Engaging Patients in Weight Loss Tools

University of Florida

Status: Completed

Conditions: Obesity

Treatments: Behavioral: Facilitation Intervention

Study type: Interventional

Funder types: Other

Identifiers

NCT04121312

OCR26064 (Other Identifier)

IRB201902013

Details and patient eligibility

About

The overall aim of this study is to evaluate the acceptability and feasibility of a primary-care based approach to facilitating engagement in online behavior tracking and community support networks for weight loss ("facilitation condition") over 12 weeks among adults with obesity.

Enrollment: 33 patients

Sex: All

Ages: 18 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• PCPs:

  1. Employed as a PCP at a clinics in the UF health care system.
  2. Has practiced at current clinic for ≥1 year (self-report)
  3. Is employed ≥ 0.5 FTE (self-report)
  4. Has a patient panel that is majority adult (self-report)

• Patients: EHR-based criteria:

  1. Age 18-75

  2. Last BMI in EHR ≥30 kg/m2

  3. Has an appointment scheduled ("index appointment") with an enrolled primary care PCP 7-30 days after electronic data pull.

  4. Is enrolled in MyChart or has an email address in the IDR system.

     Self-report criteria:

  5. Self-reported BMI > 29 kg/m2 (to account for under-reporting)

  6. Response yes to question: "Would you be interested in learning strategies to help you lose weight?"

  7. Ability to read and understand English without assistance.

  8. Has either (a) a phone or tablet with a data plan OR (b) reliable access to Wi-Fi (via computer, phone or tablet) in their home.

Exclusion criteria

• PCPs:

  1. Planning to move out of the Gainesville or Jacksonville area in the next 12 months.

• Patients:

  1. Currently enrolled in formal weight loss program or a research study focused on changing diet, physical activity, or weight.
  2. In past month, has tracked the majority of their food intake on an app, website, or paper log an average of 3 or more days per week.
  3. Self-reported to be pregnant, breastfeeding, or planning to become pregnant in next 6 months.
  4. Currently undergoing radiation or chemotherapy for cancer.
  5. Self-reported cardiac event in past 6 months.
  6. Self-reported Heart Failure (also known as chronic heart failure or CHF).
  7. Planning to move out of the Gainesville or Jacksonville area (depending on which clinic they are recruited from) in the next 6 months.

Trial design

Primary purpose: Health Services Research

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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33 participants in 1 patient group

Facilitation Intervention

Experimental group

Description:

A brief, web-based facilitation guide (called "Weight Loss Your Way Kickoff Materials") that encourages initial and sustained engagement in online tracking and social network tools for weight loss.The intervention also includes 8 emails sent over 12 weeks to further motivate use of the online tools and weight loss.

Treatment:

Behavioral: Facilitation Intervention