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Mobile technology intervention for weight loss in rural men: protocol for a pilot pragmatic randomised controlled trial

INTRODUCTION: Men who are overweight or obese in the rural Midwestern USA are an unrepresented, at-risk group exhibiting rising rates of cardiovascular disease, poor access to preventive care and poor lifestyle behaviours that contribute to sedentary lifestyle and unhealthy diet. Self-monitoring of...

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Autores principales: Eisenhauer, Christine M, Brito, Fabiana Almeida, Yoder, Aaron M, Kupzyk, Kevin A, Pullen, Carol H, Salinas, Katherine E, Miller, Jessica, Hageman, Patricia A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7200044/
https://www.ncbi.nlm.nih.gov/pubmed/32295776
http://dx.doi.org/10.1136/bmjopen-2019-035089
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author Eisenhauer, Christine M
Brito, Fabiana Almeida
Yoder, Aaron M
Kupzyk, Kevin A
Pullen, Carol H
Salinas, Katherine E
Miller, Jessica
Hageman, Patricia A
author_facet Eisenhauer, Christine M
Brito, Fabiana Almeida
Yoder, Aaron M
Kupzyk, Kevin A
Pullen, Carol H
Salinas, Katherine E
Miller, Jessica
Hageman, Patricia A
author_sort Eisenhauer, Christine M
collection PubMed
description INTRODUCTION: Men who are overweight or obese in the rural Midwestern USA are an unrepresented, at-risk group exhibiting rising rates of cardiovascular disease, poor access to preventive care and poor lifestyle behaviours that contribute to sedentary lifestyle and unhealthy diet. Self-monitoring of eating and activity has demonstrated efficacy for weight loss. Use of mobile technologies for self-monitoring eating and activity may address rural men’s access disparities to preventive health resources and support weight loss. Our pilot trial will assess the feasibility and acceptability of two mobile applications for weight loss in rural men to inform a future, full-scale trial. METHODS AND ANALYSIS: A 6-month randomised controlled trial with contextual evaluation will randomise 80 men using a 1:1 ratio to either a Mobile Technology Plus (MT+) intervention or a basic Mobile Technology (MT) intervention in rural, midlife men (aged 40–69 years). The MT+ intervention consists of a smartphone self-monitoring application enhanced with discussion group (Lose-It premium), short message service text-based support and Wi-Fi scale. The MT group will receive only a self-monitoring application (Lose-It basic). Feasibility and acceptability will be evaluated using number of men recruited and retained, and evaluative focus group feedback. We seek to determine point estimates and variability of outcome measures of weight loss (kg and % body weight) and improved dietary and physical activity behaviours (Behavioral Risk Factor Surveillance System (BRFSS) physical activity and fruit and vegetable consumption surveys, data from Lose-It! application (kcal/day, steps/day)). Community capacity will be assessed using standard best practice methods. Descriptive content analysis will evaluate intervention acceptability and contextual sensitivity. ETHICS AND DISSEMINATION: This protocol was approved by the University of Nebraska Medical Center Institutional Review Board (IRB# 594–17-EP). Dissemination of findings will occur through ClinicalTrials.gov and publish pilot data to inform the design of a larger clinical trial. TRIAL REGISTRATION NUMBER: NCT03329079; preresults. Protocol V.10, study completion date 31 August 2020. Roles and responsibilities funder: NIH/NINR Health Disparities Section 1R15NR017522-01.
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spelling pubmed-72000442020-05-06 Mobile technology intervention for weight loss in rural men: protocol for a pilot pragmatic randomised controlled trial Eisenhauer, Christine M Brito, Fabiana Almeida Yoder, Aaron M Kupzyk, Kevin A Pullen, Carol H Salinas, Katherine E Miller, Jessica Hageman, Patricia A BMJ Open Nursing INTRODUCTION: Men who are overweight or obese in the rural Midwestern USA are an unrepresented, at-risk group exhibiting rising rates of cardiovascular disease, poor access to preventive care and poor lifestyle behaviours that contribute to sedentary lifestyle and unhealthy diet. Self-monitoring of eating and activity has demonstrated efficacy for weight loss. Use of mobile technologies for self-monitoring eating and activity may address rural men’s access disparities to preventive health resources and support weight loss. Our pilot trial will assess the feasibility and acceptability of two mobile applications for weight loss in rural men to inform a future, full-scale trial. METHODS AND ANALYSIS: A 6-month randomised controlled trial with contextual evaluation will randomise 80 men using a 1:1 ratio to either a Mobile Technology Plus (MT+) intervention or a basic Mobile Technology (MT) intervention in rural, midlife men (aged 40–69 years). The MT+ intervention consists of a smartphone self-monitoring application enhanced with discussion group (Lose-It premium), short message service text-based support and Wi-Fi scale. The MT group will receive only a self-monitoring application (Lose-It basic). Feasibility and acceptability will be evaluated using number of men recruited and retained, and evaluative focus group feedback. We seek to determine point estimates and variability of outcome measures of weight loss (kg and % body weight) and improved dietary and physical activity behaviours (Behavioral Risk Factor Surveillance System (BRFSS) physical activity and fruit and vegetable consumption surveys, data from Lose-It! application (kcal/day, steps/day)). Community capacity will be assessed using standard best practice methods. Descriptive content analysis will evaluate intervention acceptability and contextual sensitivity. ETHICS AND DISSEMINATION: This protocol was approved by the University of Nebraska Medical Center Institutional Review Board (IRB# 594–17-EP). Dissemination of findings will occur through ClinicalTrials.gov and publish pilot data to inform the design of a larger clinical trial. TRIAL REGISTRATION NUMBER: NCT03329079; preresults. Protocol V.10, study completion date 31 August 2020. Roles and responsibilities funder: NIH/NINR Health Disparities Section 1R15NR017522-01. BMJ Publishing Group 2020-04-14 /pmc/articles/PMC7200044/ /pubmed/32295776 http://dx.doi.org/10.1136/bmjopen-2019-035089 Text en © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Nursing
Eisenhauer, Christine M
Brito, Fabiana Almeida
Yoder, Aaron M
Kupzyk, Kevin A
Pullen, Carol H
Salinas, Katherine E
Miller, Jessica
Hageman, Patricia A
Mobile technology intervention for weight loss in rural men: protocol for a pilot pragmatic randomised controlled trial
title Mobile technology intervention for weight loss in rural men: protocol for a pilot pragmatic randomised controlled trial
title_full Mobile technology intervention for weight loss in rural men: protocol for a pilot pragmatic randomised controlled trial
title_fullStr Mobile technology intervention for weight loss in rural men: protocol for a pilot pragmatic randomised controlled trial
title_full_unstemmed Mobile technology intervention for weight loss in rural men: protocol for a pilot pragmatic randomised controlled trial
title_short Mobile technology intervention for weight loss in rural men: protocol for a pilot pragmatic randomised controlled trial
title_sort mobile technology intervention for weight loss in rural men: protocol for a pilot pragmatic randomised controlled trial
topic Nursing
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7200044/
https://www.ncbi.nlm.nih.gov/pubmed/32295776
http://dx.doi.org/10.1136/bmjopen-2019-035089
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