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Addressing rural health disparities by optimizing "high-touch" intervention components in digital obesity treatment: The iREACH rural study.
- Source :
-
Contemporary clinical trials [Contemp Clin Trials] 2024 Oct 11, pp. 107711. Date of Electronic Publication: 2024 Oct 11. - Publication Year :
- 2024
- Publisher :
- Ahead of Print
-
Abstract
- Background: Rural residents are more impacted by obesity and related comorbidities than their urban counterparts. Digital weight management interventions may produce meaningful weight loss among rural residents.<br />Objectives: The iREACH Rural Study aims to identify "high-touch" component(s) that contribute to meaningful weight loss (≥1.5 kg) at 6-months, over and above what the 24-week core online program produces. Three treatment components are assessed: group video sessions (yes/no); self-monitoring feedback (counselor-crafted/pre-scripted, modular); and individual coaching calls (yes/no).<br />Design: The iREACH Rural Study is a factorial experiment (n = 616).<br />Methods: Participants receive up to 3 "high-touch" components (weekly synchronous facilitated group video sessions, weekly counselor-crafted self-monitoring feedback, and individual coaching calls) to determine which contribute meaningfully to 6-month weight loss. Participants complete assessments at baseline, 2 months, 6 months, and 12 months. Weight loss at 6 months (primary outcome) and 12 months (secondary outcome) is measured by Bluetooth-enabled scales. The study seeks to identify the weight loss approach for underserved rural residents which optimizes weight change outcomes and also examines costs associated with delivering different treatment constellations.<br />Summary: The iREACH Rural Study is the first of its kind to isolate digital weight loss intervention components to determine which meaningfully contribute to long-term weight loss among rural residing individuals. The results may be used to refine digital weight loss programs by enhancing their effectiveness to allow broad dissemination.<br /> (Copyright © 2024. Published by Elsevier Inc.)
Details
- Language :
- English
- ISSN :
- 1559-2030
- Database :
- MEDLINE
- Journal :
- Contemporary clinical trials
- Publication Type :
- Academic Journal
- Accession number :
- 39396769
- Full Text :
- https://doi.org/10.1016/j.cct.2024.107711