Telenutrition Center: Examining the Implementation of Behavioral Therapy for Obesity

Study Overview
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Brief Summary
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The Telenutrition Center will use the Reach, Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) Framework to assess the implementation of an evidence-based, intensive behavior therapy (IBT) for obesity intervention (with a motivational interviewing [MI] framework) based on the Centers for Medicaid and Medicare Services (CMS) IBT for obesity benefit. The intervention will be examined under real-world conditions with technology supplementation to address obesity and related chronic disease among young adult (18-50 years of age) African Americans across the state. The intervention contact will model the CMS IBT for obesity benefit according to the patient contact schedule (of weekly visits in the first month, biweekly in months 2-7, and once a month per months 8-12) and include nutrition, stage of change and other physical and psychosocial assessments. Program delivery will be assisted by the Bridge2U web and mobile platform and supported in both clinic and community settings. The proposed project will shed new light on how IBT for obesity (and similar) models may be amended to facilitate the provision of health care resources in areas with limited to no resources, such as the state of Mississippi.

Official Title
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Telenutrition Center: Examining the Implementation of Behavioral Therapy for Obesity Among Young to Middle Aged African American Adults in Mississippi

Conditions
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Obesity

Intervention / Treatment
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* Behavioral: Intensive behavioral therapy for obesity


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Body mass index >/=28 25 to 50 years of age history or risk of preventable co-morbidities (ie. diabetes, hypertension, and/or dyslipidemia) Exclusion Criteria: Body mass index <28 <25 years of age >50 years of age no history or risk of preventable obesity comorbidities Any disease diagnosis (ie. cancer) where weight loss is contraindicated

Ages Eligible for Study
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Minimum Age: 25 Years
Maximum Age: 50 Years

Sexes Eligible for Study
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All

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
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Intervention<br>Enrolled participants will receive the intervention. | Behavioral: Intensive behavioral therapy for obesity<br>* Approximately 24, 20 minute sessions over 12 months focused on diet and physical activity behavior change goals to promote weight loss. Framework includes health belief model, transtheoretical model and motivational interviewing.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Weight Changes | Weight loss at 0, 6 and 12 months | 0, 6 and 12 months | 
| Retention | Number of enrolled participants who complete the program | 12 months |