Disseminating Effective Habits for Long-Term Weight Loss
調査の概要
状態
詳細な説明
Overweight and obesity are serious threats to public health. Over the last 20 years, the percentage of overweight and obese Americans, as well as the rate of diabetes, have grown tremendously (Cowie, Rust et al. 2006).
Few individuals are successful at long-term weight loss. Long-term weight loss is an elusive, yet sought after goal for many Americans (2000). Fewer than 5% of adults are successful in maintaining a 20 pound weight loss for at least 2 years (Klem, Wing et al. 1997). While medications can be effective, they produce only small amounts of weight loss, carry a significant cost and appear to be effective only while being taken (2000). Surgery is an effective option, though the procedure has tremendous costs and potential complications (2000). This points to the need for innovative and effective treatments that helps individuals over the longer-term.
Some, but not all, web-based treatments for weight loss have been shown to be effective. A recent study by Tate and colleagues showed that individuals who received counseling emails from a human or automated emails from a computer lost more weight than individuals who received neither(7.3 kg lost v. 4.9 kg and 2.6 kg, respectively) (Tate, Jackvony et al. 2006) (Tate, Jackvony et al. 2003). The feedback in the emails was based on diet and physical activity information that the individuals entered online. Dr. Harvey-Berino and colleagues has shown that social support delivered via the Internet can help weight loss efforts to the same degree as in person support (Harvey-Berino, Pintauro et al. 2004). Other studies have been mixed in their effects (Williamson, Walden et al. 2006) (Gold, Burke et al. 2007) (Wing, Tate et al. 2006), though there has generally been an effect from human feedback delivered via a computer. Other than the recent study by Tate and colleagues, no fully automated website has been effective at producing weight loss. It is our belief that fully automated systems are needed to meet the needs, in a cost-effective manner, of the 80 million overweight Americans who will need life-long help in losing weight and in maintaining their weight loss.
During an earlier phase of the study, 50 in-depth interviews were conducted with individuals who have been successful at losing weight and keeping it off. These individuals were asked specifically about which habits they use to maintain their weight loss, how these habits are implemented and how barriers to using these habits are overcome. These interviews were transcribed and the data entered into a website, to be used as part of the intervention to be tested in this clinical trial.
研究の種類
入学 (実際)
段階
- 適用できない
連絡先と場所
研究場所
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Pennsylvania
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Hershey、Pennsylvania、アメリカ、17033
- Penn State College of Medicine General Clinical Research Center
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参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
- Age 21-65
- BMI 27-40 kg/m2
- Fluently speaks and reads English
- Access to the Internet at home or at work
- Valid email address
- Access to a scale for weekly weigh-ins
- Agree not to seek additional weight loss treatment
- Agree to come back regardless of amount of weight lost
- Participant in NCT00377208
Exclusion Criteria:
- Current, planned, or previous pregnancy within 12 months
- Planned or past weight loss surgery
- Recent weight loss of >= 15 lbs in the past 6 months
History of:
- Myocardial infarction
- Stroke
- Type 1 and Type 2 diabetes
- Unstable angina
- Congestive heart failure
- Inability to exercise due to severe arthritis or other musculoskeletal problems
- Cancer (except non-melanoma skin cancer)
- Evidence of severe cognitive impairment or major psychiatric illness
- Plans to move in the next 6 months
- Answering yes to any question on the Physical Activity Readiness Questionnaire (PAR-Q)
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 主な目的:処理
- 割り当て:ランダム化
- 介入モデル:並列代入
- マスキング:トリプル
武器と介入
参加者グループ / アーム |
介入・治療 |
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実験的:1
Participants in the intervention condition are encouraged to access the Achieve Together website at least once each week. During each login, the following activities will occur:
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Comparison of weight change among those participants in the weight loss intervention (immediate access to the weight loss website) and those participants in the control group (delayed access to the weight loss website).
access to the Achieve Together website immediately (Arm 1) or delayed (Arm 2)
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介入なし:2
Participants in the control condition will have to wait 12 weeks before accessing the Achieve Together website.
These participants will be a given a log where they can document weekly weight measurements (this part did not happen).
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この研究は何を測定していますか?
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
---|---|---|
Body weight
時間枠:3 months
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Weight will be measured using a calibrated, digital scale
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3 months
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Blood Pressure Control
時間枠:3-Months
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3-Months
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
---|---|---|
Physical Activity, using the International Physical Activity Questionnaire
時間枠:3 months
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Results are still being analyzed
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3 months
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Block 2005 FFQ for assessment of diet and physical activity
時間枠:3 Months
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3 Months
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IWQOL-Lite, a validated, 31-item, self-report measure of obesity-specific
時間枠:3 Months
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3 Months
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協力者と研究者
スポンサー
捜査官
- 主任研究者:Christopher N Sciamanna, M.D., MPH、Penn State College of Medicine
出版物と役立つリンク
研究記録日
主要日程の研究
研究開始
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (見積もり)
学習記録の更新
投稿された最後の更新 (見積もり)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。