The purpose of this study is to test the efficacy of an innovative 6-month smartphone-delivered intervention using simplified monitoring of dietary intake compared to a smartphone-delivered intervention with standard calorie monitoring among parents with overweight or obesity.
This is a 6-month randomized controlled trial comparing the efficacy of two smartphone-based dietary and weight change interventions among 70 parent-child dyads with at least one child between the ages of 2 and 12 (70 adults and 70 children ages 2-12). One intervention group (Simple) will use a simplified, low-burden form of dietary tracking in the study smartphone application and the other group (Standard) will use standard calorie tracking. Components of both interventions include (1) setting personalized goals for weight, dietary intake, and daily activity (2) adaptive text message interventions based on behavior change techniques such as goal setting and in-the-moment progress feedback several times per week, (3) weekly tailored feedback updated in the study smartphone app, and (4) weekly lessons on the smartphone app. The primary objective is to promote weight loss in the parents, and the secondary objective is to determine if one or both interventions produce a ripple effect of parent dietary change onto dietary changes in the child.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
144
Participants have three daily goals (weighing, dietary goal, activity goal), will self-monitor (weigh on Wi-Fi enabled scale, use a simplified form of tracking only high-calorie, high-fat foods in the study smartphone app, wear Fitbit activity tracker), will receive 4-5 tailored text messages each week, and will view weekly tailored feedback and lessons in smartphone app.
Participants have three daily goals (weighing, dietary goal, activity goal), will self-monitor (weigh on Wi-Fi enabled scale, track calorie intake, wear Fitbit activity tracker), will receive 4-5 tailored text messages each week, and will view weekly tailored feedback and lessons in smartphone app.
University of North Carolina at Chapel Hill
Chapel Hill, North Carolina, United States
Percent weight loss: objective
Weight change from baseline to 6 months calculated as a percent from baseline weight.
Time frame: Baseline, 6 Months
Weight
Absolute weight change from baseline to 6 months.
Time frame: Baseline, 6 Months
Dietary tracking adherence
Number of days of complete dietary tracking summed over the 6-month study period.
Time frame: from Baseline to 6 Months
Parent diet
Change in parent daily caloric intake as measured by 24-hour dietary recall from baseline to 6 months.
Time frame: Baseline, 6 Months
Child diet
Change in child daily caloric intake as measured by 24-hour dietary recall from baseline to 6 months.
Time frame: Baseline, 6 Months
Percent weight loss: WiFi scale
Weight change calculated as a percent from baseline weight (measured in kg), using official assessment weights taken from participants' study-provided WiFi-enabled weighing scale and transmitted via WiFi, from baseline to 3, and 6 months.
Time frame: Baseline, 3 Months, 6 Months
Child BMI-percentile
Change in child BMI-percentile using at-home measurements of child's weight (on parent WiFi-enabled scale) and height
Time frame: Baseline, 6 Months
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