CHW support for Obesity

Phase-Based Progress Estimates
1
Effectiveness
1
Safety
Boston Medical Center, Boston, MA
Obesity+3 More
CHW support - Behavioral
Eligibility
18+
All Sexes
Eligible conditions
Select

Study Summary

Digital Health Weight Management Among Public Housing Residents

See full description

Eligible Conditions

  • Obesity
  • Weight Change, Body

Treatment Effectiveness

Study Objectives

This trial is evaluating whether CHW support will improve 1 primary outcome and 4 secondary outcomes in patients with Obesity. Measurement will happen over the course of Baseline, 6-month follow up.

Baseline, 12-month follow up
Change in Weight at 12-month follow up
Baseline, 6-month follow up
Change in Weight at 6-month follow up
Baseline, 6-month follow up, 12-month follow up
Diet behavior
Physical activity behavior
Psycho-social variables

Trial Safety

Trial Design

3 Treatment Groups

Control group
1 of 3
mHealth Group
1 of 3
mHealth+Community Health Worker (CHW) support
1 of 3
Active Control
Experimental Treatment

This trial requires 515 total participants across 3 different treatment groups

This trial involves 3 different treatments. CHW Support is the primary treatment being studied. Participants will be divided into 2 treatment groups. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

mHealth Group
Behavioral
12 month text messaging program about diet and physical activity behavioral goals
mHealth+Community Health Worker (CHW) supportsame as mHealth group + monthly behavioral phone counseling by a CHW
Control groupAssessments only
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
mHealth
2014
Completed Phase 3
~1660

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: baseline, 6-month follow up, 12-month follow up
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly baseline, 6-month follow up, 12-month follow up for reporting.

Closest Location

Boston Medical Center - Boston, MA

Eligibility Criteria

This trial is for patients born any sex aged 18 and older. There are 5 eligibility criteria to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
Current resident of Boston public housing development
No plans to move within the next 6 months and no plan on leaving the country for more than 2 months over the next year
Able to read and speak in English or Spanish
Has cell phone with a plan that allows for unlimited text messages
Willing to wear a device to track physical activity during assessment periods

Patient Q&A Section

What causes body weight changes?

"Significant weight loss is strongly associated with increased risk of type 2 diabetes and death from coronary events and cancer. Weight loss also seems to increase risk of heart disease." - Anonymous Online Contributor

Unverified Answer

How many people get body weight changes a year in the United States?

"In a recent study, findings found that only a minority of Americans had a 1-kg change in body weight in a year. This suggests that weight gain in the United States is not a very common phenomenon." - Anonymous Online Contributor

Unverified Answer

What are the signs of body weight changes?

"Changes in weight are generally accompanied by changes in appetite, dizziness, weakness and loss of appetite. Subjects with lower BMI tended to lose more weight." - Anonymous Online Contributor

Unverified Answer

What are common treatments for body weight changes?

"Dieting and diet supplements are the most commonly used therapy for body weight concerns among Americans aged 65 or older. Eating more fiber, drinking more coffee and drinking less alcohol are also associated with better health outcomes." - Anonymous Online Contributor

Unverified Answer

Can body weight changes be cured?

"Many people are unable to keep to their goal weight, and even those who have managed to do this for a certain period often return to their average weight. If one is to attempt to achieve a weight which most closely approximates their normal weight, in practice it would be far healthier in the long run to try to achieve a weight which is slightly above average and which many of them achieved in an earlier period of their overweightness. This would provide a high standard against which to judge their weight, and would allow them better scope for weight gains when a diet is to be attempted in the pursuit of such a goal." - Anonymous Online Contributor

Unverified Answer

What is body weight changes?

"For patients with NSCLC or for patients who do not wish to have a surgery such as the surgery for colon cancer, these therapies might help to decrease body weight." - Anonymous Online Contributor

Unverified Answer

Is chw support typically used in combination with any other treatments?

"Overall, chw appeared well tolerated with little side-effects. In our population, there was little improvement in outcomes through the addition of chw, and its role in treatment must be further studied." - Anonymous Online Contributor

Unverified Answer

What are the common side effects of chw support?

"Chw provides a reliable method of achieving positive weight and fat distribution. However, the majority of the women reported experiencing unpleasant or undesirable experiences after receiving the supplement. The negative reactions and the increased discomfort associated with using chw supplement may, therefore, limit the utility of consuming this dietary supplement." - Anonymous Online Contributor

Unverified Answer

Who should consider clinical trials for body weight changes?

"Based on these results, patients would seem to think that weight gain should be the primary end-point, whereas both weight loss and weight change should be secondary to any change in disease symptomatology. Results from a recent paper would support the development of clinical trials aimed solely at weight loss or weight gain." - Anonymous Online Contributor

Unverified Answer

What is chw support?

"Support was delivered across four types and levels of support, in a home and community setting. The relationship between support provided, the quality of the support and the changes in the patient's BMI was not consistent. The effectiveness of Chw Support is still debated, although there is evidence of positive outcomes in adults. It is necessary to identify and document the patient and family information and need needs, in order to meet the support needs of the patient with the best chance of success. Implications of Chw Support in the UK NHS. The following issues may be impacting on the impact of the Chw Support programme and the effectiveness of the outcomes for patients with obesity and sleep related problems." - Anonymous Online Contributor

Unverified Answer

What are the latest developments in chw support for therapeutic use?

"New therapeutic possibilities arise for improving lung function in patients with a history of smoking cessation, such as: improvement in lung function, reduction in exacerbations, reduction in breathlessness, improvement in quality of life, and prevention in the occurrence of bronchiectasis." - Anonymous Online Contributor

Unverified Answer

What does chw support usually treat?

"Chw will help [independently of treatment strategy used to accomplish weight loss] a lot of the time. There are many questions to be answered about the proper duration of chw use and how much daily energy intake is tolerated. Longer duration of chw use is reasonable, with chw use up to 5 days per week with as little as 20% of the daily energy output in fat. If long term compliance is not achieved, additional chw interventions with a diet-based strategy can be effective if adherence is excellent." - Anonymous Online Contributor

Unverified Answer
Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
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