Feasibility of a Campaign Intervention Compared to a Standard Behavioral Weight Loss Intervention in Overweight and Obese Adults
3 janvier 2014 mis à jour par: David Garcia, University of Pittsburgh
The purpose of this study is to examine the feasibility of a campaign intervention for weight management compared to a standard behavioral weight loss intervention in overweight and obese adults.
Aperçu de l'étude
Statut
Complété
Les conditions
Description détaillée
The feasibility of solely using a campaign intervention (CI) to promote healthy eating and physical activity behaviors for weight loss and weight maintenance has not been examined in a systematic manner.
Thus, the primary aim of this study will be to examine whether a stand-alone CI results in similar weight loss compared to a standard behavioral weight loss intervention (SBWL).
It is hypothesized that the CI will achieve a similar weight loss when compared to the SBWL.
Additional aims include the examination of the CI on changes in moderate to vigorous intensity physical activity, dietary intake, self-monitoring of dietary intake and physical activity, weight loss self-efficacy, and motivation compared to a SBWL.
This study will recruit forty-eight sedentary, overweight and obese adult men and women, to participate in a behavioral weight loss intervention at the University of Pittsburgh Physical Activity and Weight Management Research Center (PAWMRC).
To be considered eligible for this study, participants must be 18-55 years of age, with a Body Mass Index (BMI) ranging from ≥25.0 kg/m² to 45.0 kg/m².
Assessments will be conducted at week 0 and 12 of the intervention.
Each assessment will take approximately 30 minutes to complete and include height, body weight, and assessment of physical activity, dietary intake, weight loss self-efficacy, and motivation.
Upon successful completion of baseline assessments, eligible subjects will be randomly assigned to one of two groups using a stratified randomized block design: 1) standard behavioral weight loss intervention (SBWL) or 2) campaign intervention (CI).
The CI will target specific diet and physical activity behaviors to improve weight loss efforts within a thematic framework based on the professional auto racing point system concept.
CI session content and targeted behavior goals will tie into this overall theme and throughout the campaign participants will have the opportunity to earn incentives to reinforce positive behavior changes.
This study is a necessary first step to examine the feasibility of a stand-alone campaign as an alternative strategy for weight management when compared to a standard behavioral weight loss intervention.
Furthermore, this study will provide variance estimates on the effectiveness of a campaign intervention compared to a standard behavioral weight loss program that can be used to determine appropriate sample sizes for a future full-scale clinical study of this alternative strategy.
Type d'étude
Interventionnel
Inscription (Réel)
26
Phase
- N'est pas applicable
Contacts et emplacements
Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.
Lieux d'étude
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Pennsylvania
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Pittsburgh, Pennsylvania, États-Unis, 15217
- University of Pittsburgh Physical Activity and Weight Management Research Center
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Critères de participation
Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.
Critère d'éligibilité
Âges éligibles pour étudier
18 ans à 55 ans (Adulte)
Accepte les volontaires sains
Non
Sexes éligibles pour l'étude
Tout
La description
Inclusion Criteria:
- 18-55 years of age
- Body mass index (BMI) ranging from ≥25.0 kg/m² to 45.0 kg/m²
- Ability to provide informed consent
Exclusion Criteria:
- Regular exercise participation of at least 20 minutes per day on at least 3 days per week during the previous six months.
- Participation in a previous physical activity or weight management research project in the previous 6 months.
- Weight loss of ≥5% of current body weight in the previous 6 months.
- For women, those currently pregnant, pregnant during the previous 6 months, or plan on becoming pregnant in the next 6 months.
- History of myocardial infarction, coronary bypass surgery, angioplasty, or other heart-related surgeries.
- History of orthopedic or physical complications that would prevent participation in exercise.
- Currently taking any prescription medication that may affect metabolism and/or body weight (e.g., synthroid).
- Currently being treated for any condition that could affect body weight, such as coronary heart disease, diabetes mellitus, uncontrolled hypertension, cancer, depression, and anxiety.
- Currently being treated for any psychological issues or problems, taking any psychotropic medications, or receiving treatment with psychotropic medications within the previous 6 months.
- Resting systolic blood pressure ≥150mmHg or diastolic blood pressure ≥100mmHg. Subjects with controlled hypertension will be allowed to participate if they obtain a medical doctor's written consent to ensure that it is safe to participate in a weight loss intervention.
- Currently do not have access to a computer and the Internet.
