MOWI Research Pilot

Dartmouth Health

Status: Completed

Conditions: Obesity

Treatments: Dietary Supplement: Develop & Refine MOWI w Fitbit/Protein; Behavioral: Develop & Refine MOWI w Fitbit; Behavioral: MOWI Weight Loss Maintenance; Behavioral: Develop & Refine MOWI w/o Amulet

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT03104192

K23AG051681 (U.S. NIH Grant/Contract)

D16182_2

Details and patient eligibility

About

The goal of this study is to conduct a program of pilot research aimed at developing and evaluating a technology-assisted wellness intervention for older adults with obesity.

Full description

The national epidemic of obesity is also affecting older adults, and is associated with an increased risk of disability, nursing home placement and early mortality. Conventional weight loss programs have the potential to reduce body fat, but are difficult to access for older obese adults due to transportation and mobility challenges. The overarching goal of this study is to conduct a program of pilot research aimed at developing and evaluating a technology assisted wellness intervention for older adults with obesity.

Study Timeline:

September 2017 to June 2018:

Goal: Conduct a pilot study of improving weight and physical function in older adults with obesity. An mHealth Obesity Wellness Intervention (MOWI) will integrate Amulet +/- Fitbi with a weekly individual dietician-led nutritional session, along with twice weekly physical therapist led group exercise session.

Participation Duration: Three times weekly for 3 months

Enrollment: 69 patients

Sex: All

Ages: 65+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

All Aims:

• Age ≥65 years
• Body Mass Index (BMI) ≥ 30kg/m^2
• Waist circumference ≥88cm in females or ≥102cm in males

Aims 2 & 3:

• Have Wi-Fi high speed internet
• Able to obtain medical clearance from doctor
• Have less than a 5% weight loss in past 6 months
• No advanced co-morbidity
• No exercise restrictions
• Not involved in other research studies that may interfere with participation

Exclusion criteria

• Severe mental or life-threatening illness
• Dementia
• Substance use
• History of bariatric surgery
• Suicidal ideation
• Unable to perform measures
• Reside in nursing home
• No advanced co-morbidity
• No exercise restrictions
• Not involved in other research studies that may interfere with participation

Aim 4 - had to have completed Aims 2 or 3

Trial design

Primary purpose: Health Services Research

Allocation: Non-Randomized

Interventional model: Single Group Assignment

Masking: None (Open label)

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69 participants in 4 patient groups

Develop & Refine MOWI w/o Amulet (2A)

Active Comparator group

Description:

Develop and refine a mHealth obesity wellness intervention (MOWI) for rural, older, obese adults without the use of Amulet technology.

Treatment:

Behavioral: Develop & Refine MOWI w/o Amulet

MOWI Weight Loss Maintenance

Experimental group

Description:

Evaluate the feasibility, acceptability, and potential effectiveness of an 8-session, tri-weekly, psychosocial skills group intervention to support weight loss maintenance post-MOWI.

Treatment:

Behavioral: MOWI Weight Loss Maintenance

Develop & Refine MOWI w Fitbit (2B)

Active Comparator group

Description:

Develop and refine a mHealth obesity wellness intervention (MOWI) for rural, older, obese adults with the use of Fitbit technology.

Treatment:

Behavioral: Develop & Refine MOWI w Fitbit

Develop & Refine MOWI w Fitbit/Protein (2P)

Active Comparator group

Description:

Develop and refine a mHealth obesity wellness intervention (MOWI) for rural, older, obese adults with the use of Fitbit technology augmented by whey protein.

Treatment:

Dietary Supplement: Develop & Refine MOWI w Fitbit/Protein