Status:

COMPLETED

Health Coaching & Technology in a Weight Loss Center

Lead Sponsor:

Dartmouth-Hitchcock Medical Center

Conditions:

Obesity

Technology

Eligibility:

All Genders

18-65 years

Brief Summary

The national epidemic of obesity is associated with considerable morbidity, disability and early mortality. Conventional weight loss programs beyond a primary care setting have the potential to reduc...

Eligibility Criteria

Inclusion

  • English speaking;
  • Community-dwelling;
  • Age 18-65 years;
  • Obesity based on: BMI ≥30kg/m2 54;
  • Participating in the DH-WWC health coach program;
  • Access to home, high-speed internet with Wi-Fi;
  • Medical clearance from their primary care provider;
  • Provide voluntary, written consent;
  • Require an EHR patient portal account and credentials ; -----If subjects do not have an account, one will be created for the purposes of this study

Exclusion

  • Unwilling to participate in the 16 week pilot or complete study measures;
  • Individuals unwilling/unable to provide consent;
  • A medical record diagnosis of dementia as intensive behavioral therapy and health coaching require the ability to complete questionnaires and change behavior, all of which may be challenging in individuals with cognitive impairment;
  • Cognitive impairment measured by the 6-item Callahan screen, a brief and reliable six-item screening questionnaire with acceptable sensitivity (88.7%) and specificity (88.0%) in identifying individuals with cognitive impairment. Its diagnostic properties are comparable to the full Folstein Mini-Mental Status Examination in those scoring ≥3. This questionnaire can be administered by telephone or face-to-face interview and is being as an adjunct to medical record documentation of cognitive impairment;
  • Life-threatening illness including those receiving palliative care or hospice services;
  • Nursing facility or hospital admission in the past six months;
  • Psychiatric diagnosis that would interfere with study participation and require significant modification to meet their needs such as major depressive disorder, substance abuse, suicidal ideation or severe mental illness (schizophrenia, bipolar disorder);
  • History of bariatric surgery;
  • American College of Sports Medicine contraindications to exercise57 including: a resting heart rate of \>120bpm; Blood pressure \>180/100mmHg; unstable angina;

Key Trial Info

Start Date :

November 29 2017

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

December 1 2019

Estimated Enrollment :

37 Patients enrolled

Trial Details

Trial ID

NCT03309787

Start Date

November 29 2017

End Date

December 1 2019

Last Update

July 8 2020

Active Locations (1)

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1

Dartmouth-Hitchcock

Lebanon, New Hampshire, United States, 03756