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Delivering an Evidence-Based Lifestyle Intervention Via the Internet: A Randomized Controlled Study

Primary Purpose

Obesity

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
More-Intensive
Less-Intensive
Sponsored by
University of Pittsburgh
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Obesity focused on measuring Obesity, Internet

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Please note: Only individuals who receive primary care at one of the Internal Medicine clinics at Milton S. Hershey Medical Center in Hershey, PA, are eligible for this study.

Inclusion Criteria:

  • Age between 18 and 80 years old
  • Obese based on World Health Organization criteria (BMI>30kg/m2)
  • Receiving primary care from and referred by a provider at one of the Internal Medicine clinics at Milton S. Hershey Medical Center in Hershey, PA
  • Able to understand and sign an informed consent document
  • Able to communicate with the investigator and understand the requirements of this study

Exclusion Criteria

  • Primary care provider determines that the individual is unable to safely undertake moderately intense unsupervised physical activity (the equivalent of 30 minutes of brisk walking)
  • Primary care provider determines that the individual has inadequate cognitive function to participate in either active intervention curricula
  • Women who are pregnant, who are planning to become pregnant in the next two years, or who become pregnant during the study
  • Women who are breastfeeding
  • Prisoners
  • Children
  • Individuals who are planning to have bariatric surgery or who have had bariatric surgery in the past two years
  • Individuals with uncontrolled hypertension (systolic blood pressure (SBP) >165, diastolic blood pressure (DBP) >100)
  • Individuals with an edematous state that interferes with body weight assessment (e.g., severe congestive heart failure, end- stage renal disease, or ascites),
  • Individuals already using weight loss therapy
  • Individuals with an inability to learn adequately from English language audio-taped materials
  • Individuals with a lack of high-speed Internet access (Internet access will be based on participant perception; for example, participants could use computers belonging to friends, relatives, or libraries if they feel that they can access them regularly)
  • Individuals without access to a scale
  • Individuals unable to attend an Orientation session at Hershey Medical Center in Hershey, PA

Sites / Locations

  • Penn State Milton S. Hershey Medical Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

More-Intensive

Less-Intensive

Arm Description

Outcomes

Primary Outcome Measures

Change in body weight (kg)

Secondary Outcome Measures

Percentage of body weight lost
Change in blood pressure (mm Hg)
Change in health-related quality of life as determined by the RAND-36 PCS or MCS
Change in physical activity (steps per day)
Change in dietary pattern
Satisfaction with program

Full Information

First Posted
January 5, 2010
Last Updated
January 13, 2016
Sponsor
University of Pittsburgh
Collaborators
Milton S. Hershey Medical Center, United States Department of Defense
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1. Study Identification

Unique Protocol Identification Number
NCT01043718
Brief Title
Delivering an Evidence-Based Lifestyle Intervention Via the Internet: A Randomized Controlled Study
Official Title
Delivering an Evidence-Based Lifestyle Intervention Via the Internet: A Randomized Controlled Study
Study Type
Interventional

2. Study Status

Record Verification Date
January 2016
Overall Recruitment Status
Completed
Study Start Date
March 2010 (undefined)
Primary Completion Date
January 2012 (Actual)
Study Completion Date
December 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University of Pittsburgh
Collaborators
Milton S. Hershey Medical Center, United States Department of Defense

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Hershey Medical Center and the University of Pittsburgh are doing a research study to help meet the needs of the adult population at risk for diabetes and heart disease. This study will provide a web-based program that aims to help participants to develop healthier eating habits, lose weight and become more physically active. The Internet-based materials will teach participants about healthy eating and physical activity and will ask them to incorporate the information they learn into their daily lives. The purpose of this study is to evaluate the effectiveness of online lifestyle change programs to promote weight loss, healthy eating and physical activity patterns, in the interest of reducing risk for and adverse outcomes of type 2 diabetes (T2D) and cardiovascular disease (CVD).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Obesity
Keywords
Obesity, Internet

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2, Phase 3
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
120 (Actual)

