Simplifying Diet Tracking in a Digital Weight Loss Intervention
Simplifying Dietary Self-Monitoring in a Digital Weight Loss Intervention
The purpose of this study is to compare two approaches for tracking dietary intake in a 12-month fully digital weight loss intervention: (1) Simplified approach: track Red Zone Foods (e.g., foods high in calories and low in nutritional value) vs. (2) Detailed approach: track all foods and their corresponding calories. In essence, this is a head-to-head comparison of two tracking approaches; the investigators are evaluating whether weight loss is comparable over 12 months, or whether one approach will have greater weight loss.
The investigators will recruit 328 adults. Broadly, adults with overweight or obesity who live in the United States will be eligible. The weight loss intervention will last 12 months. All participants will be asked to track their dietary intake + body weight + steps daily as well as complete weekly behavioral lessons and action plans to promote healthy eating and physical activity. All study tasks will occur remotely. Assessment of body weight and survey measures will occur at the beginning of the trial ("baseline"), and at 1, 6, 12, and 18 months.
調査の概要
状態
研究の種類
入学 (推定)
段階
- 適用できない
連絡先と場所
研究連絡先
- 名前:Study Team
- 電話番号:650-549-7047
- メール:mlp9@stanford.edu
研究場所
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California
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Palo Alto、California、アメリカ、94304
- Stanford University School of Medicine
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参加基準
適格基準
就学可能な年齢
- 大人
- 高齢者
健康ボランティアの受け入れ
説明
Inclusion Criteria:
- adults (ages 18+ years)
- body mass index (BMI) 25.0 to 45.0 kg/m^2
- smartphone ownership
- willing to install a mobile app on personal smartphone
- access to a personal email account
- English or Spanish language proficiency
- interest in losing weight through behavioral strategies
- living in the United States
- willing to be randomized
Exclusion Criteria:
- concurrent enrollment in another weight management intervention
- loss of ≥5% weight in the past 6 months
- prior or planned bariatric surgery during the trial period
- current or planned pregnancy during the trial period, or recent pregnancy in the past 6 months
- currently breastfeeding or lactating
- current use of anti-obesity medications
- living with someone else participating in the study
- hospitalization for a mental health condition in the past 12 months
- inability to engage in moderate forms of physical activity akin to brisk walking
- medical or psychiatric contraindication (e.g., end stage renal disease, cancer, schizophrenia, dementia, use of steroids, use of antipsychotic medication)
- if an individual would be better suited for a more intensive or different type of intervention based on a health condition (e.g., individuals with history of an eating disorder or cardiovascular event, uncontrolled hypertension, or uncontrolled diabetes mellitus)
- investigator discretion for safety reasons
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:ダブル
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:Simplified (Track Red Zone Foods)
Simplified + Core
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Participants randomized to receive this intervention are instructed to track their Red Zone Foods (i.e., foods high in calories and low in nutritional value) daily via a web-based checklist.
Participants receive a daily Red Zone Food goal.
All participants receive a 12-month core behavioral weight loss intervention consisting of the following: goal setting; daily self-monitoring of body weight & steps; weekly behavioral lessons and action plans to promote healthy eating and physical activity; and tailored feedback.
The intervention will be delivered remotely via email and/or text message.
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実験的:Detailed (Track All Foods/Calories)
Detailed + Core
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All participants receive a 12-month core behavioral weight loss intervention consisting of the following: goal setting; daily self-monitoring of body weight & steps; weekly behavioral lessons and action plans to promote healthy eating and physical activity; and tailored feedback.
The intervention will be delivered remotely via email and/or text message.
Participants randomized to receive this intervention are instructed to track all foods/drinks and their corresponding calories daily via a mobile app.
Participants receive a daily calorie goal.
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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 |
|---|---|---|
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Weight Change from Baseline to 12 Months
時間枠:Baseline, 12 Months
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mean change in body weight (kg); assessed objectively via e-scale using standardized procedures (e.g., place the scale on a hard surface; collect weight in the morning, without clothing, prior to eating/drinking)
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Baseline, 12 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 |
|---|---|---|
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Weight Change from Baseline to 1 Month
時間枠:Baseline, 1 Month
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mean change in body weight (kg); assessed objectively via e-scale using standardized procedures
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Baseline, 1 Month
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Weight Change from Baseline to 6 Months
時間枠:Baseline, 6 Months
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mean change in body weight (kg); assessed objectively via e-scale using standardized procedures
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Baseline, 6 Months
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Weight Change from Baseline to 18 Months
時間枠:Baseline, 18 Months
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mean change in body weight (kg); assessed objectively via e-scale using standardized procedures
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Baseline, 18 Months
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Caloric Intake Change from Baseline to 12 Months
時間枠:Baseline, 12 Months
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mean change in daily caloric intake (kilocalories); assessed via the Automated Self-Administered 24-Hour Dietary Assessment Tool (ASA24): 2 separate diet recalls per time point: 1 week day, 1 weekend day
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Baseline, 12 Months
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Diet Quality Change from Baseline to 12 Months
時間枠:Baseline, 12 Months
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mean change in diet quality; assessed via the Healthy Eating Index, calculated from ASA24 data; score range: 0 to 100, with higher scores indicating better diet quality
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Baseline, 12 Months
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Step Count Change from Baseline to 12 Months
時間枠:Baseline, 12 Months
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mean change in step count; assessed objectively via activity tracker
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Baseline, 12 Months
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Health-Related Quality of Life (Physical Health) Change from Baseline to 12 Months
時間枠:Baseline, 12 Months
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mean change in health-related quality of life (Physical Component Summary); assessed via the SF-36 survey; score range: 0 to 100, with higher scores indicating better quality of life
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Baseline, 12 Months
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Health-Related Quality of Life (Mental Health) Change from Baseline to 12 Months
時間枠:Baseline, 12 Months
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mean change in health-related quality of life (Mental Component Summary); assessed via the SF-36 survey; score range: 0 to 100, with higher scores indicating better quality of life
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Baseline, 12 Months
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Engagement in Self-Monitoring Dietary Intake
時間枠:daily during the 12-month intervention
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operationalized as average percentage of days in the 12-month intervention of self-monitoring dietary intake (Red Zone Foods for Simplified arm vs. all foods/calories for Detailed arm); assessed via e-checklist for Simplified arm and via app for Detailed arm; will report median (IQR) if data are non-normally distributed
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daily during the 12-month intervention
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Engagement in Self-Monitoring Weight
時間枠:daily during the 12-month intervention
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operationalized as average percentage of days in the 12-month intervention of self-monitoring body weight; assessed via e-scale; will report median (IQR) if data are non-normally distributed
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daily during the 12-month intervention
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Engagement in Self-Monitoring Steps
時間枠:daily during the 12-month intervention
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operationalized as average percentage of days in the 12-month intervention of self-monitoring steps; assessed via activity tracker; will report median (IQR) if data are non-normally distributed
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daily during the 12-month intervention
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協力者と研究者
スポンサー
捜査官
- 主任研究者:Michele L. Patel, PhD、Stanford University
研究記録日
主要日程の研究
研究開始 (推定)
一次修了 (推定)
研究の完了 (推定)
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 (実際)
学習記録の更新
投稿された最後の更新 (実際)
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
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キーワード
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- 87051
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