scholarly journals Feasibility Randomized Controlled Trial of ImpulsePal: Smartphone App–Based Weight Management Intervention to Reduce Impulsive Eating in Overweight Adults

10.2196/11586 ◽  
2019 ◽  
Vol 3 (2) ◽  
pp. e11586 ◽  
Author(s):  
Samantha B van Beurden ◽  
Jane R Smith ◽  
Natalia S Lawrence ◽  
Charles Abraham ◽  
Colin J Greaves
Keyword(s):  
Randomized Controlled Trial ◽  
Weight Management ◽  
Controlled Trial ◽  
Smartphone App ◽  
Management Intervention ◽  
Randomized Controlled ◽  
Overweight Adults ◽  
Weight Management Intervention

scholarly journals The transtheoretical model is an effective weight management intervention: a randomized controlled trial

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Patrícia Pinheiro de Freitas ◽  
Mariana Carvalho de Menezes ◽  
Luana Caroline dos Santos ◽  
Adriano Marçal Pimenta ◽  
Adaliene Versiani Matos Ferreira ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Weight Management ◽  
Transtheoretical Model ◽  
Controlled Trial ◽  
Management Intervention ◽  
Randomized Controlled ◽  
Weight Management Intervention

scholarly journals Feasibility Randomized Controlled Trial of ImpulsePal: Smartphone App–Based Weight Management Intervention to Reduce Impulsive Eating in Overweight Adults (Preprint)

2018 ◽  
Author(s):  
Samantha B van Beurden ◽  
Jane R Smith ◽  
Natalia S Lawrence ◽  
Charles Abraham ◽  
Colin J Greaves
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Intervention Group ◽  
Dual Process ◽  
Feasibility Trial ◽  
Smartphone App ◽  
Control Group ◽  
Eligibility Criteria ◽  
Management Intervention ◽  
Randomized Controlled

BACKGROUND ImpulsePal is a theory-driven (dual-process), evidence-informed, and person-centered smartphone app intervention designed to help people manage impulsive processes that prompt unhealthy eating to facilitate dietary change and weight loss. OBJECTIVE The aims of this study were to (1) assess the feasibility of trial procedures for evaluation of the ImpulsePal intervention, (2) estimate standard deviations of outcomes, and (3) assess usability of, and satisfaction with, ImpulsePal. METHODS We conducted an individually randomized parallel two-arm nonblinded feasibility trial. The eligibility criteria included being aged ≥16 years, having a body mass index of ≥25 kg/m2, and having access to an Android-based device. Weight was measured (as the proposed primary outcome for a full-scale trial) at baseline, 1 month, and 3 months of follow-up. Participants were randomized in a 2:1 allocation ratio to the ImpulsePal intervention or a waiting list control group. A nested action-research study allowed for data-driven refinement of the intervention across 2 cycles of feedback. RESULTS We screened 179 participants for eligibility, and 58 were randomized to the intervention group and 30 to the control group. Data were available for 74 (84%, 74/88) participants at 1 month and 67 (76%, 67/88) participants at 3 months. The intervention group (n=43) lost 1.03 kg (95% CI 0.33 to 1.74) more than controls (n=26) at 1 month and 1.01 kg (95% CI −0.45 to 2.47) more than controls (n=43 and n=24, respectively) at 3 months. Feedback suggested changes to intervention design were required to (1) improve receipt and understanding of instructions and (2) facilitate further engagement with the app and its strategies. CONCLUSIONS The evaluation methods and delivery of the ImpulsePal app intervention are feasible, and the trial procedures, measures, and intervention are acceptable and satisfactory to the participants. CLINICALTRIAL International Standard Randomized Controlled Trial Number (ISRCTN): 14886370; http://www.isrctn.com/ISRCTN14886370 (Archived by WebCite at http://www.webcitation.org/76WcEpZ51)

scholarly journals Teaching Medical Students to Help Patients Manage Their Weight: Outcomes of an Eight-School Randomized Controlled Trial

2021 ◽  
Author(s):  
Judith K. Ockene ◽  
Lori Pbert ◽  
Sybil Crawford ◽  
Christine F. Frisard ◽  
Jyothi A. Pendharkar ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Medical Students ◽  
Weight Management ◽  
Management Education ◽  
Controlled Trial ◽  
Health Behavior Change ◽  
Medical Schools ◽  
Randomized Controlled ◽  
Weight Management Counseling ◽  
Overweight Or Obesity

ABSTRACT BACKGROUND Given the rising rates of obesity there is a pressing need for medical schools to better prepare students for intervening with patients who have overweight or obesity and for prevention efforts. OBJECTIVE To assess the effect of a multi-modal weight management curriculum on counseling skills for health behavior change. DESIGN A pair-matched, group-randomized controlled trial (2015-2020) included students enrolled in eight U.S. medical schools randomized to receive either multi-modal weight management education (MME) or traditional weight management education (TE). SETTING/PARTICIPANTS Students from the class of 2020 (N=1305) were asked to participate in an objective structured clinical examination (OSCE) focused on weight management counseling and complete pre and post surveys. A total of 70.1% of eligible students (N=915) completed the OSCE and 69.3% (N=904) completed both surveys. INTERVENTIONS: The MME implemented over three years included a web-based course, a role-play classroom exercise, a web-patient encounter with feedback, and an enhanced clerkship experience with preceptors trained in weight management counseling (WMC). Counseling focused on the 5As (Ask, Advise, Assess, Assist, Arrange) and patient-centeredness. MEASUREMENTS The outcome was student 5As WMC skills assessed using an objective measure, an OSCE, scored using a behavior checklist, and a subjective measure, student self-reported skills for performing the 5As. RESULTS Among MME students who completed two of three WMC components compared to those who completed none, exposure was significantly associated with higher OSCE scores and self-reported 5A skills. LIMITATIONS Variability in medical schools requiring participation in the WMC curriculum. CONCLUSIONS This trial revealed that medical students struggle with delivering weight management counseling to their patients who have overweight or obesity. Medical schools, though restrained in adding curricula, should incorporate should incorporate multiple WMC curricula components early in medical student education to provide knowledge and build confidence for supporting patients in developing individualized plans for weight management. NIH Trial Registry Number R01-194787

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