8. Arms, Groups, and Interventions

Arm Title
More-Intensive
Arm Type
Experimental
Arm Title
Less-Intensive
Arm Type
Active Comparator
Intervention Type
Behavioral
Intervention Name(s)
More-Intensive
Intervention Description
The online lifestyle intervention will include elements of a behavioral lifestyle program developed by the Diabetes Prevention Program. The program will assist individual participants with establishing appropriate weight loss goals, implementing dietary recommendations (including analysis of current diet), and defining exercise programs. The program curriculum provides standard information about healthy lifestyle, and behavioral techniques for integrating them into daily living. In each lesson, patients provide feedback about how they interpret the information, and ideas for integrating it into their lives.
Intervention Type
Behavioral
Intervention Name(s)
Less-Intensive
Intervention Description
The participants will be provided with the information to access the online Diabetes Prevention Program (DPP) intervention materials. Following the original DPP trial, all DPP materials were placed online for the public to access. This group will receive a lifestyle counseling session and tools to facilitate their intervention.
Primary Outcome Measure Information:
Title
Change in body weight (kg)
Time Frame
6 months, 12 months, 18 months
Secondary Outcome Measure Information:
Title
Percentage of body weight lost
Time Frame
6 months, 12 months, 18 months
Title
Change in blood pressure (mm Hg)
Time Frame
6 months, 12 months, 18 months
Title
Change in health-related quality of life as determined by the RAND-36 PCS or MCS
Time Frame
6 months, 12 months, 18 months
Title
Change in physical activity (steps per day)
Time Frame
6 months, 12 months, 18 months
Title
Change in dietary pattern
Time Frame
6 months, 12 months, 18 months
Title
Satisfaction with program
Time Frame
6 months, 12 months, 18 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Please note: Only individuals who receive primary care at one of the Internal Medicine clinics at Milton S. Hershey Medical Center in Hershey, PA, are eligible for this study. Inclusion Criteria: Age between 18 and 80 years old Obese based on World Health Organization criteria (BMI>30kg/m2) Receiving primary care from and referred by a provider at one of the Internal Medicine clinics at Milton S. Hershey Medical Center in Hershey, PA Able to understand and sign an informed consent document Able to communicate with the investigator and understand the requirements of this study Exclusion Criteria Primary care provider determines that the individual is unable to safely undertake moderately intense unsupervised physical activity (the equivalent of 30 minutes of brisk walking) Primary care provider determines that the individual has inadequate cognitive function to participate in either active intervention curricula Women who are pregnant, who are planning to become pregnant in the next two years, or who become pregnant during the study Women who are breastfeeding Prisoners Children Individuals who are planning to have bariatric surgery or who have had bariatric surgery in the past two years Individuals with uncontrolled hypertension (systolic blood pressure (SBP) >165, diastolic blood pressure (DBP) >100) Individuals with an edematous state that interferes with body weight assessment (e.g., severe congestive heart failure, end- stage renal disease, or ascites), Individuals already using weight loss therapy Individuals with an inability to learn adequately from English language audio-taped materials Individuals with a lack of high-speed Internet access (Internet access will be based on participant perception; for example, participants could use computers belonging to friends, relatives, or libraries if they feel that they can access them regularly) Individuals without access to a scale Individuals unable to attend an Orientation session at Hershey Medical Center in Hershey, PA
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Kathleen McTigue, MD MS MPH
Organizational Affiliation
University of Pittsburgh
Official's Role
Principal Investigator
Facility Information:
Facility Name
Penn State Milton S. Hershey Medical Center
City
Hershey
State/Province
Pennsylvania
ZIP/Postal Code
17033
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
12453955
Citation
Diabetes Prevention Program (DPP) Research Group. The Diabetes Prevention Program (DPP): description of lifestyle intervention. Diabetes Care. 2002 Dec;25(12):2165-71. doi: 10.2337/diacare.25.12.2165.
Results Reference
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Delivering an Evidence-Based Lifestyle Intervention Via the Internet: A Randomized Controlled Study

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