Web-Based Weight Loss & Weight Maintenance Intervention for Older Rural Women, Also Known as Women Weigh-in for Wellness
Overweight and Obesity
About this trial
This is an interventional treatment trial for Overweight and Obesity focused on measuring Overweight, Obesity, Rural Health, Weight Loss, Weight Maintenance, Rural Middle Aged and Older Women, Web Intervention Weight Loss, Class I, II, & III obese (BMI 28 to 45)
Eligibility Criteria
Inclusion Criteria:
- women aged 40-69
- overweight or Class I & II obese (BMI 28 to 39.9)or BMI 40 to 45 with physician clearance
- state a commitment to losing weight
- speak and read English
- able to communicate over the telephone
- able to use a computer with minimal assistance and complete electronic forms and surveys
- have access to and are able to access the Internet
- commitment to access the website as required by the research intervention including weekly self-reporting of calories and fat grams, weekly self-reporting of physical activity, pedometer steps, and body weight, and weekly (or more often) participation in other website components as determined by group to which randomized and phase of intervention
- have or are willing to obtain an email account
- have access to a DVD player
- able to walk without an assistive device
- answer 'no' to all questions on the Physical Activity Readiness Questionnaire (PAR-Q) or obtain clearance from their physician to become more active
Exclusion Criteria:
- diagnosed with Type 1 diabetes
- diagnosed with Type 2 diabetes and require insulin
- ≥ 10% weight loss in last six months
- enrolled in a weight loss management program
- enrolled in a formal program of cardiac rehabilitation or undergoing physical rehabilitation
- taking medications that affect weight loss or weight gain
- other physical or medical restrictions that would preclude following the minimum recommendations for moderate physical activity and healthy eating.
Sites / Locations
- University of Nebraska Medical Center
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Experimental
Web-based only (WO) weight intervention
WO & peer-led discussion board (WD)
WO & professional email counseling (WE)
A comprehensive lifestyle modification intervention for healthy eating and activity delivered by web only to facilitate Phase I weight loss (weekly messages baseline to 6 months), Phase 2 guided weight loss and weight maintenance (bi-weekly hot topics news, 6-18 months) and Phase 3 self-managed weight maintenance (6 monthly and 3 bi-monthly new content, 18-30 months).
Includes WO intervention, including all 3 Phases for weight loss and weight maintenance, supplemented with peer-lead discussion board. A peer leader will facilitate the asynchronous discussion group. The primary purpose of this group is to provide support, increase self-efficacy (role modeling by successful women and leader) and discuss progress toward goals.
Includes WO intervention, including all 3 Phases for weight loss and weight maintenance, supplemented with professional email-counseling by experienced counselor who will review women's web-logs of eating, activity, weight and goal-setting on web-site and send e-mail feedback.