Esta página foi traduzida automaticamente e a precisão da tradução não é garantida. Por favor, consulte o versão em inglês para um texto fonte.

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

7 de agosto de 2020 atualizado por: 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.

Visão geral do estudo

Descrição detalhada

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.

Tipo de estudo

Intervencional

Inscrição (Real)

154

Estágio

  • Não aplicável

Critérios de participação

Os pesquisadores procuram pessoas que se encaixem em uma determinada descrição, chamada de critérios de elegibilidade. Alguns exemplos desses critérios são a condição geral de saúde de uma pessoa ou tratamentos anteriores.

Critérios de elegibilidade

Idades elegíveis para estudo

18 anos a 70 anos (Adulto, Adulto mais velho)

Aceita Voluntários Saudáveis

Não

Gêneros Elegíveis para o Estudo

Fêmea

Descrição

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

Plano de estudo

Esta seção fornece detalhes do plano de estudo, incluindo como o estudo é projetado e o que o estudo está medindo.

Como o estudo é projetado?

Detalhes do projeto

  • Finalidade Principal: Tratamento
  • Alocação: Randomizado
  • Modelo Intervencional: Atribuição Paralela
  • Mascaramento: Solteiro

Armas e Intervenções

Grupo de Participantes / Braço
Intervenção / Tratamento
Experimental: 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
Comparador Ativo: 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

O que o estudo está medindo?

Medidas de resultados primários

Medida de resultado
Prazo
Percent change in weight from baseline
Prazo: ~8 weeks, ~16 weeks, and ~42 weeks post-randomization
~8 weeks, ~16 weeks, and ~42 weeks post-randomization

Medidas de resultados secundários

Medida de resultado
Descrição da medida
Prazo
Body Mass Index (BMI) change from baseline
Prazo: ~8 weeks, ~16 weeks, and ~42 weeks post-randomization
BMI = kg/m2
~8 weeks, ~16 weeks, and ~42 weeks post-randomization

Outras medidas de resultado

Medida de resultado
Descrição da medida
Prazo
Change from baseline in self-efficacy to lose weight
Prazo: ~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
Prazo: ~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
Prazo: ~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
Prazo: ~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
Prazo: ~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
Prazo: ~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

Colaboradores e Investigadores

É aqui que você encontrará pessoas e organizações envolvidas com este estudo.

Investigadores

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

Publicações e links úteis

A pessoa responsável por inserir informações sobre o estudo fornece voluntariamente essas publicações. Estes podem ser sobre qualquer coisa relacionada ao estudo.

Datas de registro do estudo

Essas datas acompanham o progresso do registro do estudo e os envios de resumo dos resultados para ClinicalTrials.gov. Os registros do estudo e os resultados relatados são revisados ​​pela National Library of Medicine (NLM) para garantir que atendam aos padrões específicos de controle de qualidade antes de serem publicados no site público.

Datas Principais do Estudo

Início do estudo (Real)

9 de setembro de 2016

Conclusão Primária (Real)

27 de setembro de 2018

Conclusão do estudo (Real)

27 de setembro de 2018

Datas de inscrição no estudo

Enviado pela primeira vez

7 de agosto de 2020

Enviado pela primeira vez que atendeu aos critérios de CQ

7 de agosto de 2020

Primeira postagem (Real)

10 de agosto de 2020

Atualizações de registro de estudo

Última Atualização Postada (Real)

10 de agosto de 2020

Última atualização enviada que atendeu aos critérios de controle de qualidade

7 de agosto de 2020

Última verificação

1 de agosto de 2020

Mais Informações

Termos relacionados a este estudo

Termos MeSH relevantes adicionais

Outros números de identificação do estudo

  • 00007115

Plano para dados de participantes individuais (IPD)

Planeja compartilhar dados de participantes individuais (IPD)?

NÃO

Informações sobre medicamentos e dispositivos, documentos de estudo

Estuda um medicamento regulamentado pela FDA dos EUA

Não

Estuda um produto de dispositivo regulamentado pela FDA dos EUA

Não

Essas informações foram obtidas diretamente do site clinicaltrials.gov sem nenhuma alteração. Se você tiver alguma solicitação para alterar, remover ou atualizar os detalhes do seu estudo, entre em contato com register@clinicaltrials.gov. Assim que uma alteração for implementada em clinicaltrials.gov, ela também será atualizada automaticamente em nosso site .

3
Se inscrever