RCT of Video-Conference & In-Person Weight Loss Services for Adult CHC Patients

Project: Research project

Description

DESCRIPTION (provided by applicant): The Institute of Medicine gives top priority to identifying effective methods of treating obesity in at-risk populations such as the urban poor. Community health centers (CHC) provide primary care to persons regardless of ability to pay and under health care reform will be providing care to a large proportion of urban poor. To date, the most effective weight loss interventions have had frequent staff-patient interactions, high attendance, and physical activity. Such intensive interventions are a challenge for CHCs because they are chronically short staffed and have limited space. And, CHC patients often have limited transportation. Video-conferencing requires very little CHC space, and may reduce staff time and patient transportation needs. A single staff person can lead meeting sessions for patients located virtually anywhere. Although building an intervention for lower income populations based on broadband Internet may seem counterintuitive, broadband is available in most all urban areas. Additionally, on March 17, 2010, the FCC delivered a 10-year National Broadband Plan to Congress to bring high-speed Internet to 90% of U.S. homes. We have successfully piloted a multiparty video-conference weight loss program delivered to CHC patients in their homes using simple hardware and Internet access supplied by the project. We have used an exercise protocol tailored to obese CHC patients and well-established nutrition education and support materials modified for a participant population that includes persons with low literacy and numeracy skills. For the proposed efficacy trial we will randomize 150 adult CHC patients with body-mass index e30 and
StatusFinished
Effective start/end date4/3/123/31/16

Funding

  • National Institutes of Health: $553,944.00
  • National Institutes of Health: $207,413.00
  • National Institutes of Health: $544,704.00
  • National Institutes of Health: $586,913.00

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Community Health Centers
Weight Loss
Internet
Transportation of Patients
Exercise
Weight Reduction Programs
National Academies of Science, Engineering, and Medicine (U.S.) Health and Medicine Division
Aptitude
Health Care Reform
Population
Primary Health Care
Body Mass Index
Obesity
Education

ASJC

  • Medicine(all)