Clinical trial

Rural Engagement in TelemedTeam for Options in Obesity Treatment Solutions

Active, not recruiting · Not applicable · 1 countries · Registry ID NCT05710510

Active, not recruitingNot applicableInterventional

What this study is about

The purpose of this study is to compare two methods for managing obesity in rural primary care patients. The first method includes quarterly 1:1 meetings with the participant and their primary care provider and the second includes a group lifestyle intervention over Zoom paired with quarterly team meetings with the participant, their primary care provider and their lifestyle coach, the coach joining via Zoom. Investigators will evaluate which method is best at helping participants lose weight over 18 months.

A promising-looking record is not the same as confirmed eligibility. The study team must review the full criteria and current recruitment status.

Basic eligibility

Age20 Years to 75 Years

SexAll

Healthy volunteersNot accepted

ConditionObesity, Obesity, Morbid

Full registry criteria

Inclusion Criteria: * BMI: \>= 30 kg/m2 * Rural resident * English speaking * Physician clearance to participate * Able to walk without assistance * Seen at least once in their primary care clinic within the past year * Internet access or smart phone (to access smart scale for weight measurement) Exclusion Criteria: * History of myocardial infarction within last six months * History of stroke within last six months * History of new cancer diagnosis within last six months * History of bariatric surgery within the last two years * Pregnancy within last 6 months or planned within the next 18 months * Currently breastfeeding * End stage renal disease, currently on dialysis, or anticipated dialysis or renal transplant within the next 18 months * End stage liver disease, or anticipated liver transplant within the next 18 months * Currently enrolled or planning to enroll in another study where weight loss is targeted or weight fluctuation is expected * Currently planning to move outside of current provider area, or leave primary care clinic within the next 18 months * Another household member is already participating in the study

Treatments and study arms

Local Care + Model

Behavioral

Local primary care providers receive training in medical management of obesity prior to the start of the participant intervention. Participants receive 6 quarterly clinic visits with their local primary care provider focused on medical management of obesity.

Team Care Model

Behavioral

Local primary care providers receive training in medical management of obesity prior to the start of the participant intervention. Participants receive an intensive 18-month group lifestyle intervention (30 total sessions) led by a study lifestyle coach via Zoom, and 6 quarterly 1:1 visits via Zoom with their lifestyle coach. Participants also receive 6 quarterly clinic visits with their local primary care provider; the study lifestyle coach joins the visits via telemedicine. All three parties may meet via telemedicine if needed. The group lifestyle intervention is led by obesity treatment specialists with relevant graduate training and experience.

Primary outcomes

Percent weight loss at 18 months18 months

Mean percent weight loss at 18 months; unadjusted

Study locations

1 locations were listed when this page was built. The first 40 are shown.

University of Kansas Medical Center🇺🇸 Kansas City, Missouri, United States

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