Internet Treatment for Weight Loss in Primary Care

Yale University

Status: Completed

Conditions: Obese; Overweight

Treatments: Behavioral: Motivational Interviewing; Behavioral: Nutritional Counseling; Behavioral: Treatment as usual with primary care physician

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT01558297

1K23DK092279-01 (U.S. NIH Grant/Contract)

1106008713

Details and patient eligibility

About

This study will test the effectiveness of two distinct treatments for weight loss:

1. Motivational Interviewing
2. Nutritional Counseling. These treatments will be compared to Treatment as Usual. Participants will be recruited through local primary care offices.

Enrollment: 89 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• BMI 25-55
• Daily access to internet and phone

Exclusion criteria

• Co-existing physical and/or psychiatric conditions that require more significant treatment (e.g., bipolar disorder, psychotic illnesses), and/or require more intensive treatment or hospitalization (e.g., suicidality, severe mood disorders)
• Meets criteria for current substance abuse or dependence
• Currently receiving psychiatric, psychological, behavioral, or pharmacologic treatment that is known to affect weight or eating
• Pregnant, breastfeeding, or plans to become pregnant during the treatment period
• Cardiac disease, including ischemic heart disease, congestive heart failure, conduction abnormalities, or a history of heart attack
• Serious neurologic illnesses (e.g., seizure history) or medical illnesses (e.g., impaired hepatic or renal function)
• Uncontrolled diabetes, thyroid conditions, or hypertension

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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89 participants in 3 patient groups

Motivational Interviewing

Experimental group

Treatment:

Behavioral: Motivational Interviewing

Nutritional Counseling

Active Comparator group

Treatment:

Behavioral: Nutritional Counseling

Treatment as usual

Active Comparator group

Treatment:

Behavioral: Treatment as usual with primary care physician