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Internet Obesity Treatment Enhanced With Motivational Interviewing

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赞助商
University of Vermont
合作者
University of Arkansas

关键词

抽象

Internet-based weight control programs have been shown effective in producing weight loss, but in-person delivery of behavioral weight control produces significantly greater weight loss than on-line delivery of the same program. Motivational Interviewing has been shown to increase weight loss when delivered as an adjunct to in-person weight loss programs but has not been examined in conjunction with web-based obesity treatment. Therefore, the overall goal of this project is to determine if the addition of on-line Motivational Interviewing to a web-based group behavioral obesity treatment program will augment weight loss outcomes.

描述

This randomized controlled trial is designed to determine whether weight losses in a group behavioral weight loss intervention conducted over the Internet are increased with the inclusion of individual, online MI sessions. All participants will receive the same online 6-month group-based behavioral weight loss program followed by 12 months of weight maintenance. Overweight and obese adults at two study sties (N=426) will be randomized to (1) Internet intervention; or 2) Internet intervention with individual MI sessions occurring at three month intervals on a fixed schedule (Internet+MI-Fixed). Assessments will be conducted every six months and will include measures of body weight and height, diet and exercise behaviors, Quality of Life, adherence measures (eg., attendance, compliance with self-monitoring), social influence components, motivation, treatment satisfaction, demographic data and descriptive information regarding use of website components. A third arm was added for the final 3 intervention cohorts. All participants received the program as described above with the addition of motivational interviewing contingent on participants' attendance in classes.

日期

最后验证: 11/30/2018
首次提交: 10/31/2010
提交的预估入学人数: 10/31/2010
首次发布: 11/01/2010
上次提交的更新: 12/19/2018
最近更新发布: 12/23/2018
实际学习开始日期: 11/30/2010
预计主要完成日期: 03/31/2014
预计完成日期: 03/31/2014

状况或疾病

Obesity

干预/治疗

Behavioral: Internet Obesity Treatment

Behavioral: Internet Obesity Treatment with MI

Behavioral: Contingent MI

-

手臂组

干预/治疗
Active Comparator: Internet Obesity Treatment
Participants will attend weekly class sessions on line and track food and exercise in an on-line journal.
Behavioral: Internet Obesity Treatment
Participants will engage in self monitoring, will receive skills training to help cope with environmental triggers, and will receive nutrition advice.
Experimental: Internet Obesity Treatment with MI
Participants will attend weekly classes on line, record food and exercise in an on-line journal, and will have no more than 6 individual motivational interviewing sessions.
Behavioral: Internet Obesity Treatment with MI
In addition to weekly group meetings, self-monitoring through recording calorie and fat intake daily as well as exercise, participants will meet one-on-one with an MI counselor on-line in order to augment an individual's motivation to change behavior.
Experimental: Contingent MI
Intervention is the same as for the MI arm, however participants will only receive MI if meeting certain treatment participation conditions.
Behavioral: Contingent MI
Participants will attend weekly behavioral internet meetings. They may or may not receive Motivational Interviewing depending on their class attendance.

资格标准

有资格学习的年龄 18 Years 至 18 Years
有资格学习的性别All
接受健康志愿者
标准

Inclusion Criteria:

- must be over 18

- must have a BMI between 18 and 50

- must live within 60 minutes driving distance of University of Arkansas, Little Rock, AR, or University of Vermont, Burlington, Vermont

- must be able to walk for exercise

Exclusion Criteria:

结果

主要结果指标

1. Change in Body Weight [6 months]

Weights will be taken in street clothes without shoes using a hospital quality digital floor model scale.

2. Change in Body Weight [12 months]

3. Change in Body Weight [18 months]

4. Change in body weight [0]

Weights will be taken in street clothes without shoes using a hospital quality digital floor model scale. Height will be taken at baseline using a wall-mounted stadiometer and BMI will be calculated as weight (kg)/height(m2)

次要成果指标

1. Adherence to Treatment Components [6 months]

Items will include attendance at chat group meetings and completion of online food diaries and exercise records.

2. Adherence to Treatment Components [12 months]

3. Adherence to Treatment Components [18 months]

4. Motivation Measures [0]

We will assess participant motivation for participating in a weight reduction program and adhering to the program.

5. Motivation Measures [6]

6. Motivation Measures [12 months]

7. Motivation Measures [18 months]

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