Internet Assisted Obesity Treatment Enhanced With Financial Incentives (iREACH3)

University of Vermont

Status: Completed

Conditions: Obesity

Treatments: Behavioral: Internet Only; Behavioral: Internet + Incentives

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT02688621

R01DK056746 (U.S. NIH Grant/Contract)

CHRBS 15-259

Details and patient eligibility

About

The investigators propose a randomized controlled trial to evaluate whether the addition of financial incentives to a high-quality, online behavioral weight loss intervention produces better weight losses than the online treatment alone.

Full description

Overweight and obese but otherwise healthy participants (N=416) will be recruited in approximately equal numbers at two clinical centers, the University of South Carolina and the University of Vermont. Eligible participants will be randomized to one of two conditions: 1) an 18-month, 36-session group Internet behavioral weight control treatment (Internet Only) which replicates the intervention the investigators have implemented previously; or 2) the same 18-month, 36-session group Internet treatment plus financial incentives for performance of 3 key self-management behaviors (Internet+ Incentive). Both conditions will have access to the same web-based intervention platform and the same counselor-delivered intervention elements; the presence of economic incentives for behavioral and weight goals is the only difference between the conditions. Assessments will be conducted at Baseline, 2, 6, 12 and 18 months. Cost data will be collected to inform cost effectiveness evaluations.

Enrollment: 418 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• over 18
• BMI between 25 and 50
• Not currently pregnant or pregnant in the previous 6 months and currently breastfeeding or planning on becoming pregnant in 18 months
• Have a computer at home or at work with flashplayer, access to the internet, and a smart phone (to allow use of step counting aps)
• Free of medical problems that might contraindicate participation in a behavioral weight reduction program containing an exercise component
• Not enrolled in another weight reduction program
• Not currently on medication that would affect weight loss

Exclusion criteria

• had a heart attack or stroke in the previous six months
• had weight loss surgery
• lost 10 pounds or more in the previous 6 months
• currently taking medications for weight loss
• required by their doctor to follow a special diet (other than low fat)
• planning to move out of the area within 18 months
• schedule conflicts making it difficult to attend online "chats"
• live more than 60 minutes driving distance from either University of South Carolina or University of Vermont campuses

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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418 participants in 2 patient groups

Internet only

Active Comparator group

Description:

Participants will be required to attend a weekly Internet chat session with your group members and one of the behavioral weight control therapists. Participants will learn the principles of managing eating and exercise behaviors in weekly, hour-long chat sessions and by completing weekly lessons. Participants are asked to self-monitor foods and exercise through the use of a smartphone ap. Participants will wear a tracking device that monitors steps. All participants will be contacted via e-mail individually, by their group leader who will monitor their progress and offer advice and encouragement. Meetings are weekly for 24 weeks and monthly for 12 months.

Treatment:

Behavioral: Internet Only

Internet + Incentives

Experimental group

Description:

Participants are given the same intervention as described for the internet only group, with the exception that they will have the opportunity to earn financial incentives. Financial incentives will be based on participants weight loss, and compliance with certain weight loss behaviors including meeting exercise goals, self-monitoring foods consumed, and daily weighing and reporting.

Treatment:

Behavioral: Internet + Incentives