MyHealthPath Tools for Obesity

Overseen By Megan A McVay, PhD

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: University of Florida

Must not be taking: Weight loss medications

Disqualifiers: Cancer, Cardiovascular event, Severe depression, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: Unknown

Duration: 6 months

864 Participants Needed

Trial Summary

Will I have to stop taking my current medications?

The trial does not specify if you need to stop taking your current medications. However, if you are taking doctor-prescribed medication for weight loss, you cannot participate in this trial.

What data supports the effectiveness of the treatment MyHealthPath Guide, MyHealthPath Tool for obesity?

The PATHWEIGH study suggests that using tools integrated into electronic medical records can help manage weight effectively in primary care settings, which may support the potential effectiveness of MyHealthPath Tools for obesity. ^{1 2 3 4 5}

How does the MyHealthPath Tools for Obesity treatment differ from other obesity treatments?

The MyHealthPath Tools for Obesity treatment is unique because it focuses on empowering patients to take responsibility for their weight loss journey, with the MyHealthPath Guide and Tool providing support for planning, conducting, and assessing their actions. This approach contrasts with traditional methods that often rely heavily on healthcare providers to manage the process. ^{6 7 8 9 10}

What is the purpose of this trial?

This study will test the effects of a brief, individually tailored intervention aiming to increase initiation of comprehensive behavioral weight loss treatment on weight.

Research Team

Megan A McVay, PhD

Principal Investigator

University of Florida

Eligibility Criteria

This trial is for adults who want to lose weight, have a BMI of at least 30 or at least 27 with certain health conditions like high blood pressure or diabetes. Participants must have an upcoming doctor's appointment, an email address on file, and internet access. They should weigh less than 375 lbs and be able to speak and read English.

Inclusion Criteria

I weigh 375 lbs or less.

My BMI is 30 or higher, or between 27-29.9 with a related health issue.

You have a working email address in your electronic health record.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive a brief, individually tailored intervention to increase initiation of comprehensive behavioral weight loss treatment

6 months

Follow-up

Participants are monitored for weight loss and treatment initiation outcomes

6 months

Treatment Details

Interventions

• MyHealthPath Guide
• MyHealthPath Tool

Trial Overview The study is testing 'MyHealthPath Tool' and 'MyHealthPath Guide', which are personalized interventions designed to help people start a comprehensive program for weight loss. The goal is to see if these tools can effectively support individuals in initiating lifestyle changes that lead to weight reduction.

Participant Groups

Group I: MyHealthPath Tool Experimental Treatment 1 Intervention

Receive MyHealthPath Tool intervention.

Group II: MyHealthPath Guide Active Control 1 Intervention

Receive MyHealthPath Guide intervention

Who Is Running the Clinical Trial?

University of Florida

Lead Sponsor

Trials

1,428

Recruited

987,000+

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Collaborator

Trials

2,513

Recruited

4,366,000+

Findings from Research

A comprehensive review of 497 randomized controlled trials involving nearly 100,000 adults with overweight or obesity highlighted that most self-management interventions focused on clinical outcomes and behavior adherence, but less on empowerment, quality of life, and patient satisfaction.

The most common techniques used in these interventions were information sharing, goal setting, and self-monitoring, often delivered face-to-face, indicating a need for more diverse approaches that include emotional support and remote techniques, especially for vulnerable populations.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Self-management interventions for adults living with obesity to improve patient-relevant outcomes: An evidence map. Sunol, R., González-González, AI., Valli, C., et al.[2023]

The Obesity Treatment Research Program (OTRP) at Mayo Clinic offers a comprehensive, year-long lifestyle intervention for obesity, combining nutritional changes, physical activity, and cognitive behavioral strategies to promote long-term adherence.

The program aims to identify patient characteristics that may predict treatment outcomes, aligning with national obesity management recommendations and supporting ongoing research initiatives.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Methodology of a multispecialty outpatient Obesity Treatment Research Program. Mikhail, DS., Jensen, TB., Wade, TW., et al.[2020]

A new approach to weight loss emphasizes client responsibility, encouraging individuals to take charge of their own weight management rather than relying solely on health providers.

The study introduces a guiding instrument that helps clients plan, execute, and evaluate their weight loss actions, aiming to foster independence and improve long-term success in weight reduction.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Promoting the management of weight reduction. Whitman, NA.[2019]

References

1. Ireland pubmed.ncbi.nlm.nih.gov

Self-management interventions for adults living with obesity to improve patient-relevant outcomes: An evidence map. [2023]

2. England pubmed.ncbi.nlm.nih.gov

PATHWEIGH, pragmatic weight management in adult patients in primary care in Colorado, USA: study protocol for a stepped wedge cluster randomized trial. [2022]

3. United States pubmed.ncbi.nlm.nih.gov

Unmet needs in obesity management: From guidelines to clinic. [2021]

4. Netherlands pubmed.ncbi.nlm.nih.gov

[Factors promoting and hindering the use of an evidence-based clinical pathway for the management of overweight or obese children and adolescents]. [2021]

5. United States pubmed.ncbi.nlm.nih.gov

Weight-loss outcomes: a systematic review and meta-analysis of weight-loss clinical trials with a minimum 1-year follow-up. [2022]

6. United States pubmed.ncbi.nlm.nih.gov

Helping your obese patient achieve a healthier weight. [2021]

7. Netherlands pubmed.ncbi.nlm.nih.gov

Methodology of a multispecialty outpatient Obesity Treatment Research Program. [2020]

8. England pubmed.ncbi.nlm.nih.gov

Management of overweight and obesity in primary care-A systematic overview of international evidence-based guidelines. [2023]

9. United States pubmed.ncbi.nlm.nih.gov

Promoting the management of weight reduction. [2019]

10. United States pubmed.ncbi.nlm.nih.gov

Exploratory and confirmatory factor analyses and demographic correlate models of the strategies for weight management measure for overweight or obese adults. [2021]