Weight Loss Incentives for Obesity

No longer recruiting at 1 trial location
KG
BJ
JE
Overseen ByJennie Embree
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: University of Wisconsin, Madison
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 whether small weekly incentives can aid weight loss by encouraging dietary self-monitoring. It includes various approaches: some participants receive incentives for tracking their diet, others for losing weight, and some for both. The trial lasts 18 months and aims to determine which method is most effective for short- and long-term weight loss. It suits individuals with a BMI of 30 or higher who want to lose weight and can attend in-person visits. Participants must use specific apps and have a smartphone for the study. As an unphased study, this trial offers a unique opportunity to explore innovative weight loss strategies that could enhance health outcomes.

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

Yes, if you are currently using weight loss medication, you cannot participate in the trial. Additionally, if you use insulin, certain diabetes medications, or high doses of specific diuretics, you are not eligible to join.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research has shown that offering money as a reward for tracking diet is generally safe. Studies have found that these rewards can help people lose weight without major safety issues. For instance, one study found that financial rewards helped teenagers with severe obesity lose weight effectively. Another study showed that these rewards can be given to large groups easily, with no serious side effects reported.

Similarly, when rewards are used for both tracking diet and losing weight, research supports their safety. Studies using this combination have shown positive results in helping people lose weight. These rewards are attractive and have been used safely with many people.

Rewards focused only on weight loss also seem safe. Research indicates that financial rewards can lead to significant weight loss, and participants have not reported major health problems related to the rewards.

Overall, using financial rewards for weight loss and diet tracking is well-tolerated and has not been linked to serious health issues.12345

Why are researchers excited about this trial?

Researchers are excited about this trial because it explores the power of incentives in tackling obesity. Unlike traditional treatments that focus on diet plans, medication, or surgery, this approach uses weekly incentives to motivate dietary self-monitoring and weight loss. There's a unique twist with different arms: one focuses solely on rewarding dietary tracking, another combines rewards for both tracking and weight loss, and a third targets weight loss achievements directly. This method taps into human behavior, leveraging positive reinforcement to drive healthier habits, which could be a game-changer in making weight management more sustainable and engaging.

What evidence suggests that this trial's treatments could be effective for obesity?

This trial will evaluate different incentive strategies for weight loss. Studies have shown that financial rewards for tracking diet and losing weight can enhance weight loss. Participants in this trial may receive incentives for dietary self-monitoring and weight loss, which research indicates increases the likelihood of losing at least 5% of body weight over 26 weeks. Another group will focus only on tracking their diet; similar studies have found that this aids in weight management. A separate group will receive rewards solely for losing weight, which studies suggest is as effective as other methods and also cost-effective. Overall, financial rewards seem to encourage weight loss and maintenance.26789

Who Is on the Research Team?

LC

Lisa Cadmus-Bertram, PhD

Principal Investigator

University of Wisconsin, Madison

CV

Corrine Voils, PhD

Principal Investigator

University of Utah Department of Internal Medicine

Are You a Good Fit for This Trial?

This trial is for adults with obesity who want to lose weight. They must be able to stand unassisted, have a BMI of 30 or higher, speak and read English, own a smartphone with data and texting plans, have reliable internet access, and commit to attending study visits over an 18-month period.

Inclusion Criteria

E-mail address
Possess smart phone with data and texting plan
Able to speak and read English
See 10 more

Exclusion Criteria

Weight >380 lb
I have not had unstable heart disease in the last 6 months.
I am not taking high doses of certain water pills except for potassium-sparing ones.
See 14 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Incentivized Weight Loss Intervention (Phase I)

Participants receive weekly incentives for weight loss and/or dietary self-monitoring

26 weeks
Delivered via videoconference

Incentivized Weight Maintenance Intervention (Phase II)

Participants continue to receive incentives for maintaining weight loss

26 weeks
Delivered via videoconference

Non-incentivized Weight Maintenance Intervention (Phase III)

Participants maintain weight loss without incentives

26 weeks
Delivered via videoconference

Follow-up

Participants are monitored for safety and effectiveness after the intervention

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Incentives for dietary self-monitoring
  • Incentives for dietary self-monitoring and weight loss
  • Incentives for weight loss
Trial Overview The study tests if small weekly incentives can boost dietary self-monitoring and weight loss effectiveness. Participants will use apps like MyFitnessPal and Fitbit daily while receiving these incentives for their progress over the course of the trial.
How Is the Trial Designed?
4Treatment groups
Experimental Treatment
Active Control
Group I: Weight lossExperimental Treatment1 Intervention
Group II: Dietary self-monitoringExperimental Treatment1 Intervention
Group III: CombinedExperimental Treatment1 Intervention
Group IV: ControlActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Wisconsin, Madison

Lead Sponsor

Trials
1,249
Recruited
3,255,000+

Duke University

Collaborator

Trials
2,495
Recruited
5,912,000+

National Heart, Lung, and Blood Institute (NHLBI)

Collaborator

Trials
3,987
Recruited
47,860,000+

Citations

Financial Incentives for Dietary Self-Monitoring & Weight LossParticipants were randomized in a 2 × 2 factorial design to receive financial incentives for both dietary self-monitoring and weekly weight loss, just one, or ...
Study protocol for Log2Lose: A randomized controlled trial ...The primary outcome was the proportion of participants achieving clinically significant weight loss of at least 5 % at 26 weeks.
(2/2) Log2Lose: Incenting Weight Loss and Dietary Self ...The proposed study will evaluate which incentive approach has the greatest impact and durability—incentivizing interim weight loss, dietary self-monitoring, or ...
Effectiveness of Goal-Directed and Outcome-Based ...Outcome-based and goal-directed financial incentives were more effective than resources only for weight loss in this low-income population.
Financial Incentives for Weight Reduction StudyFinancial incentives for motivating changes in health behavior, for weight loss in obese individuals, are increasingly being tested by health insurers, ...
Financial Incentives and Treatment Outcomes in ...This study found that financial incentives improved outcomes of a dietary intervention among adolescents with severe obesity. Abstract.
Study protocol for Log2Lose: A feasibility randomized ...We report the rationale and design for a 2 × 2 factorial study that involves financial incentives for dietary self-monitoring (yes vs. no) and/or interim weight ...
Internet Assisted Obesity Treatment Enhanced with ...Economic incentives have the potential to alter that outcome by increasing the benefits of weight loss (it now generates additional income).
Optimizing Self-Monitoring in a Digital Weight Loss ...Self-monitoring is a well-established behavioral strategy for facilitating weight loss among adults with overweight or obesity. [20-22]. It ...
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