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Evaluation of a Commercial Program on Weight Loss and Health Outcomes

tiistai 22. elokuuta 2017 päivittänyt: Renee J. Rogers, University of Pittsburgh
While some evidence on weight change elicited from commercially available weight loss programs, such as Weight Watchers, is available, there is little evidence evaluating any health-related outcomes that result from losing weight through these programs. In addition, little data exists on the adherence and satisfaction of these types of programs. The purpose of this study is to evaluate body weight and health-related outcomes that are achieved from participating in a Weight Watchers program, along with program adherence and satisfaction. Men and women (N=150) that are participating in Weight Watchers weight loss program will undergo assessments at the University of Pittsburgh to evaluate outcomes related to the Weight Watchers 6 month intervention. Assessment visits, separate from the intervention, will take place at baseline (0 months), 3 months and 6 months for approximately 90 minutes at the Physical Activity and Weight Management Research Center. Participants will be asked to undergo assessments of body weight, height, aerobic stamina, functional fitness, flexibility, and complete a series of questionnaires related to demographics, program satisfaction, sleep quality, happiness, and food cravings. Adherence to the program will be measured by the number of group sessions attended.

Tutkimuksen yleiskatsaus

Yksityiskohtainen kuvaus

There is a body of evidence that has evaluated the effect of Weight Watchers, a commercially available weight loss program, on changes in body weight. The current investigation aims to add to this body of evidence by providing additional data on changes in body weight and enhance the current evidence-base in regards to evaluating other health-related outcomes.

There is no evidence that demonstrates whether or not the weight loss as a result of the Weight Watchers program elicits changes in health-related outcomes related to aerobic capacity, flexibility, functional fitness, sleep, and other psychological measures. Additionally, within a scientific research protocol, measures of adherence and satisfaction have not been evaluated. This study will evaluate these outcomes beyond weight changes achieved across the 24-week program.

Opintotyyppi

Interventio

Ilmoittautuminen (Todellinen)

150

Vaihe

  • Ei sovellettavissa

Yhteystiedot ja paikat

Tässä osiossa on tutkimuksen suorittajien yhteystiedot ja tiedot siitä, missä tämä tutkimus suoritetaan.

Opiskelupaikat

    • Pennsylvania
      • Pittsburgh, Pennsylvania, Yhdysvallat, 15261
        • Physical Activity and Weight Management Research Center / University of Pittsburgh

Osallistumiskriteerit

Tutkijat etsivät ihmisiä, jotka sopivat tiettyyn kuvaukseen, jota kutsutaan kelpoisuuskriteereiksi. Joitakin esimerkkejä näistä kriteereistä ovat henkilön yleinen terveydentila tai aiemmat hoidot.

Kelpoisuusvaatimukset

Opintokelpoiset iät

18 vuotta ja vanhemmat (Aikuinen, Vanhempi Aikuinen)

Hyväksyy terveitä vapaaehtoisia

Ei

Sukupuolet, jotka voivat opiskella

Kaikki

Kuvaus

Inclusion Criteria:

  • Male or female over age 18. Set "soft quotas" on the number of male and female participants - The desire is to have a 90% female / 10% male split.
  • With or without previous Weight Watchers experience. Set quota on the number of participants with previous Weight Watchers experience at 65%.
  • Self reported height/weight resulting in a Body Mass Index (BMI) of 27 to 43 kg/m2 (will re-screen at facility).
  • Self report that he/she feels the need to lose weight.
  • Willing to discontinue any current over-the-counter (OTC) supplements not recommended/prescribed by physician, with the exception of multivitamins or other vitamin supplement.
  • Willing to follow recommendations required by study protocol.
  • Willing to include demographic information (e.g., ethnicity, income and education).
  • Willing to participate in consumer surveys and focus groups as a part of the intervention.
  • Use of a personal smartphone on a daily basis. For Android devices, must be version 4.4 (code: KitKat) or 5.0 (codename: Lollipop). For iPhones, must be iOS6 and above. Cannot accommodate Blackberry devices.
  • The willingness and ability to navigate and use applications on their smartphone on a daily basis (minimum training will be provided).
  • Reliable home WiFi access
  • Ability to commit to attending up to 27 study visits in approximately 26 weeks:

    • Ability to commit (to best of their ability) to attending weekly meetings, 30-60 minutes in duration, at the same day and time each week for 24 consecutive weeks (daytime and evening options will be available).
    • Ability to commit to up to 3 additional study visits at Weeks 0, 12, and 24, each approximately 90 minutes in duration, to complete assessments (height, weight, questionnaires, physical measures).

