Delivering an Evidence-Based Lifestyle Intervention Via the Internet: A Randomized Controlled Study
Hershey Medical Center and the University of Pittsburgh are doing a research study to help meet the needs of the adult population at risk for diabetes and heart disease. This study will provide a web-based program that aims to help participants to develop healthier eating habits, lose weight and become more physically active. The Internet-based materials will teach participants about healthy eating and physical activity and will ask them to incorporate the information they learn into their daily lives.
The purpose of this study is to evaluate the effectiveness of online lifestyle change programs to promote weight loss, healthy eating and physical activity patterns, in the interest of reducing risk for and adverse outcomes of type 2 diabetes (T2D) and cardiovascular disease (CVD).
研究概览
研究类型
注册 (实际的)
阶段
- 阶段2
- 第三阶段
联系人和位置
学习地点
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Pennsylvania
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Hershey、Pennsylvania、美国、17033
- Penn State Milton S. Hershey Medical Center
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Please note: Only individuals who receive primary care at one of the Internal Medicine clinics at Milton S. Hershey Medical Center in Hershey, PA, are eligible for this study.
Inclusion Criteria:
- Age between 18 and 80 years old
- Obese based on World Health Organization criteria (BMI>30kg/m2)
- Receiving primary care from and referred by a provider at one of the Internal Medicine clinics at Milton S. Hershey Medical Center in Hershey, PA
- Able to understand and sign an informed consent document
- Able to communicate with the investigator and understand the requirements of this study
Exclusion Criteria
- Primary care provider determines that the individual is unable to safely undertake moderately intense unsupervised physical activity (the equivalent of 30 minutes of brisk walking)
- Primary care provider determines that the individual has inadequate cognitive function to participate in either active intervention curricula
- Women who are pregnant, who are planning to become pregnant in the next two years, or who become pregnant during the study
- Women who are breastfeeding
- Prisoners
- Children
- Individuals who are planning to have bariatric surgery or who have had bariatric surgery in the past two years
- Individuals with uncontrolled hypertension (systolic blood pressure (SBP) >165, diastolic blood pressure (DBP) >100)
- Individuals with an edematous state that interferes with body weight assessment (e.g., severe congestive heart failure, end- stage renal disease, or ascites),
- Individuals already using weight loss therapy
- Individuals with an inability to learn adequately from English language audio-taped materials
- Individuals with a lack of high-speed Internet access (Internet access will be based on participant perception; for example, participants could use computers belonging to friends, relatives, or libraries if they feel that they can access them regularly)
- Individuals without access to a scale
- Individuals unable to attend an Orientation session at Hershey Medical Center in Hershey, PA
学习计划
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:单身的
武器和干预
参与者组/臂 |
干预/治疗 |
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实验性的:More-Intensive
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The online lifestyle intervention will include elements of a behavioral lifestyle program developed by the Diabetes Prevention Program.
The program will assist individual participants with establishing appropriate weight loss goals, implementing dietary recommendations (including analysis of current diet), and defining exercise programs.
The program curriculum provides standard information about healthy lifestyle, and behavioral techniques for integrating them into daily living.
In each lesson, patients provide feedback about how they interpret the information, and ideas for integrating it into their lives.
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有源比较器:Less-Intensive
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The participants will be provided with the information to access the online Diabetes Prevention Program (DPP) intervention materials.
Following the original DPP trial, all DPP materials were placed online for the public to access.
This group will receive a lifestyle counseling session and tools to facilitate their intervention.
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研究衡量的是什么?
主要结果指标
结果测量 |
大体时间 |
|---|---|
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Change in body weight (kg)
大体时间:6 months, 12 months, 18 months
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6 months, 12 months, 18 months
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次要结果测量
结果测量 |
大体时间 |
|---|---|
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Percentage of body weight lost
大体时间:6 months, 12 months, 18 months
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6 months, 12 months, 18 months
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Change in blood pressure (mm Hg)
大体时间:6 months, 12 months, 18 months
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6 months, 12 months, 18 months
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Change in health-related quality of life as determined by the RAND-36 PCS or MCS
大体时间:6 months, 12 months, 18 months
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6 months, 12 months, 18 months
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Change in physical activity (steps per day)
大体时间:6 months, 12 months, 18 months
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6 months, 12 months, 18 months
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Change in dietary pattern
大体时间:6 months, 12 months, 18 months
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6 months, 12 months, 18 months
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Satisfaction with program
大体时间:6 months, 12 months, 18 months
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6 months, 12 months, 18 months
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合作者和调查者
调查人员
- 首席研究员:Kathleen McTigue, MD MS MPH、University of Pittsburgh
出版物和有用的链接
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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