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MOWI Qualitative Assessment

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ClinicalTrials.gov Identifier: NCT03041831
Recruitment Status : Completed
First Posted : February 3, 2017
Last Update Posted : April 29, 2020
Sponsor:
Collaborator:
National Institute on Aging (NIA)
Information provided by (Responsible Party):
John A. Batsis, MD, Dartmouth-Hitchcock Medical Center

Study Description
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Brief Summary:
This qualitative study seeks to assess whether mobile health technologies are helpful for older adults. It is the first in a series of four studies whose overarching goal is to conduct a program of pilot research aimed at developing and evaluating a technology-assisted wellness intervention for older adults with obesity who may or may not live in a rural area.

Condition or disease
Obesity

Detailed Description:
This study is designed and conducted as a series of eighteen individual semi-structured interviews and four focus group discussions. There are three participant groups: 1) older adults (age ≥ 65 years) with diagnosed obesity, 2) primary care clinicians who care for older adults, and 3) community leaders. Focus group discussions are conducted with the older adult cohort only.
Study Design
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Study Type : Observational
Actual Enrollment : 40 participants
Observational Model: Other
Time Perspective: Cross-Sectional
Official Title: Mobile Health Obesity Wellness Intervention in Rural Older Adults (MOWI): Qualitative Assessment
Actual Study Start Date : August 15, 2016
Actual Primary Completion Date : April 28, 2017
Actual Study Completion Date : April 28, 2020
Groups and Cohorts
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Group/Cohort
Older adult individual interviews
The investigators will conduct 8 semi-structured 60-minute interviews with patient participants.The goal of these interviews is to determine the acceptability, utility, and perceived value of mobile health (mHealth) in helping older adults overcome barriers to health behavior change.
Clinician individual interviews
The investigators will conduct 6 semi-structured 60-minute interviews with primary care clinicians who care for older adult populations.The goal of these interviews is to determine the acceptability, utility, and perceived value of mobile health (mHealth) in helping older adults overcome barriers to health behavior change.
Community leader individual interviews
The investigators will conduct 4 semi-structured 60-minute interviews with community leaders.The goal of these interviews is to determine the acceptability, utility, and perceived value of mobile health (mHealth) in helping older adults overcome barriers to health behavior change.
Focus group discussions
The investigators will lead four 90-minute focus group discussions consisting of 6-8 older adult participants each. The goal of these focus groups is to determine the acceptability, utility, and perceived value of mobile health (mHealth) in helping older adults overcome barriers to health behavior change.


Outcome Measures
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Primary Outcome Measures :
  1. Technology use in older adults [ Time Frame: Up to one year from interview or focus group ]
    The investigators will record and transcribe each interview and focus group discussion for post-hoc evaluation. The investigators will then use the transcripts to identify themes on perceptions and experience with technology use in older adults.


Secondary Outcome Measures :
  1. Determinants of obesity in older adults [ Time Frame: Up to one year from interview or focus group ]
    The investigators will record and transcribe each interview and focus group discussion for post-hoc evaluation. The investigators will then use the transcripts to identify themes related to the secondary outcome. Themes may include (but are not limited to) barriers and facilitators experienced by older adults when they want to lose weight or eat healthier, barriers and facilitators to joining wellness programs, and general availability of options and support.


Eligibility Criteria
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Ages Eligible for Study:   65 Years and older   (Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population
Older adult participants screened and recruited primarily in local primary care setting (Department of Community and Family Medicine at Dartmouth Hitchcock Medical Center), as well as through other marketing channels such as posters and radio advertising. Community leaders and clinicians recruited by invitation from the principal investigator.
Criteria

Inclusion Criteria:

  • Age ≥65 years;
  • Body Mass Index (BMI) ≥ 30kg/m^2;
  • Waist circumference ≥88cm in females or ≥102cm in males

Exclusion Criteria:

  • Severe mental or life-threatening illness
  • Dementia
  • Substance use
  • History of bariatric surgery
  • Suicidal ideation
  • Unable to perform measures
  • Reside in a nursing home
Contacts and Locations
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Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03041831


Locations
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United States, New Hampshire
Dartmouth-Hitchcock Medical Center
Lebanon, New Hampshire, United States, 03766
Sponsors and Collaborators
Dartmouth-Hitchcock Medical Center
National Institute on Aging (NIA)
Investigators
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Principal Investigator: John A Batsis, MD Dartmouth-Hitchcock Medical Center / Dartmouth Medical School
  Study Documents (Full-Text)

Documents provided by John A. Batsis, MD, Dartmouth-Hitchcock Medical Center:
Study Protocol, Statistical Analysis Plan, and Informed Consent Form  [PDF] July 3, 2018

More Information
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Additional Information:

Publications of Results:

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Responsible Party: John A. Batsis, MD, Associate Professor of Medicine and of The Dartmouth Institute Geisel School of Medicine at Dartmouth, Dartmouth-Hitchcock Medical Center
ClinicalTrials.gov Identifier: NCT03041831    
Other Study ID Numbers: D16182_1a
K23AG051681 ( U.S. NIH Grant/Contract )
First Posted: February 3, 2017    Key Record Dates
Last Update Posted: April 29, 2020
Last Verified: April 2020
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No
Keywords provided by John A. Batsis, MD, Dartmouth-Hitchcock Medical Center:
frail elderly
telemedicine
obesity
rural health
health promotion
Additional relevant MeSH terms:
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Obesity
Overnutrition
Nutrition Disorders
Overweight
Body Weight