275 Participants Needed

Self-Monitoring Strategies for Obesity

JE
Overseen ByJill Eisel Research Project Coordinator
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores various methods to track diet and weight to determine the most effective strategies for managing obesity. Participants will use one of five methods, such as tracking all food and drink or using a smartwatch to monitor calorie intake, as part of a 24-week online program. It is ideal for individuals with a BMI over 25 who can walk two city blocks without stopping. Participants should not be enrolled in another weight loss program or taking weight loss medications. The trial aims to identify the most effective self-monitoring techniques for weight loss and health improvement. As an unphased trial, it provides a unique opportunity to explore innovative self-monitoring techniques that could enhance weight management.

Do I have to stop taking my current medications for the trial?

The trial information does not specify whether you need to stop taking your current medications. However, you cannot be on weight loss medication to participate.

What prior data suggests that these self-monitoring strategies are safe for participants?

Research shows that self-monitoring methods for treating obesity are generally safe and well-tolerated. Studies have found that tracking food intake, whether daily or a few times a week, aids weight loss and is safe. For example, recording all food and drink consumption is linked to successful weight management without major safety concerns.

Using smartwatches to track calories is another effective and safe method for managing weight. These devices help individuals monitor their health and are popular due to their ease of use.

Weighing oneself with smart scales is also considered safe. Studies have shown that this method supports weight loss and maintenance, with no reported negative effects.

Overall, these self-monitoring practices are common in weight loss programs and have not been linked to significant risks. They are generally well-accepted by participants and assist in reaching weight loss goals.12345

Why are researchers excited about this trial?

Researchers are excited about these self-monitoring strategies for obesity because they offer innovative ways to track and manage weight. Unlike traditional methods that often rely on regular, intensive dietary tracking, these strategies explore varying levels of engagement, from full dietary monitoring to self-monitoring of dietary lapses only. The introduction of smartwatch-based self-monitoring of energy intake is particularly promising, as it leverages technology to provide real-time feedback, potentially increasing convenience and adherence. By examining different self-monitoring frequencies and techniques, this trial aims to uncover more personalized and effective approaches to weight management, offering new hope for those seeking sustainable, long-term solutions.

What evidence suggests that this trial's self-monitoring strategies could be effective for obesity?

This trial will explore various self-monitoring strategies for obesity. Participants in different arms of the trial will engage in distinct self-monitoring approaches. Studies have shown that tracking food and drink intake is important for weight loss. Research indicates that individuals who record everything they consume can lose about 10.39% of their starting weight in six months. Participants in this trial may engage in full dietary self-monitoring or reduced-frequency dietary self-monitoring. Tracking food and drink only a few days a week can also aid weight loss, though it might not be as effective as daily tracking.

Another arm will involve using smartwatches to track energy intake, which can help maintain a diet, though results on weight loss are mixed. Regularly weighing oneself, another approach being tested, has been shown to aid in losing weight and maintaining it. Lastly, some participants will focus on self-monitoring dietary lapses, paying attention to moments of overeating, which can also assist with weight control, although less research exists on this method.36789

Who Is on the Research Team?

GT

Graham Thomas, PhD

Principal Investigator

The Miriam Hospital

SG

Stephanie Goldstein, PhD

Principal Investigator

The Miriam Hospital

Are You a Good Fit for This Trial?

This trial is for individuals seeking to manage obesity through behavioral treatment. Participants must be willing to follow a 24-week online program, use various dietary self-monitoring strategies every two weeks, and meet with researchers virtually. Specific inclusion and exclusion criteria are not provided.

Inclusion Criteria

I can walk 2 city blocks without needing to stop.
I am not taking any weight loss medication.
English language fluent and literate at the 6th grade level
See 9 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants follow a 24-week online behavioral obesity treatment program with randomized self-monitoring strategies every two weeks

24 weeks
Periodic online video calls and online surveys

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Full Dietary Self-monitoring
  • Reduced-frequency Dietary Self-monitoring
  • Self-monitoring of Body Weight Only
  • Self-Monitoring of Dietary Lapses Only
  • Smartwatch-based Self-monitoring of Energy Intake
Trial Overview The study tests five different dietary self-monitoring strategies within an online behavioral obesity treatment program over 24 weeks. Strategies include full or reduced-frequency recording of food intake, monitoring only dietary lapses, smartwatch-based calorie tracking, and weight monitoring using a smart scale.
How Is the Trial Designed?
5Treatment groups
Experimental Treatment
Group I: Online Behavioral Obesity Treatment with Smartwatch-based Self-monitoring of Energy IntakeExperimental Treatment2 Interventions
Group II: Online Behavioral Obesity Treatment with Self-monitoring of Body Weight OnlyExperimental Treatment2 Interventions
Group III: Online Behavioral Obesity Treatment with Self-Monitoring of Dietary Lapses OnlyExperimental Treatment2 Interventions
Group IV: Online Behavioral Obesity Treatment with Reduced-frequency Dietary Self-monitoringExperimental Treatment2 Interventions
Group V: Online Behavioral Obesity Treatment with Full Dietary Self-monitoringExperimental Treatment2 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

The Miriam Hospital

Lead Sponsor

Trials
252
Recruited
39,200+

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

Collaborator

Trials
2,513
Recruited
4,366,000+

Citations

Dietary Self-Monitoring and Long-Term Success with ...Participants included 220 obese women (mean±SD, age=59.3±6.1 years; BMI=36.8±4.9 kg/m2) who achieved a mean loss of -10.39±5.28% from baseline during 6 months ...
Why more successful? An analysis of participants' self ...This study examined self-monitoring data from 61 Chinese adults who participated in a 5-week online group intervention for weight loss.
Physical Activity Self-Monitoring and Weight Loss: 6-Month ...Weight loss has been associated with higher physical activity (PA) levels and frequent dietary self-monitoring. Less is known about how PA self-monitoring ...
Comparing Self-Monitoring Strategies for Weight Loss in a ...This study aimed to examine a novel behavioral weight loss intervention that aims to attenuate the decline in dietary self-monitoring engagement.
Dietary self‐monitoring and long‐term success with weight ...Further, results demonstrated that the women who self-monitored consistently (50% or more of the extended-care year) lost weight (−0.98 ± 6.67%) ...
Self-Monitoring in Weight Loss: A Systematic Review of the ...Self-monitoring in weight loss includes recording diet, physical activity, and self-weighing, which is central to behavioral weight loss programs.
Assessment of the Efficacy, Safety, and Effectiveness of ...Objective: The aim of this study was to identify efficacy, safety, and effectiveness criteria used to assess weight control, overweight, and ...
Optimizing Self-Monitoring in a Digital Weight Loss ...Objective: This study aims to examine the unique and combined weight loss effects of 3 popular self-monitoring strategies. (tracking dietary ...
The impact of self-monitoring food intake on motivation ...Self-monitoring food intake has been associated with weight loss and weight maintenance (Helsel et al., 2007, Carels et al., 2008). A systematic review by Burke ...
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