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Testing Just-in-Time Adaptive Interventions (JITAIs) to Prevent Goal Disengagement in Response to Weight Regain (Momentum)

7 августа 2026 г. обновлено: ORI Community and Evaluation Services
This trial will test the effectiveness of a weight loss maintenance intervention designed to help participants respond more adaptively to weight regain. Participants will be randomly assigned to one of two conditions. In one condition, participants will receive brief exercises (e.g., written reflections, videos) sent to through a smartphone app immediately after they regain weight or miss a weigh-in. These exercises will use mindfulness, acceptance, and self-compassion strategies to help participants stay motivated for their long term goals, even when weight regain feels demoralizing. In the comparison condition, participants will receive weekly reminders of standard weight control strategies strategies.

Обзор исследования

Тип исследования

Интервенционный

Регистрация (Оцененный)

120

Фаза

  • Непригодный

Контакты и местонахождение

В этом разделе приведены контактные данные лиц, проводящих исследование, и информация о том, где проводится это исследование.

Контакты исследования

  • Имя: Charlotte Hagerman, PhD
  • Номер телефона: 14109372035
  • Электронная почта: chagerman@ori.org

Места учебы

    • Oregon
      • Springfield, Oregon, Соединенные Штаты, 97477
        • Рекрутинг
        • Oregon Research Institute Community and Evaluation Services
        • Контакт:
          • Charlotte Hagerman, PhD
          • Номер телефона: 4109372035
          • Электронная почта: chagerman@ori.org

Критерии участия

Исследователи ищут людей, которые соответствуют определенному описанию, называемому критериям приемлемости. Некоторыми примерами этих критериев являются общее состояние здоровья человека или предшествующее лечение.

Критерии приемлемости

Возраст, подходящий для обучения

  • Взрослый
  • Пожилой взрослый

Принимает здоровых добровольцев

Нет

Описание

Inclusion Criteria:

  • Ages 18-70 years
  • BMI of 25-50 kg/m2
  • Current weight is 3% lower than their highest weight in the past 3 years
  • Desire to maintain their weight or lose more
  • Ability to engage in PA, as defined as being able to walk two full city blocks without stopping
  • Smartphone and Internet access
  • Successful completion of all enrollment procedures
  • Ability to attend a workshop(s) on a Monday or Tuesday evening

Exclusion Criteria:

  • History of bariatric surgery
  • History of being diagnosed with an eating disorder
  • Currently pregnant, breastfeeding, or planning to become pregnant in the next 24 months
  • Enrolled in another formal weight loss/weight maintenance program
  • Currently taking a GLP-1 medication.

Учебный план

В этом разделе представлена ​​подробная информация о плане исследования, в том числе о том, как планируется исследование и что оно измеряет.

Как устроено исследование?

Детали дизайна

  • Основная цель: Уход
  • Распределение: Рандомизированный
  • Интервенционная модель: Параллельное назначение
  • Маскировка: Нет (открытая этикетка)

Оружие и интервенции

Группа участников / Армия
Вмешательство/лечение
Экспериментальный: JITAI Condition
Participants in this condition will receive a 6-month weight loss maintenance intervention that uses mindfulness, acceptance, and self-compassion strategies to respond to weight regain.
For six months, participants will receive a just-in-time adaptive interventions via a smartphone app immediately after they gain weight or they skip a weigh-in (according to a specific algorithm). Interventions will engage participants in mindfulness, acceptance, and self-compassion-based (MASC) strategies through different modalities (e.g., writing exercises, videos, audio reflections). They will take approximately 1-10 minutes. Participants will also attend an introductory workshop, during which they will receive the instructions weigh daily, learn the importance of quickly responding to weight regain, and be introduced to MASC strategies. They will also attend two booster workshops during the 6-month period.
Активный компаратор: Active Control Condition
Participants in this condition will receive minimal intervention designed to reflect "usual care" for weight loss maintenance.
For six months, participants will receive weekly, automated messages via a smartphone app with reminders of standard behavioral weight control principles. Participants will attend an introductory workshop, during which they will receive instructions to weigh daily and learn the importance of responding to weight regain.

Что измеряет исследование?

