Virtual Lifestyle Management: Prevention Through the UPMC Patient Portal

This study has been completed.
Sponsor:
Collaborator:
U.S. Air Force Office of the Surgeon General
Information provided by:
University of Pittsburgh
ClinicalTrials.gov Identifier:
NCT00409786
First received: December 7, 2006
Last updated: March 23, 2011
Last verified: March 2011
  Purpose

Diabetes affects 18 million Americans and costs over $132 billion in both direct treatment and lost productivity per year. It is known that weight loss, improved diet and increased exercise can result in improvement in glucose, lipid, and blood pressure control in patients with diabetes and reduce the incidence of diabetes in individuals at high risk. Effective delivery of proven, comprehensive lifestyle programs is difficult because of associated high costs.

The internet provides a venue to deliver these lifestyle programs to large numbers of individuals while decreasing the cost per person. HealthTrak, the University of Pittsburgh Medical Center (UPMC) patient portal, provides an ideal setting to test such a program. HealthTrak provides participants with access to individual medical information while facilitating electronic communication with their physicians. Portal enhancements will allow the delivery of a comprehensive lifestyle intervention aimed at weight loss, improved diet, and increased exercise, and provide the opportunity to communicate with experts regarding concerns.

Through this project, we will evaluate the modification of a successful comprehensive lifestyle intervention for delivery through HealthTrak. We will enroll and follow 50 individuals with diabetes or at high risk for diabetes for 12 months and examine change in parameters including diet, weight, physical activity, hemoglobin A1C, glucose, blood pressure, and lipid profile.


Condition Intervention
Obesity
Behavioral: Virtual Lifestyle Management (VLM)

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Official Title: Virtual Lifestyle Management: Prevention Through the UPMC Patient Portal

Resource links provided by NLM:


Further study details as provided by University of Pittsburgh:

Primary Outcome Measures:
  • Change in Weight [ Time Frame: Baseline and 1 year ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Blood Pressure [ Time Frame: 1 year ] [ Designated as safety issue: No ]
  • Lipid [ Time Frame: 1 year ] [ Designated as safety issue: No ]
  • A1C (if Applicable) [ Time Frame: 1 year ] [ Designated as safety issue: No ]
  • Fat Consumption [ Time Frame: 1 year ] [ Designated as safety issue: No ]
  • Health Related Quality of Life [ Time Frame: 1 year ] [ Designated as safety issue: No ]
  • Physical Activity [ Time Frame: 1 year ] [ Designated as safety issue: No ]

Enrollment: 50
Study Start Date: November 2006
Study Completion Date: March 2008
Primary Completion Date: February 2008 (Final data collection date for primary outcome measure)
Intervention Details:
    Behavioral: Virtual Lifestyle Management (VLM)
    16 weekly lessons followed by monthly maintenance lessons
Detailed Description:

Diabetes affects 18 million Americans and costs over $132 billion in both direct treatment and lost productivity per year. It is known that weight loss, improved diet and increased exercise can result in improvement in glucose, lipid, and blood pressure control in patients with diabetes and reduce the incidence of diabetes in individuals at high risk. Effective delivery of proven, comprehensive lifestyle programs is difficult because of associated high costs.

The internet provides a venue to deliver these lifestyle programs to large numbers of individuals while decreasing the cost per person. HealthTrak, the University of Pittsburgh Medical Center (UPMC) patient portal, provides an ideal setting to test such a program. HealthTrak provides participants with access to individual medical information while facilitating electronic communication with their physicians. Portal enhancements will allow the delivery of a comprehensive lifestyle intervention aimed at weight loss, improved diet, and increased exercise, and provide the opportunity to communicate with experts regarding concerns.

Through this project, we will evaluate the modification of a successful comprehensive lifestyle intervention for delivery through HealthTrak. We will enroll and follow 50 individuals with diabetes or at high risk for diabetes for 12 months and examine change in parameters including diet, weight, physical activity, hemoglobin A1C, glucose, blood pressure, and lipid profile

  Eligibility

Ages Eligible for Study:   18 Years to 80 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Overweight (BMI≥25) and one of the following:

Hypertension, Diabetes, glucose intolerance, dyslipidemia

  • Age 18-80
  • Agrees to participate in the Virtual Lifestyle Management (VLM) program and evaluation
  • Computer access to UPMC Health Trak
  • Regular access to a scale

Exclusion Criteria:

  • Pregnancy
  • Inability to participate in moderate exercise as determined by the primary care physician
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00409786

Locations
United States, Pennsylvania
University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania, United States, 15213
Sponsors and Collaborators
University of Pittsburgh
U.S. Air Force Office of the Surgeon General
Investigators
Principal Investigator: Rachel Hess, MD, MSc University of Pittsburgh
Study Director: Kathleen McTigue, MD, MSc University of Pittsburgh
  More Information

Publications:
Responsible Party: Kathleen McTigue, University of Pittsburgh
ClinicalTrials.gov Identifier: NCT00409786     History of Changes
Other Study ID Numbers: 0606089, W81XWH-04-2-0030
Study First Received: December 7, 2006
Results First Received: February 23, 2011
Last Updated: March 23, 2011
Health Authority: United States: Institutional Review Board

Keywords provided by University of Pittsburgh:
Obesity
Diabetes
Internet
Obesity with high cardiovascular risk

Additional relevant MeSH terms:
Obesity
Overnutrition
Nutrition Disorders
Overweight
Body Weight
Signs and Symptoms

ClinicalTrials.gov processed this record on October 19, 2014