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Monday-Focused Tailored Rapid Interactive Mobile Messaging for Weight Management 2 (M-TRIMM2)

7 augustus 2020 bijgewerkt door: Johns Hopkins Bloomberg School of Public Health
This study, involves the implementation and evaluation of a Monday-focused, individually tailored mobile health application to assist overweight or obese adults who would like to achieve a healthful weight. The goal was to evaluate the application of a Monday-focused delivery system for the M-TRIMM2 intervention on participants who worked or lived in areas in or adjacent to Johns Hopkins East Baltimore medical campus.Targeting mobile messaging occurred at strategic intervals throughout each week, with the intent of prompting participants to renew their health resolutions each Monday combined with lifestyle behavioral education.

Studie Overzicht

Gedetailleerde beschrijving

The specific aims of this research project are to:

  1. Develop a targeted delivery system for mobile health messages which focused on improving physical activity and diet, and setting healthy resolutions each week.
  2. Deliver the M-TRIMM intervention, which encourages healthy behavior and the weekly renewal of health resolutions.
  3. Evaluate the effectiveness of this intervention on individuals' weight loss, self-efficacy, and motivation to sustain changes in lifestyle behaviors.
  4. Assess the benefit of receiving the message content only (in a paper document), versus a scheduled weekly delivery via mobile messaging.

Studietype

Ingrijpend

Inschrijving (Werkelijk)

154

Fase

  • Niet toepasbaar

Deelname Criteria

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

18 jaar tot 70 jaar (Volwassen, Oudere volwassene)

Accepteert gezonde vrijwilligers

Nee

Geslachten die in aanmerking komen voor studie

Vrouw

Beschrijving

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

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

  • Primair doel: Behandeling
  • Toewijzing: Gerandomiseerd
  • Interventioneel model: Parallelle opdracht
  • Masker: Enkel

Wapens en interventies

Deelnemersgroep / Arm
Interventie / Behandeling
Experimenteel: 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
Actieve vergelijker: 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

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Tijdsspanne
Percent change in weight from baseline
Tijdsspanne: ~8 weeks, ~16 weeks, and ~42 weeks post-randomization
~8 weeks, ~16 weeks, and ~42 weeks post-randomization

Secundaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Body Mass Index (BMI) change from baseline
Tijdsspanne: ~8 weeks, ~16 weeks, and ~42 weeks post-randomization
BMI = kg/m2
~8 weeks, ~16 weeks, and ~42 weeks post-randomization

Andere uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Change from baseline in self-efficacy to lose weight
Tijdsspanne: ~8 weeks, ~16 weeks, and ~42 weeks post-randomization compared to baseline
Weight Efficacy Lifestyle Questionnaire (Clark, Abrams,& Niaura, 1991)
~8 weeks, ~16 weeks, and ~42 weeks post-randomization compared to baseline
Physical activity change from baseline
Tijdsspanne: ~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.
~8 weeks, ~16 weeks, and ~42 weeks post-randomization compared to baseline
Change from baseline in fruit and vegetable servings intake from baseline
Tijdsspanne: ~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
Change from baseline in percent energy from fat intake
Tijdsspanne: ~8 weeks, ~16 weeks, and ~42 weeks post-randomization compared to baseline
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.
~8 weeks, ~16 weeks, and ~42 weeks post-randomization compared to baseline
Change from baseline in scores of perceived exercise benefits and barriers to engaging in exercise and physical activity
Tijdsspanne: ~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)
~8 weeks, ~16 weeks, and ~42 weeks post-randomization compared to baseline
Comparison of satisfaction with the program and suggestions for improvement between intervention and control groups
Tijdsspanne: ~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

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Onderzoekers

  • Hoofdonderzoeker: Lawrence Cheskin, MD, Johns Hopkins Bloomberg School of Public Health

Publicaties en nuttige links

De persoon die verantwoordelijk is voor het invoeren van informatie over het onderzoek stelt deze publicaties vrijwillig ter beschikking. Dit kan gaan over alles wat met het onderzoek te maken heeft.

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start (Werkelijk)

9 september 2016

Primaire voltooiing (Werkelijk)

27 september 2018

Studie voltooiing (Werkelijk)

27 september 2018

Studieregistratiedata

Eerst ingediend

7 augustus 2020

Eerst ingediend dat voldeed aan de QC-criteria

7 augustus 2020

Eerst geplaatst (Werkelijk)

10 augustus 2020

Updates van studierecords

Laatste update geplaatst (Werkelijk)

10 augustus 2020

Laatste update ingediend die voldeed aan QC-criteria

7 augustus 2020

Laatst geverifieerd

1 augustus 2020

Meer informatie

Termen gerelateerd aan deze studie

Plan Individuele Deelnemersgegevens (IPD)

Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?

NEE

Informatie over medicijnen en apparaten, studiedocumenten

Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel

Nee

Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct

Nee

Deze informatie is zonder wijzigingen rechtstreeks van de website clinicaltrials.gov gehaald. Als u verzoeken heeft om uw onderzoeksgegevens te wijzigen, te verwijderen of bij te werken, neem dan contact op met register@clinicaltrials.gov. Zodra er een wijziging wordt doorgevoerd op clinicaltrials.gov, wordt deze ook automatisch bijgewerkt op onze website .

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