Exclusion Criteria:

  • Participants that are currently following a commercial weight-loss program.
  • Participants that have been involved in a related market research program within the last 6 months.
  • Pregnant or nursing, or planning on becoming pregnant over the next 9 months.
  • Recent weight loss of ≥ 5 kg in the previous 3 months.
  • History of clinically diagnosed eating disorder.
  • Orthopedic limitations preventing participation in regular physical activity.
  • Untreated thyroid disease or > 1 change in dose or type of thyroid medication over previous 6 months.
  • Taking any prescription medication with known effects on appetite or weight.

    *With the exception of subjects on a stable dose of SSRIs (Selective Serotonin Re-uptake Inhibitors) for 6 months.

  • Taking oral steroids.
  • Chronic/inflammatory gastrointestinal disorders (irritable bowel syndrome acceptable).
  • Previous surgical procedure for weight loss.
  • Major surgery within the previous 3 months.
  • History of heart problems (e.g., angina, bypass surgery, MI, etc) within previous 3 months.
  • Presence of implanted cardiac defibrillator or pacemaker.
  • Uncontrolled hypertension self-reported BP > 160/100mmHg)
  • Diuretic use for hypertension over 1.5mg per day
  • Diagnosis of type 1 or type 2 diabetes
  • History of presence of cancer (completely respected basal or squamous cell carcinoma acceptable if treatment completed more than 6 months prior to enrollment).
  • Consuming more than 14 alcoholic drinks per week or not more than 3 drinks per day.
  • Planning to relocate in the next 9 months
  • Any orthopedic limitation preventing participation in regular physical activity.

Opintosuunnitelma

Tässä osiossa on tietoja tutkimussuunnitelmasta, mukaan lukien kuinka tutkimus on suunniteltu ja mitä tutkimuksella mitataan.

Miten tutkimus on suunniteltu?

Suunnittelun yksityiskohdat

  • Ensisijainen käyttötarkoitus: Muut
  • Jako: Ei käytössä
  • Inventiomalli: Yksittäinen ryhmätehtävä
  • Naamiointi: Ei mitään (avoin tarra)

Aseet ja interventiot

Osallistujaryhmä / Arm
Interventio / Hoito
Muut: Weight Watchers Intervention
All participants are enrolled in this single arm of the study. All participants receive the Weight Watchers intervention which consists of weekly group intervention/support meetings in which weight loss behaviors (diet, physical activity) are discussed.
All participants are enrolled in this single arm of the study. All participants receive the Weight Watchers intervention which consists of weekly group intervention/support meetings in which weight loss behaviors (diet, physical activity) are discussed.

Mitä tutkimuksessa mitataan?

Ensisijaiset tulostoimenpiteet

Tulosmittaus
Toimenpiteen kuvaus
Aikaikkuna
Body Weight Change
Aikaikkuna: 6 months
To examine the effect of a 24-week commercially available weight loss program on weight change.
6 months

Toissijaiset tulostoimenpiteet

Tulosmittaus
Toimenpiteen kuvaus
Aikaikkuna
Change in Sleep Quality and Duration
Aikaikkuna: 6 months
Sleep quality and duration. Participants will be asked to complete the Pittsburgh Sleep Quality Index (PSQI) at baseline, Months 3 and 6. The PSQI is a validated self-report measure of sleep duration and sleep quality.
6 months
Change in Happiness
Aikaikkuna: 6 months
Participants will be asked to complete the Oxford Happiness Questionnaire at baseline, Months 3 and 6. The OHQ is a validated self-report measure for broad personal happiness. Respondents rate 29 sentences on a 6 point Likert scale (1, strongly disagree; 6, strong agree).
6 months
Change in Food Cravings
Aikaikkuna: 6 months
The Food Craving Inventory-II (FCI-II) is a validated self-report measure for general cravings and cravings for specific types of foods and will be completed at baseline, Months 3 and 6. Respondents rate the frequency of cravings since the last time they completed the survey for each of 33 food items using a five-point Likert scale (1, never; 2, rarely; 3, sometimes; 4, often; 5, always/almost every day). The FCI-II consists of 5 scales (sweets, high fats, carbohydrates/starches, fast food fats, and fruits & vegetables) that constitute the higher order construct of food cravings (the total score).
6 months
Program Satisfaction
Aikaikkuna: 6 months

