelle Teilnehmerdaten (IPD) zu teilen?

NEIN

Arzneimittel- und Geräteinformationen, Studienunterlagen

Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt

Nein

Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt

Nein

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