Plan d'étude
Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Aucun (étiquette ouverte)
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
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Comparateur actif: Standard Behavioral Weight Loss Intervention (SBWL)
Included changing eating behaviors, increasing physical activity, and attending regular group weight loss meetings.
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Included changing eating behaviors, increasing physical activity, and attending regular group weight loss meetings.
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Expérimental: Campaign Intervention (CI)
Included changing eating behaviors and increasing physical activity, however participants will not attend regular meetings.
Instead they will attend two weekly meetings at weeks 0 and 12.
During the weeks they are not scheduled to attend in-person weekly meetings (weeks 1-11), they will receive education materials via e-mail.
They will also have the opportunity to earn points towards prizes by reporting diet and physical activity behaviors, and body weight via e-mail.
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Included changing eating behaviors and increasing physical activity, however participants will not attend regular meetings.
Instead they will attend two weekly meetings at weeks 0 and 12.
During the weeks they are not scheduled to attend in-person weekly meetings (weeks 1-11), they will receive education materials via e-mail.
They will also have the opportunity to earn points towards prizes by reporting diet and physical activity behaviors, and body weight via e-mail.
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Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
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Change in Body Weight
Délai: Week 0 and 12
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Body weight will be measured on a digital scale to assess change in body weight over the 12-week intervention period.
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Week 0 and 12
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Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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Change in Physical Activity
Délai: Week 0 and 12
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A questionnaire will be used to measure and quantify energy expenditure from physical activity.
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Week 0 and 12
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Change in Dietary Intake: Kcals/Day
Délai: Week 0 and 12
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A questionnaire will be used to assess self-reported food intake.
This will be used to estimate calories, dietary fat, protein, and carbohydrates consumed.
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Week 0 and 12
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Change in Dietary Intake: % Fat
Délai: Week 0 and 12
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A questionnaire will be used to assess self-reported food intake.
This will be used to estimate calories, dietary fat, protein, and carbohydrates consumed.
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Week 0 and 12
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Change in Dietary Intake: % Protein
Délai: Week 0 and 12
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A questionnaire will be used to assess self-reported food intake.
This will be used to estimate calories, dietary fat, protein, and carbohydrates consumed.
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Week 0 and 12
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Change in Dietary Intake: % Carbohydrate
Délai: Week 0 and 12
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A questionnaire will be used to assess self-reported food intake.
This will be used to estimate calories, dietary fat, protein, and carbohydrates consumed.
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Week 0 and 12
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Completion of Self-monitoring of Dietary Intake and Physical Activity
Délai: Week 0 and 12
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The frequency that participants engaged in the self-monitoring of dietary intake and physical activity was assessed at week 12.
The diaries were completed weekly throughout the study.
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Week 0 and 12
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Change in Weight Loss Self-efficacy
Délai: Week 0 and 12
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Self-efficacy for weight loss was assessed at week 0 and 12 using a 20-item Weight Efficacy Lifestyle Questionnaire (WEL).
The total score ranges from 0-180.
Higher values represent greater beliefs toward the completion of weight management behaviors.
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Week 0 and 12
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Autonomous and Controlled Motivation
Délai: Week 12
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At week 12, participants completed the 13-item TSRQ to assess motivation to continue to participate in the program if given the opportunity.
The TSRQ represents participants' reasons for continuing participation in a weight loss program via participants' endorsement of statements of autonomous and controlled motivation.
Responses were given using a 7-point Likert scale (1 = not at all true to 7 = very true).
The responses on the autonomous items (5) and controlled items (8) were averaged.
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Week 12
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Collaborateurs et enquêteurs
C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.
Parrainer
Les enquêteurs
- Chercheur principal: David O Garcia, MS, University of Pittsburgh
Publications et liens utiles
La personne responsable de la saisie des informations sur l'étude fournit volontairement ces publications. Il peut s'agir de tout ce qui concerne l'étude.
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Dates d'enregistrement des études
Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.
Dates principales de l'étude
Début de l'étude
1 janvier 2013
Achèvement primaire (Réel)
1 juillet 2013
Achèvement de l'étude (Réel)
1 juillet 2013
Dates d'inscription aux études
Première soumission
28 février 2013
Première soumission répondant aux critères de contrôle qualité
1 mars 2013
Première publication (Estimation)
4 mars 2013
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Estimation)
17 février 2014
Dernière mise à jour soumise répondant aux critères de contrôle qualité
3 janvier 2014
Dernière vérification
1 janvier 2014
Plus d'information
Termes liés à cette étude
Mots clés
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- PRO12110211
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