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Track: A randomized controlled trial of a digital health obesity treatment intervention for medically vulnerable primary care patients.

Publication ,  Journal Article
Foley, P; Steinberg, D; Levine, E; Askew, S; Batch, BC; Puleo, EM; Svetkey, LP; Bosworth, HB; DeVries, A; Miranda, H; Bennett, GG
Published in: Contemp Clin Trials
May 2016

INTRODUCTION: Obesity continues to disproportionately affect medically vulnerable populations. Digital health interventions may be effective for delivering obesity treatment in low-resource primary care settings. METHODS: Track is a 12-month randomized controlled trial of a digital health weight loss intervention in a community health center system. Participants are 351 obese men and women aged 21 to 65years with an obesity-related comorbidity. Track participants are randomized to usual primary care or to a 12-month intervention consisting of algorithm-generated tailored behavior change goals, self-monitoring via mobile technologies, daily self-weighing using a network-connected scale, skills training materials, 18 counseling phone calls with a Track coach, and primary care provider counseling. Participants are followed over 12months, with study visits at baseline, 6, and 12months. Anthropometric data, blood pressure, fasting lipids, glucose and HbA1C and self-administered surveys are collected. Follow-up data will be collected from the medical record at 24months. RESULTS: Participants are 68% female and on average 50.7years old with a mean BMI of 35.9kg/m(2). Participants are mainly black (54%) or white (33%); 12.5% are Hispanic. Participants are mostly employed and low-income. Over 20% of the sample has hypertension, diabetes and hyperlipidemia. Almost 27% of participants currently smoke and almost 20% score above the clinical threshold for depression. CONCLUSIONS: Track utilizes an innovative, digital health approach to reduce obesity and chronic disease risk among medically vulnerable adults in the primary care setting. Baseline characteristics reflect a socioeconomically disadvantaged, high-risk patient population in need of evidence-based obesity treatment.

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Published In

Contemp Clin Trials

DOI

EISSN

1559-2030

Publication Date

May 2016

Volume

48

Start / End Page

12 / 20

Location

United States

Related Subject Headings

  • Young Adult
  • White People
  • Weight Reduction Programs
  • Vulnerable Populations
  • Telephone
  • Telemedicine
  • Self-Management
  • Rural Population
  • Public Health
  • Primary Health Care
 

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Foley, P., Steinberg, D., Levine, E., Askew, S., Batch, B. C., Puleo, E. M., … Bennett, G. G. (2016). Track: A randomized controlled trial of a digital health obesity treatment intervention for medically vulnerable primary care patients. Contemp Clin Trials, 48, 12–20. https://doi.org/10.1016/j.cct.2016.03.006
Foley, Perry, Dori Steinberg, Erica Levine, Sandy Askew, Bryan C. Batch, Elaine M. Puleo, Laura P. Svetkey, et al. “Track: A randomized controlled trial of a digital health obesity treatment intervention for medically vulnerable primary care patients.Contemp Clin Trials 48 (May 2016): 12–20. https://doi.org/10.1016/j.cct.2016.03.006.
Foley P, Steinberg D, Levine E, Askew S, Batch BC, Puleo EM, et al. Track: A randomized controlled trial of a digital health obesity treatment intervention for medically vulnerable primary care patients. Contemp Clin Trials. 2016 May;48:12–20.
Foley, Perry, et al. “Track: A randomized controlled trial of a digital health obesity treatment intervention for medically vulnerable primary care patients.Contemp Clin Trials, vol. 48, May 2016, pp. 12–20. Pubmed, doi:10.1016/j.cct.2016.03.006.
Foley P, Steinberg D, Levine E, Askew S, Batch BC, Puleo EM, Svetkey LP, Bosworth HB, DeVries A, Miranda H, Bennett GG. Track: A randomized controlled trial of a digital health obesity treatment intervention for medically vulnerable primary care patients. Contemp Clin Trials. 2016 May;48:12–20.
Journal cover image

Published In

Contemp Clin Trials

DOI

EISSN

1559-2030

Publication Date

May 2016

Volume

48

Start / End Page

12 / 20

Location

United States

Related Subject Headings

  • Young Adult
  • White People
  • Weight Reduction Programs
  • Vulnerable Populations
  • Telephone
  • Telemedicine
  • Self-Management
  • Rural Population
  • Public Health
  • Primary Health Care