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A Mobile Health and Wellness Coaching Intervention for Weight Loss

Edward Via Virginia College of Osteopathic Medicine logo

Edward Via Virginia College of Osteopathic Medicine

Status

Completed

Conditions

Overweight and Obesity
Health Behavior

Treatments

Behavioral: Usual Care
Behavioral: mobile Health and Wellness Coaching

Study type

Interventional

Funder types

Other

Identifiers

NCT04055259
17-278 MR 1707

Details and patient eligibility

About

The objective of this study was to assess the effectiveness of a 6-month text-based mobile health and wellness (mHWC) intervention, as compared to usual care (UC), for weight loss in adults. Participants were randomly assigned to one of the two groups (mHWC or UC). At the beginning of the study, both groups were given a Fitbit wearable device, and a weight scale. All participants also received a counseling session from a dietician focused on diet, physical activity, and sleep, and were set up on the Nudge app, a commercially-available mHWC platform. Participants in the mHWC group received text-based coaching messages via Nudge and did not return to the clinic for the duration of the 6-month intervention. Those in the UC group met once a month with a pharmacist or dietician for 6 months. In both groups, the focus was on facilitating health behavior change related to diet, physical activity, and sleep to promote weight loss.

We hypothesized that weight loss at 6 months would be greater in the mHWC group vs. the UC group.

Enrollment

60 patients

Sex

All

Ages

19+ years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

  • BMI ≥27 kg/m^2
  • Waist circumference ≥35 inches (women) or ≥40 inches (men)
  • Own an Android smartphone or iPhone capable of running the Nudge and Fitbit applications.
  • Indicate sending at least one text-based (e.g., SMS, Facebook, Twitter) message via their smartphone on most days

Exclusion criteria

  • Pregnant
  • Pacemaker or other electronic implant
  • Weight ≥400 pounds
  • Weight loss ≥5% of bodyweight in previous 6 months
  • High cardiovascular risk, as determined by Physical Activity Readiness Questionnaire (PAR-Q) and physician review, as needed.

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

60 participants in 2 patient groups

mobile Health and Wellness Coaching
Experimental group
Treatment:
Behavioral: mobile Health and Wellness Coaching
Usual Care
Active Comparator group
Treatment:
Behavioral: Usual Care

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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