ट्रायल रडार AI | ||
|---|---|---|
क्लिनिकल ट्रायल NCT05410353 (CHAMPS) के लिए वजन कम होना, अधिक वजन और मोटापा, स्वास्थ्य व्यवहार वर्तमान में सक्रिय, भर्ती नहीं है। सभी विवरणों के लिए क्लिनिकल ट्रायल रडार कार्ड दृश्य और AI खोज उपकरण देखें, या यहाँ कुछ भी पूछें। | ||
Choosing Healthy Activities and Lifestyle Management Through Portal Support (CHAMPS)
*The Look AHEAD study was a multi-center, randomized clinical trial involving overweight and obese persons with type 2 diabetes, aimed to determine the effects on the cardiovascular outcomes of an intensive lifestyle intervention (ILI) for weight loss, in comparison to the diabetes support and education intervention (DSE).
During Stage 1, we will modify the interactive technology-based Look AHEAD ILI that we already developed for the TARGIT study (Active Intervention group). We will also adapt the Look AHEAD Comparison condition (DSE group) for our Comparison condition. We will also optimize the protocol for acceptability in different populations and in a rural setting.
During Stage 2, we will randomly assign 250 participants to either the Comparison Group or the Active Intervention Group to address the primary aim of testing the hypothesis that a multicomponent, behavioral weight loss intervention delivered through Health IT - patient portal will lead to significantly greater weight loss 12 months after enrollment in the Active Intervention group compared with the Comparison group. Our Health IT-based intervention is potentially cost-effective and thus disseminable to any practice-based physician group with access to an EHR with a patient portal.
Managing Obesity by Leveraging Health Information Technology to Lower Cancer Risk
- CHAMPS
- 20-07328-FB
- 5R01CA267643-03 (यू.एस. एन.आई.एच. अनुदान/अनुबंध)
electronic health record
patient portal
| प्रतिभागी समूह/हाथ | हस्तक्षेप/इलाज |
|---|---|
प्रयोगात्मकActive Intervention Group Look AHEAD Intervention program adapted for delivery via Health IT modified for cultural and social norms applicable to different population groups | Active Intervention Group The 3 major intervention components are diet, physical activity, and the behavioral modification curriculum. Scheduled interactions are educational podcasts (a series of audiovisual, digital media files) paired with a follow-up phone counseling session with a trained behavioral interventionist. A patient portal message will be sent to participants when a new podcast is posted. Interactive sessions will be weekly (weeks 1-16), biweekly (weeks 17-24), and monthly (weeks 25-52). The goal for weight loss is ≥ 7% of initial weight over the course of 12 months. Participants will restrict caloric intake with the goal of 1,200-1,500 kcal/day for those weighing \< 114 kg and 1,500-1,800 kcal/day for those weighing ≥ 114 kg. The physical activity goal will be for participants to gradually increase to 175-200 minutes of moderate-intensity activity per week by the 24th week. Participants will also be asked to self-monitor their dietary intake and physical activity using the "Lose It!" app. |
सक्रिय तुलना समूहComparison Group Look AHEAD DSE (Diabetes Support and Education) Comparison Group intervention adapted to be delivered via the EHR patient portal with telephonic support | तुलना समूह All participants in the Comparison Group will receive a mandatory 13 contacts per year including 3 informational sessions on nutrition, physical activity and social support and 10 contacts via patient portal or email regarding intervention topics. The Look AHEAD Comparison Group was designed to be realistic, achievable, and an acceptable intervention that encouraged optimal study retention. |
| परिणाम माप | माप विवरण | समय सीमा |
|---|---|---|
Relative percentage change in weight | This is calculated for each follow-up visit as ((weight at FU visit - baseline weight) / (baseline weight)) × 100%. | 12 months |
| परिणाम माप | माप विवरण | समय सीमा |
|---|---|---|
Relationship of mutlitlevel determinants of health (screening tool) with weight change over time | How multilevel determinants of health, assessed via the Social Needs Screening Tool, relate to patient success with weight loss | 12 months |
Relationship of mutlilevel determinants of health (BRFSS) with weight change over time | How multilevel determinants of health, assessed via the Social Determinants of Health Questions Adapted from the Behavioral Risk Factor Surveillance System (BRFSS) 2017 Questionnaire, relate to patient success with weight loss | 12 months |
Relationship of multilevel determinants of health (z codes) with weight change over time | How multilevel determinants of health, assessed using z codes for Social Determinants of Health constructs abstracted from the Electronic Health Record using ICD -10 codes, relate to patient success with weight loss | 12 months |
- are ≥ 16 years old
- are overweight or obese (BMI ≥ 25 kg/m2)
- have access to the Internet via the computer or use a cellphone with a data-plan access
- are patients at one of the participating practice sites
- are willing to accept a random assignment, and
- are from different population groups (racial / ethnic minority, lower socioeconomic status, or reside in a rural location).
- coronary or cerebrovascular disease events or vascular procedures within the past 6 months
- certain medical conditions that put participants at high risk of adverse events or preclude exercising
- uncontrolled psychiatric disorders
- current substance abuse, including heavy alcohol use ≥ 5 drinks on the same occasion for ≥ 5 days in the past 30 days
- a history of amputation or bariatric surgery or are planning to have bariatric surgery within the next 12 months
- current weight loss medication use
- malignancy within the last 5 years (except skin cancer)
- plans to move out of the area during the next year
- current participation in another clinical trial
- pregnancy or breast feeding or are planning to become pregnant within the next 12 months, and
- instances judged by the investigators' and primary care providers' discretion.
Tennessee