Cargando…
Social Mobile Approaches to Reducing Weight (SMART) 2.0: protocol of a randomized controlled trial among young adults in university settings
BACKGROUND: Excess weight gain in young adulthood is associated with future weight gain and increased risk of chronic disease. Although multimodal, technology-based weight-loss interventions have the potential to promote weight loss among young adults, many interventions have limited personalization...
Autores principales: | , , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8721474/ https://www.ncbi.nlm.nih.gov/pubmed/34980208 http://dx.doi.org/10.1186/s13063-021-05938-7 |
_version_ | 1784625352348270592 |
---|---|
author | Mansour-Assi, Shadia J. Golaszewski, Natalie M. Costello, Victoria Lawhun Wing, David Persinger, Hailey Coleman, Aaron Lytle, Leslie Larsen, Britta A. Jain, Sonia Weibel, Nadir Rock, Cheryl L. Patrick, Kevin Hekler, Eric Godino, Job G. |
author_facet | Mansour-Assi, Shadia J. Golaszewski, Natalie M. Costello, Victoria Lawhun Wing, David Persinger, Hailey Coleman, Aaron Lytle, Leslie Larsen, Britta A. Jain, Sonia Weibel, Nadir Rock, Cheryl L. Patrick, Kevin Hekler, Eric Godino, Job G. |
author_sort | Mansour-Assi, Shadia J. |
collection | PubMed |
description | BACKGROUND: Excess weight gain in young adulthood is associated with future weight gain and increased risk of chronic disease. Although multimodal, technology-based weight-loss interventions have the potential to promote weight loss among young adults, many interventions have limited personalization, and few have been deployed and evaluated for longer than a year. We aim to assess the effects of a highly personalized, 2-year intervention that uses popular mobile and social technologies to promote weight loss among young adults. METHODS: The Social Mobile Approaches to Reducing Weight (SMART) 2.0 Study is a 24-month parallel-group randomized controlled trial that will include 642 overweight or obese participants, aged 18–35 years, from universities and community colleges in San Diego, CA. All participants receive a wearable activity tracker, connected scale, and corresponding app. Participants randomized to one intervention group receive evidence-based information about weight loss and behavior change techniques via personalized daily text messaging (i.e., SMS/MMS), posts on social media platforms, and online groups. Participants in a second intervention group receive the aforementioned elements in addition to brief, technology-mediated health coaching. Participants in the control group receive a wearable activity tracker, connected scale, and corresponding app alone. The primary outcome is objectively measured weight in kilograms over 24 months. Secondary outcomes include anthropometric measurements; physiological measures; physical activity, diet, sleep, and psychosocial measures; and engagement with intervention modalities. Outcomes are assessed at baseline and 6, 12, 18, and 24 months. Differences between the randomized groups will be analyzed using a mixed model of repeated measures and will be based on the intent-to-treat principle. DISCUSSION: We hypothesize that both SMART 2.0 intervention groups will significantly improve weight loss compared to the control group, and the group receiving health coaching will experience the greatest improvement. We further hypothesize that differences in secondary outcomes will favor the intervention groups. There is a critical need to advance understanding of the effectiveness of multimodal, technology-based weight-loss interventions that have the potential for long-term effects and widespread dissemination among young adults. Our findings should inform the implementation of low-cost and scalable interventions for weight loss and risk-reducing health behaviors. TRIAL REGISTRATION: ClinicalTrials.govNCT03907462. Registered on April 9, 2019 |
format | Online Article Text |
id | pubmed-8721474 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-87214742022-01-03 Social Mobile Approaches to Reducing Weight (SMART) 2.0: protocol of a randomized controlled trial among young adults in university settings Mansour-Assi, Shadia J. Golaszewski, Natalie M. Costello, Victoria Lawhun Wing, David Persinger, Hailey Coleman, Aaron Lytle, Leslie Larsen, Britta A. Jain, Sonia Weibel, Nadir Rock, Cheryl L. Patrick, Kevin Hekler, Eric Godino, Job G. Trials Study Protocol BACKGROUND: Excess weight gain in young adulthood is associated with future weight gain and increased risk of chronic disease. Although multimodal, technology-based weight-loss interventions have the potential to promote weight loss among young adults, many interventions have limited personalization, and few have been deployed and evaluated for longer than a year. We aim to assess the effects of a highly personalized, 2-year intervention that uses popular mobile and social technologies to promote weight loss among young adults. METHODS: The Social Mobile Approaches to Reducing Weight (SMART) 2.0 Study is a 24-month parallel-group randomized controlled trial that will include 642 overweight or obese participants, aged 18–35 years, from universities and community colleges in San Diego, CA. All participants receive a wearable activity tracker, connected scale, and corresponding app. Participants