Inpatient Obesity Intervention With Phone Follow-up

Northwestern University

Status: Completed

Conditions: Obesity

Treatments: Behavioral: Inpatient weight loss counseling; Behavioral: Motivational interviewing and troubleshooting via phone

Study type: Interventional

Funder types: Other

Identifiers

NCT01920620

Obesity Intervention NU

Details and patient eligibility

About

In this study we sought to determine whether inpatient weight loss counseling with post discharge phone follow-up would result in weight loss at six months. Secondary endpoints included weight change from baseline, changes in waist-to-hip ratios, assessment of weight perceptions and changes in patient reported health outcome measures. To our knowledge, this is the first randomized trial designed to evaluate the effects of an obesity intervention with post-discharge follow-up in an inpatient general medicine population.

Enrollment: 176 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Adults ages 18-65 years old
• Body mass index between 30-50 kg/m2
• Admitted to an internal medicine service

Exclusion criteria

• acute medical conditions known to affect weight (heart failure, cirrhosis, end-stage renal disease on dialysis, nephrotic syndrome, or pregnancy)
• Charlson comorbidity index >3
• moderate to severe major depression
• prolonged steroid use (>2 weeks)
• initiation of medications known to affect weight
• non-English speaking
• precontemplation stage of change

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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176 participants in 2 patient groups

Intervention Arm

Experimental group

Description:

Inpatient weight loss counseling Motivational interviewing and troubleshooting via phone

Treatment:

Behavioral: Inpatient weight loss counseling

Behavioral: Motivational interviewing and troubleshooting via phone

Usual Care Arm

No Intervention group

Description:

Participants in the usual care group were not provided with any specific instructions regarding weight loss, diet or exercise prior to discharge. Follow-up phone calls for usual care subject were used only to obtain weight and assess for changes in medications or health condition.