An addiction-based mobile health weight loss intervention: protocol of a randomized controlled trial.
Adolescent
Female
Humans
Male
Body Weight
California
Executive Function
Feeding Behavior
Food Addiction
/ therapy
Health Education
/ organization & administration
Mentors
Mobile Applications
Patient Compliance
Patient Satisfaction
Pediatric Obesity
/ therapy
Research Design
Self-Control
Single-Blind Method
Weight Reduction Programs
/ methods
Randomized Controlled Trials as Topic
Multicenter Studies as Topic
Coaching
Eating addiction
Mobile health
Obesity
Pediatrics
Weight loss
Journal
Contemporary clinical trials
ISSN: 1559-2030
Titre abrégé: Contemp Clin Trials
Pays: United States
ID NLM: 101242342
Informations de publication
Date de publication:
03 2019
03 2019
Historique:
received:
05
11
2018
revised:
07
01
2019
accepted:
11
01
2019
pubmed:
18
1
2019
medline:
27
5
2020
entrez:
18
1
2019
Statut:
ppublish
Résumé
The notion of obesity as an addictive process is controversial. However, studies show that between 5.9 and 30.7% of adolescents with obesity report food or eating addiction. Few weight management interventions have tested techniques based on addiction medicine principles. This multi-center randomized control trial (RCT) is designed to test the effectiveness of a mobile health (mHealth) weight-loss intervention based on addiction principles, such as withdrawal and tolerance, in a sample of 180 adolescents (ages 14-18) recruited from four pediatric weight management clinics in Southern California. Akin to a Multiphase Optimization Strategy (MOST) design evaluating multicomponent behavioral interventions, we will compare the combination of an app + phone coaching (App+Coach) to app alone (App) and in-clinic multi-disciplinary (Clinic) intervention arms. The primary outcome is mean change in zBMI and %BMI New and creative approaches are needed to address pediatric obesity. If successful, this RCT may provide an innovative and cost-effective mHealth approach, based on addiction methods, for weight loss among adolescents with overweight and obesity.
Sections du résumé
BACKGROUND
The notion of obesity as an addictive process is controversial. However, studies show that between 5.9 and 30.7% of adolescents with obesity report food or eating addiction. Few weight management interventions have tested techniques based on addiction medicine principles.
METHODS
This multi-center randomized control trial (RCT) is designed to test the effectiveness of a mobile health (mHealth) weight-loss intervention based on addiction principles, such as withdrawal and tolerance, in a sample of 180 adolescents (ages 14-18) recruited from four pediatric weight management clinics in Southern California. Akin to a Multiphase Optimization Strategy (MOST) design evaluating multicomponent behavioral interventions, we will compare the combination of an app + phone coaching (App+Coach) to app alone (App) and in-clinic multi-disciplinary (Clinic) intervention arms. The primary outcome is mean change in zBMI and %BMI
CONCLUSIONS
New and creative approaches are needed to address pediatric obesity. If successful, this RCT may provide an innovative and cost-effective mHealth approach, based on addiction methods, for weight loss among adolescents with overweight and obesity.
Identifiants
pubmed: 30654026
pii: S1551-7144(18)30656-6
doi: 10.1016/j.cct.2019.01.008
pmc: PMC8078064
mid: NIHMS1693854
pii:
doi:
Banques de données
ClinicalTrials.gov
['NCT03500835']
Types de publication
Clinical Trial Protocol
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
11-19Subventions
Organisme : NICHD NIH HHS
ID : R01 HD092483
Pays : United States
Organisme : NIMHD NIH HHS
ID : U54 MD000502
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1 TR000130
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1 TR001855
Pays : United States
Informations de copyright
Copyright © 2019 Elsevier Inc. All rights reserved.
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