Program Satisfaction. Two parts to evaluate:

  1. Satisfaction Survey. Participants will be asked to complete a program Satisfaction Survey. The Satisfaction Survey is a self-administered survey scored on a 5-point Likert scale.
  2. Open-ended Satisfaction Survey. Participants will be asked to complete a Open-ended Satisfaction survey that consist of 2 open-ended questions, and asked respondents to report on their satisfaction with the dietary plan.
6 months
Program Adherence
Aikaikkuna: 6 months
Data on adherence (attendance at meetings and use of the points system) will also be collected. Attendance data will be recorded by Weight Watchers staff at every meeting. These data will be confirmed by a member of the research staff that will be attending the weekly Weight Watchers meetings. In addition, the weekly weights obtained at the intervention sessions will be provided to the investigators by the intervention staff to allow for examination of the trajectory of weight loss.
6 months
Change in Aerobic Capacity, Functional Fitness, Balance, Flexibility
Aikaikkuna: 6 months

Aerobic Capacity: Participants will complete a 6 minute walk test on a designated walking course. The 6 minute walk test is a measure of functional and aerobic capacity. Participants will asked to walk at a brisk, yet comfortable pace for a total of 6 minutes.

Functional Fitness and Balance: The Short Physical Performance Battery (SPPB) is a group of measures that combines the results of the gait speed, chair stand and balance tests to measure functional fitness.

Flexibility: Lower body flexibility will be assessed through the sit and reach test. The sit and reach is a common test to measure lower back and lower body flexibility. This will be collected 3 times with the best of 3 scores utilized.

6 months

Yhteistyökumppanit ja tutkijat

Täältä löydät tähän tutkimukseen osallistuvat ihmiset ja organisaatiot.

Tutkijat

  • Päätutkija: Renee J Rogers, PhD, University of Pittsburgh

Opintojen ennätyspäivät

Nämä päivämäärät seuraavat ClinicalTrials.gov-sivustolle lähetettyjen tutkimustietueiden ja yhteenvetojen edistymistä. National Library of Medicine (NLM) tarkistaa tutkimustiedot ja raportoidut tulokset varmistaakseen, että ne täyttävät tietyt laadunvalvontastandardit, ennen kuin ne julkaistaan ​​julkisella verkkosivustolla.

Opi tärkeimmät päivämäärät

Opiskelun aloitus

Lauantai 1. elokuuta 2015

Ensisijainen valmistuminen (Todellinen)

Tiistai 1. maaliskuuta 2016

Opintojen valmistuminen (Todellinen)

Tiistai 1. maaliskuuta 2016

Opintoihin ilmoittautumispäivät

Ensimmäinen lähetetty

Maanantai 12. lokakuuta 2015

Ensimmäinen toimitettu, joka täytti QC-kriteerit

Keskiviikko 21. lokakuuta 2015

Ensimmäinen Lähetetty (Arvio)

Perjantai 23. lokakuuta 2015

Tutkimustietojen päivitykset

Viimeisin päivitys julkaistu (Todellinen)

Torstai 24. elokuuta 2017

Viimeisin lähetetty päivitys, joka täytti QC-kriteerit

Tiistai 22. elokuuta 2017

Viimeksi vahvistettu

Tiistai 1. elokuuta 2017

Lisää tietoa

Tähän tutkimukseen liittyvät termit

Muita asiaankuuluvia MeSH-ehtoja

Muut tutkimustunnusnumerot

  • PRO15040047

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