North Carolina WISEWOMAN: Weight-Wise Pilot Study

This study has been completed.
Sponsor:
Collaborators:
North Carolina Department of Health and Human Services
Information provided by:
University of North Carolina, Chapel Hill
ClinicalTrials.gov Identifier:
NCT00288301
First received: February 6, 2006
Last updated: June 9, 2010
Last verified: June 2010
  Purpose

The purpose of this study is to test the effectiveness of a weight loss and weight loss maintenance intervention among low income women, conducted in a community health center setting.


Condition Intervention
Overweight
Obesity
Behavioral: Weight loss intervention

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Prevention
Official Title: North Carolina WISEWOMAN Study - Weight-Wise Program

Resource links provided by NLM:


Further study details as provided by University of North Carolina, Chapel Hill:

Primary Outcome Measures:
  • body weight [ Time Frame: 4 months ] [ Designated as safety issue: No ]

Enrollment: 151
Study Start Date: February 2005
Study Completion Date: May 2007
Primary Completion Date: May 2007 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: 1
Special Intervention
Behavioral: Weight loss intervention
weight loss intervention
Experimental: 2
Delayed intervention
Behavioral: Weight loss intervention
weight loss intervention

Detailed Description:

In the North Carolina WISEWOMAN Project, nearly three-fourths of all participants are either overweight or obese. Through control of weight, cardiovascular disease risk factors such as hypertension, dyslipidemia, and type 2 diabetes can be reduced along with their associated mortality. While there is some evidence of successful weight loss programs in the scientific literature, there are limited data on strategies to improve the weight loss outcomes of African Americans and other lower income populations and how to maintain weight loss over the long term with strategies that are feasible for health care agencies that service primarily lower income populations. We have designed a program to test intervention strategies to improve the weight loss outcomes of the WISEWOMAN population. Specifically, the purpose of the North Carolina WISEWOMAN Weight Control Pilot Study, "Weight-Wise" Program, is to test the effectiveness of a weight loss and weight loss maintenance intervention among WISEWOMAN participants, conducted in a community health center in Wilmington, NC. The Weight-Wise Program was launched in February 2005 and will continue through the Spring of 2007.

The study design and intervention are briefly described. Each WISEWOMAN participant was invited to a screening visit at the health center. During an interview with a research assistant, the participant answered a series of questions about her health history, diet, physical activity, and weight management behaviors, and psycho-social attributes. She also had her height, weight, blood pressure, and body composition measured. A non-fasting venous blood specimen was taken to measure her blood lipids (total and HDL-cholesterol) and random blood glucose. Additional baseline measures for psycho-social variables were obtained via telephone administration. Participants who completed the screening visit, phone interview, and met all eligibility requirements were randomized to two treatment groups: the Special Intervention (SI) group, and the Delayed Intervention (DI) group. Participants assigned to the SI group began the 4-month weight loss phase of the study in April 2005, while DI participants will wait until the end of this first program offering to begin the weight loss program. [DI participants are considered the 'control' group.]

The intervention program, called "Weight-Wise", consists of a four-month weight loss intervention phase, and a one-year maintenance phase. During the weight loss intervention, participants are offered 16 weekly group education sessions taught by a health counselor. The study goal for weight loss during this period is 10 or more pounds. Each session lasts about 120 minutes and includes the following elements: participant weigh-in, group sharing and problem-solving, discussion of a weight control topic (nutrition, physical activity, or behavior change), moderate physical activity and/or taste-testing. Study participants who complete the weight loss program and lose 8 or more pounds will be eligible to continue in the maintenance phase of the intervention. During the 1-year maintenance phase (which will start at the end of the weight loss phase for both SI and DI), participants in the SI group will receive 1 individual face-to-face contact with the health counselor, 8 monthly phone contacts, and 3 group sessions. The DI group will receive 1 individual face-to-face contact and 11 phone contacts from the health counselor during their maintenance intervention. After the weight loss phase and after 6 and 12 months of the maintenance intervention, both SI and DI participants will return to the clinic for follow-up data collection.

  Eligibility

Ages Eligible for Study:   40 Years to 64 Years
Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Women 40-64 years old
  • Gross income less than or equal to 200% federal poverty level
  • BMI 25-45 inclusive
  • Permission of health care provider if present with diabetes or previous CVD event
  • English speaking

Exclusion Criteria:

  • Medical condition for which weight loss is contraindicated, e.g. malignancy or other serious illness
  • CVD event in past 3 months
  • Self-reported history of renal disease
  • Weight loss greater than 20 lbs in last 3 months
  • Any history of gastric bypass surgery, stomach stapling or liposuction
  • Planning to leave area before study period ends
  • Current participation in another clinical trial
  • Pregnant, breastfeeding or planning a pregnancy before the end of the study
  • Current use of medications to treat psychosis or manic-depressive illness
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00288301

Locations
United States, North Carolina
New Hanover Community Health Center
Wilmington, North Carolina, United States, 28401
Sponsors and Collaborators
University of North Carolina, Chapel Hill
North Carolina Department of Health and Human Services
Investigators
Principal Investigator: Carmen Samuel-Hodge, PhD, RD University of North Carolina, Chapel Hill
  More Information

No publications provided by University of North Carolina, Chapel Hill

Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Beverly Garcia, The Unviersity of North Carolina at Chapel Hill
ClinicalTrials.gov Identifier: NCT00288301     History of Changes
Other Study ID Numbers: 00893-05
Study First Received: February 6, 2006
Last Updated: June 9, 2010
Health Authority: United States: Federal Government

Keywords provided by University of North Carolina, Chapel Hill:
diet
physical activity
weight management

Additional relevant MeSH terms:
Obesity
Overweight
Overnutrition
Nutrition Disorders
Body Weight
Signs and Symptoms

ClinicalTrials.gov processed this record on July 22, 2014