Effectiveness of Online Visit Compared With In-person Clinic Visit on Weight Loss

Study Overview
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Brief Summary
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Online visit and online counseling via telemedicine technology is a new service for obese people who wish to lose weight but because of their active lifestyle and time limitation cannot come to clinic. The purpose of this study was to examine the efficacy this technology-based intervention on weight loss in obese and overweight female adults.

Official Title
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Effectiveness of Online Visit Compared With In-person Clinic Visit on Weight Loss in Overweight and Obese Women, a Randomized Clinical Trial

Conditions
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Obesity, Overweight

Intervention / Treatment
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* Behavioral: online visit group
* Behavioral: Clinic visit group
* Behavioral: self-directed group


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Must be female Must be 18-45 years of age. Must have Body mass index (BMI) between 27-35 kg/ m². Must be able to have moderate exercise. Must be interested to have weight loss. Have access to the internet via broad- band ADSL or Mobile 4G Exclusion Criteria: Pregnancy or lactation during the previous 6 months, or planned pregnancy in the next six months. Taking medications that could affect metabolism or change body weight. Report heart problems, chest pain, and cancer within the last five years. Smoking Menopause Diagnosis of any chronic disease such as fatty liver, cancer, chemo/radio therapy, heart disease, immune compromised conditions, abnormal thyroid hormone level.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 45 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: online visit group<br>in online visit group , subjects has online visit with dietitian every 2 weeks | Behavioral: online visit group<br>* subjects has online visit with dietitian every 2 weeks+diet<br>* Other names: OV;|
| Experimental: clinic visit group<br>clinic visit group ,subject has every 2 weeks in person visit at clinic | Behavioral: Clinic visit group<br>* Clinic visit group ,subjects has every 2 weeks in person visit at clinic+diet<br>* Other names: CV;|
| Experimental: self-directed group<br>self-directed group ,subjects receive nutritional information via web and their energy needs for weight loss | Behavioral: self-directed group<br>* self-directed group receives nutritional information via web and their energy needs for weight loss<br>* Other names: SD;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| weight | kg | 24 Weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Waist circumference | cm | 24 Weeks | 
| Fasting blood glucose | mmol/l | 24 Weeks | 
| Fasting insulin level | mU/l | 24 Weeks | 
| HbA1c | score | 24 Weeks | 
| HOMA-IR | Percentage (%) | 24 Weeks | 
| lipid profiles | mmol/l | 24 Weeks | 
| liver function tests | U/l | 24 Weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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weight loss, Diet, online visit, clinic visit