Contingency Management to Promote Weight Loss in Low Income Adults
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Purpose
This study is designed to evaluate the feasibility and provide preliminary evidence for efficacy of a 12-week contingency management intervention to promote weight loss in overweight and obese low income adults in a community-based clinic. The study has three primary goals: (a) to determine if the contingency management treatment can be effectively applied to a new application, weight loss; (b) to obtain preliminary evidence for contingency management's efficacy in promoting weight loss and improving treatment retention, diet quality, physical activity levels, and self efficacy; and (c) to identify barriers and challenges to implementing contingency management for weight loss among low income patients.
| Condition | Intervention | Phase |
|---|---|---|
|
Overweight |
Behavioral: contingency management Behavioral: weight loss manual-guided individual therapy sessions |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Contingency Management to Promote Weight Loss in Low Income Adults |
- absolute and relative weight loss [ Time Frame: pre-treatment, weekly during active phase, post-treatment ] [ Designated as safety issue: No ]
- number of participants achieving clinically significant weight loss (5% or more of baseline weight) [ Time Frame: pre-treatment, weekly during active phase, post-treatment ] [ Designated as safety issue: No ]
- retention [ Time Frame: during active phase ] [ Designated as safety issue: No ]
- changes on measures of diet quality, physical activity, and self-efficacy [ Time Frame: pre-treatment, post-treatment ] [ Designated as safety issue: No ]
- self-reports, focus groups [ Time Frame: pre-treatment, post-treatment ] [ Designated as safety issue: No ]
| Enrollment: | 30 |
| Study Start Date: | March 2009 |
| Study Completion Date: | March 2010 |
| Primary Completion Date: | March 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: A
Participants assigned to Group A will receive the DPP manual (Wing & Gillis, 1996), a behavioral weight-loss program with demonstrated efficacy in facilitating weight loss. Participants in Group A will be instructed to read a section of the manual each week and complete suggested activities. They will also meet with the research staff once a week for weigh-in and supportive counseling.
|
Behavioral: weight loss manual-guided individual therapy sessions
once weekly counseling session with research staff
|
|
Experimental: B
Participants assigned to Group B will receive the DPP manual and will meet with research staff each week for weigh-in and supportive counseling. They will also receive contingency management or the opportunity to earn draws with the chance of winning prizes for losing weight and completing healthy activities.
|
Behavioral: contingency management
Prize-based contingency management for weight loss
|
Eligibility| Ages Eligible for Study: | 18 Years to 55 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- age between 18 and 55 years
- body mass index in kg/m2 (BMI) between 25 and 39.9
- resting blood pressure between 90/60 and 140/90
- ability to speak English and read at the 6th grade level
- willingness to be randomly assigned to one of two groups
Exclusion Criteria:
- any serious acute or chronic medical problems that may impact dietary or exercise regimens
- psychiatric conditions
Contacts and Locations| United States, Connecticut | |
| University of Connecticut Health Center | |
| Farmington, Connecticut, United States, 06030 | |
| Principal Investigator: | Danielle M Barry, Ph.D. | University of Connecticut Health Center |
More Information
No publications provided
| Responsible Party: | University of Connecticut Health Center |
| ClinicalTrials.gov Identifier: | NCT00875199 History of Changes |
| Other Study ID Numbers: | 09-108-2, 20090009 |
| Study First Received: | March 31, 2009 |
| Last Updated: | November 17, 2011 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by University of Connecticut Health Center:
|
Overweight Obesity Contingency Management |
Additional relevant MeSH terms:
|
Weight Loss Overweight Body Weight Changes Body Weight Signs and Symptoms |
ClinicalTrials.gov processed this record on May 22, 2013