Первичные показатели результатов

Мера результата
Мера Описание
Временное ограничение
State negative affect
Временное ограничение: Whenever participants skip a weigh-in or regain weight during the 6 month study period
Through ecological assessment surveys, participants will respond to a single item measuring their current negative affect.
Whenever participants skip a weigh-in or regain weight during the 6 month study period
State shame
Временное ограничение: Whenever participants skip a weigh-in or regain weight during the 6 month study period
Through ecological assessment surveys, participants will respond to a single item measuring their current shame.
Whenever participants skip a weigh-in or regain weight during the 6 month study period
State Motivation
Временное ограничение: Whenever participants skip a weigh-in or regain weight during the 6 month study period
Through ecological assessment surveys, participants will respond to a single item measuring their current feelings of motivation.
Whenever participants skip a weigh-in or regain weight during the 6 month study period
State Self-Efficacy
Временное ограничение: Whenever participants skip a weigh-in or regain weight during the 6 month study period
Through ecological assessment surveys, participants will respond to a single item measuring their current self-efficacy.
Whenever participants skip a weigh-in or regain weight during the 6 month study period
Current confidence in the effectiveness of weight control behaviors
Временное ограничение: Whenever participants skip a weigh-in or regain weight during the 6 month study period
Through ecological assessment surveys, participants will respond to a single item measuring their current confidence in the effectiveness of weight control behaviors.
Whenever participants skip a weigh-in or regain weight during the 6 month study period
State self-compassion
Временное ограничение: Whenever participants skip a weigh-in or regain weight during the 6 month study period
Through ecological assessment surveys, participants will respond to a single item measuring their state self-compassion.
Whenever participants skip a weigh-in or regain weight during the 6 month study period
State mindfulness
Временное ограничение: Whenever participants skip a weigh-in or regain weight during the 6 month study period
Through ecological assessment surveys, participants will respond to a single item measuring their state mindfulness.
Whenever participants skip a weigh-in or regain weight during the 6 month study period
State acceptance
Временное ограничение: Whenever participants skip a weigh-in or regain weight during the 6 month study period
Through ecological assessment surveys, participants will respond to a single item measuring their state acceptance.
Whenever participants skip a weigh-in or regain weight during the 6 month study period
Self-serving interpretation of weight gain
Временное ограничение: Whenever participants regain weight during the 6 month study period
Through ecological assessment surveys, participants will respond to a single item measuring their self-serving interpretation of the weight regain.
Whenever participants regain weight during the 6 month study period
Daily Calorie Tracking (Yes/No)
Временное ограничение: Whenever participants skip a weigh-in or regain weight during the 6 month study period
Whether participants log their calories (at least 800 calories) using a dietary tracking app that day (yes/no).
Whenever participants skip a weigh-in or regain weight during the 6 month study period
Daily MVPA
Временное ограничение: Whenever participants skip a weigh-in or regain weight during the 6 month study period
Minutes of moderate-to-vigorous physical activity they engage in that day, as tracked by their Fitbit band.
Whenever participants skip a weigh-in or regain weight during the 6 month study period
Likelihood of weighing in the following day
Временное ограничение: Whenever participants skip a weigh-in or regain weight during the 6 month study period
Likelihood that participants weigh themselves the following day on a wireless smart scale (yes/no).
Whenever participants skip a weigh-in or regain weight during the 6 month study period
Calorie Tracking Frequency
Временное ограничение: 6 months (duration of study period)
The number of days that participants logged their calories (at least 800 calories) using a dietary tracking app during the study period.
6 months (duration of study period)
Average Weekly MVPA
Временное ограничение: 6 months (duration of study period)
Average total minutes of weekly moderate-to-vigorous physical activity, as tracked by their Fitbit band, during the study period.
6 months (duration of study period)
Frequency of Weighing In
Временное ограничение: 6 months (duration of study period)
Total number of days that participants weighed themselves on a wireless smart scale during the study period.
6 months (duration of study period)
Weight change
Временное ограничение: End of treatment (6 months after baseline)
Using participants' weights from a wireless scale, their percent weight change from the beginning to the end of the study period will be calculated.
End of treatment (6 months after baseline)
Intervention acceptability
Временное ограничение: End of treatment (6 months after baseline)
Intervention acceptability will be operationalized as the percent of participants who indicate that they are "satisfied" or "very satisfied" with the program on an anonymous survey that they complete during their individual interview.
End of treatment (6 months after baseline)

Вторичные показатели результатов

Мера результата
Мера Описание
Временное ограничение
Mindfulness (Hypothesized intervention mediator)
Временное ограничение: Mid-Treatment (3 months after baseline)
Participants will self-report their mindfulness using the Awareness subscale of The Philadelphia Mindfulness Scale. The range of scores is 1-5, with higher scores indicating greater mindfulness.
Mid-Treatment (3 months after baseline)
Acceptance (Hypothesized intervention mediator)
Временное ограничение: Mid-Treatment (3 months after baseline)
Participants will self-report their mindful acceptance using the Acceptance subscale of The Philadelphia Mindfulness Scale. The range of scores is 1-5, with higher scores indicating greater mindful acceptance.
Mid-Treatment (3 months after baseline)
Self-compassion (Hypothesized intervention mediator)
Временное ограничение: Mid-Treatment (3 months after baseline)
Participants will report their self-compassion using the Self-Compassion Scale Short Form. Scores can range from 1 to 5, with higher scores indicating higher self-compassion.
Mid-Treatment (3 months after baseline)

Соавторы и исследователи

Здесь вы найдете людей и организации, участвующие в этом исследовании.

Даты записи исследования

Эти даты отслеживают ход отправки отчетов об исследованиях и сводных результатов на сайт ClinicalTrials.gov. Записи исследований и сообщаемые результаты проверяются Национальной медицинской библиотекой (NLM), чтобы убедиться, что они соответствуют определенным стандартам контроля качества, прежде чем публиковать их на общедоступном веб-сайте.

Изучение основных дат

Начало исследования (Действительный)

14 июля 2026 г.

Первичное завершение (Оцененный)

31 декабря 2027 г.

Завершение исследования (Оцененный)

31 декабря 2027 г.

Даты регистрации исследования

Первый отправленный

12 июля 2026 г.

Впервые представлено, что соответствует критериям контроля качества

12 июля 2026 г.

Первый опубликованный (Действительный)

16 июля 2026 г.

Обновления учебных записей

Последнее опубликованное обновление (Действительный)

11 августа 2026 г.

Последнее отправленное обновление, отвечающее критериям контроля качества

7 августа 2026 г.

Последняя проверка

1 августа 2026 г.

Дополнительная информация

Термины, связанные с этим исследованием

Информация о лекарствах и устройствах, исследовательские документы

Изучает лекарственный продукт, регулируемый FDA США.

Нет

Изучает продукт устройства, регулируемый Управлением по санитарному надзору за качеством пищевых продуктов и медикаментов США.

Нет

Эта информация была получена непосредственно с веб-сайта clinicaltrials.gov без каких-либо изменений. Если у вас есть запросы на изменение, удаление или обновление сведений об исследовании, обращайтесь по адресу register@clinicaltrials.gov. Как только изменение будет реализовано на clinicaltrials.gov, оно будет автоматически обновлено и на нашем веб-сайте. .

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