randomized to one intervention group receive evidence-based information about weight loss and behavior change techniques via personalized daily text messaging (i.e., SMS/MMS), posts on social media platforms, and online groups. Participants in a second intervention group receive the aforementioned elements in addition to brief, technology-mediated health coaching. Participants in the control group receive a wearable activity tracker, connected scale, and corresponding app alone. The primary outcome is objectively measured weight in kilograms over 24 months. Secondary outcomes include anthropometric measurements; physiological measures; physical activity, diet, sleep, and psychosocial measures; and engagement with intervention modalities. Outcomes are assessed at baseline and 6, 12, 18, and 24 months. Differences between the randomized groups will be analyzed using a mixed model of repeated measures and will be based on the intent-to-treat principle. DISCUSSION: We hypothesize that both SMART 2.0 intervention groups will significantly improve weight loss compared to the control group, and the group receiving health coaching will experience the greatest improvement. We further hypothesize that differences in secondary outcomes will favor the intervention groups. There is a critical need to advance understanding of the effectiveness of multimodal, technology-based weight-loss interventions that have the potential for long-term effects and widespread dissemination among young adults. Our findings should inform the implementation of low-cost and scalable interventions for weight loss and risk-reducing health behaviors. TRIAL REGISTRATION: ClinicalTrials.govNCT03907462. Registered on April 9, 2019 BioMed Central 2022-01-03 /pmc/articles/PMC8721474/ /pubmed/34980208 http://dx.doi.org/10.1186/s13063-021-05938-7 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Study Protocol Mansour-Assi, Shadia J. Golaszewski, Natalie M. Costello, Victoria Lawhun Wing, David Persinger, Hailey Coleman, Aaron Lytle, Leslie Larsen, Britta A. Jain, Sonia Weibel, Nadir Rock, Cheryl L. Patrick, Kevin Hekler, Eric Godino, Job G. Social Mobile Approaches to Reducing Weight (SMART) 2.0: protocol of a randomized controlled trial among young adults in university settings |
title | Social Mobile Approaches to Reducing Weight (SMART) 2.0: protocol of a randomized controlled trial among young adults in university settings |
title_full | Social Mobile Approaches to Reducing Weight (SMART) 2.0: protocol of a randomized controlled trial among young adults in university settings |
title_fullStr | Social Mobile Approaches to Reducing Weight (SMART) 2.0: protocol of a randomized controlled trial among young adults in university settings |
title_full_unstemmed | Social Mobile Approaches to Reducing Weight (SMART) 2.0: protocol of a randomized controlled trial among young adults in university settings |
title_short | Social Mobile Approaches to Reducing Weight (SMART) 2.0: protocol of a randomized controlled trial among young adults in university settings |
title_sort | social mobile approaches to reducing weight (smart) 2.0: protocol of a randomized controlled trial among young adults in university settings |
topic | Study Protocol |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8721474/ https://www.ncbi.nlm.nih.gov/pubmed/34980208 http://dx.doi.org/10.1186/s13063-021-05938-7 |
work_keys_str_mv | AT mansourassishadiaj socialmobileapproachestoreducingweightsmart20protocolofarandomizedcontrolledtrialamongyoungadultsinuniversitysettings AT golaszewskinataliem socialmobileapproachestoreducingweightsmart20protocolofarandomizedcontrolledtrialamongyoungadultsinuniversitysettings AT costellovictorialawhun socialmobileapproachestoreducingweightsmart20protocolofarandomizedcontrolledtrialamongyoungadultsinuniversitysettings AT wingdavid socialmobileapproachestoreducingweightsmart20protocolofarandomizedcontrolledtrialamongyoungadultsinuniversitysettings AT persingerhailey socialmobileapproachestoreducingweightsmart20protocolofarandomizedcontrolledtrialamongyoungadultsinuniversitysettings AT colemanaaron socialmobileapproachestoreducingweightsmart20protocolofarandomizedcontrolledtrialamongyoungadultsinuniversitysettings AT lytleleslie socialmobileapproachestoreducingweightsmart20protocolofarandomizedcontrolledtrialamongyoungadultsinuniversitysettings AT larsenbrittaa socialmobileapproachestoreducingweightsmart20protocolofarandomizedcontrolledtrialamongyoungadultsinuniversitysettings AT jainsonia socialmobileapproachestoreducingweightsmart20protocolofarandomizedcontrolledtrialamongyoungadultsinuniversitysettings AT weibelnadir socialmobileapproachestoreducingweightsmart20protocolofarandomizedcontrolledtrialamongyoungadultsinuniversitysettings AT rockcheryll socialmobileapproachestoreducingweightsmart20protocolofarandomizedcontrolledtrialamongyoungadultsinuniversitysettings AT patrickkevin socialmobileapproachestoreducingweightsmart20protocolofarandomizedcontrolledtrialamongyoungadultsinuniversitysettings AT heklereric socialmobileapproachestoreducingweightsmart20protocolofarandomizedcontrolledtrialamongyoungadultsinuniversitysettings AT godinojobg socialmobileapproachestoreducingweightsmart20protocolofarandomizedcontrolledtrialamongyoungadultsinuniversitysettings |