Clinical trial NCT01448551: MPOWERed Messages: Tailored Mobile Messages to Enhance Weight Loss for Teens
Official title: Novel Individually Tailored Mobile Messages to Enhance Weight Loss for Teens
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Obesity
Keywords: Obesity
Treatment
Adolescents
Text Messages
Mobile phones
Multidisciplinary
Lead sponsor: University of Michigan
Sponsor class: OTHER
Collaborators: name: Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
First posted: 2011-10-07
Enrollment: 50
Sex: ALL
Minimum age (years): 12
Maximum age (years): 18
Standard ages: CHILD
ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Obesity affects millions of American children and increases their risk of adult obesity, a myriad of serious illnesses, increased healthcare costs, and premature death. It is vital to find ways to reverse this epidemic. Multidisciplinary behavioral weight management programs offer the promise of effectively treating childhood obesity. However, participants in such programs often find it challenging to follow recommended treatment plans and frequently drop out from programs without completing them. The proposed project aims to address these problems through frequent contact with patients between office visits. This interim contact will be achieved by automatically sending tailored messages to the mobile phones of adolescents enrolled in a multidisciplinary weight management program (the MPOWER program), as an adjunct to clinic visits.

The investigators hypothesize that program participants who receive the tailored text messages will experience lower attrition rates, increased treatment adherence, and greater weight loss compared to those program participants who do not receive the messages.


Eligibility criteria: Inclusion Criteria:

* BMI ≥ 95th percentile for sex and age according to CDC growth charts
* Enrollment in the MPOWER program
* At least one parent willing and able to participate in the MPOWER program with the adolescent
* Absence of any major medical illness, disability, or moderate/severe mental disorder (e.g., liver disease, renal failure, cancer, bipolar disorder)

Exclusion Criteria:

* Presence of any major medical illness, disability, or moderate/severe mental disorder (e.g., renal failure, cancer, bipolar disorder)
* Physical, mental, or cognitive handicaps that prevent participation
* Chronic use of medications that may affect study outcomes (e.g., Diuretics, oral steroids)
* Girls who are pregnant, planning to become pregnant in the next 6 months, lactating, or within 6 months postpartum

Primary outcomes:
measure: Session attendance
timeFrame: Over the course of 6 months
measure: Adherence to MPOWER program homework assignments
timeFrame: Over the course of 6 months
measure: Satisfaction with the MPOWER program
timeFrame: At the completion of 3 months and 6 months in the program
measure: Drop out
timeFrame: Prior to completion of the 6 month program
Secondary outcomes:
measure: Change in body mass index
timeFrame: After 3 months and 6 months in the MPOWER program
measure: Objective measurement of daily participation in moderate to vigorous activity
timeFrame: After 3 months and 6 months in the MPOWER program
measure: Self-efficacy for achieving MPOWER recommendations for the 6 target behaviors
timeFrame: After 3 months and 6 months in the MPOWER program6 month
measure: Intrinsic motivation to increase intake of fruits and vegetables and to increase physical activity
timeFrame: After 3 months and 6 months in the MPOWER program
measure: Change in self-report of the six behaviors targeted in the intervention
timeFrame: After 3 months and 6 months in the MPOWER program
Other outcomes:
Locations:
city: Ann Arbor
country: United States
facility: University of Michigan
state: Michigan
Study officials:
affiliation: University of Michigan
name: Susan J Woolford, MD, MPH
role: PRINCIPAL_INVESTIGATOR
References: