Monday-Focused Tailored Rapid Interactive Mobile Messaging for Weight Management 2 (M-TRIMM2)
Aperçu de l'étude
Statut
Les conditions
Description détaillée
The specific aims of this research project are to:
- Develop a targeted delivery system for mobile health messages which focused on improving physical activity and diet, and setting healthy resolutions each week.
- Deliver the M-TRIMM intervention, which encourages healthy behavior and the weekly renewal of health resolutions.
- Evaluate the effectiveness of this intervention on individuals' weight loss, self-efficacy, and motivation to sustain changes in lifestyle behaviors.
- Assess the benefit of receiving the message content only (in a paper document), versus a scheduled weekly delivery via mobile messaging.
Type d'étude
Inscription (Réel)
Phase
- N'est pas applicable
Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
Accepte les volontaires sains
Sexes éligibles pour l'étude
La description
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
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Seul
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
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Expérimental: 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
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Comparateur actif: 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
|
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Délai |
|---|---|
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Percent change in weight from baseline
Délai: ~8 weeks, ~16 weeks, and ~42 weeks post-randomization
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~8 weeks, ~16 weeks, and ~42 weeks post-randomization
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Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Body Mass Index (BMI) change from baseline
Délai: ~8 weeks, ~16 weeks, and ~42 weeks post-randomization
|
BMI = kg/m2
|
~8 weeks, ~16 weeks, and ~42 weeks post-randomization
|
Autres mesures de résultats
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Change from baseline in self-efficacy to lose weight
Délai: ~8 weeks, ~16 weeks, and ~42 weeks post-randomization compared to baseline
|
Weight Efficacy Lifestyle Questionnaire (Clark, Abrams,& Niaura, 1991)
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~8 weeks, ~16 weeks, and ~42 weeks post-randomization compared to baseline
|
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Physical activity change from baseline
Délai: ~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.
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~8 weeks, ~16 weeks, and ~42 weeks post-randomization compared to baseline
|
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Change from baseline in fruit and vegetable servings intake from baseline
Délai: ~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
|
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Change from baseline in percent energy from fat intake
Délai: ~8 weeks, ~16 weeks, and ~42 weeks post-randomization compared to baseline
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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.
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~8 weeks, ~16 weeks, and ~42 weeks post-randomization compared to baseline
|
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Change from baseline in scores of perceived exercise benefits and barriers to engaging in exercise and physical activity
Délai: ~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)
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~8 weeks, ~16 weeks, and ~42 weeks post-randomization compared to baseline
|
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Comparison of satisfaction with the program and suggestions for improvement between intervention and control groups
Délai: ~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
|
Collaborateurs et enquêteurs
Les enquêteurs
- Chercheur principal: Lawrence Cheskin, MD, Johns Hopkins Bloomberg School of Public Health
Publications et liens utiles
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Réel)
Achèvement primaire (Réel)
Achèvement de l'étude (Réel)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Mots clés
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- 00007115
Plan pour les données individuelles des participants (IPD)
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Informations sur les médicaments et les dispositifs, documents d'étude
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