TY - JOUR
T1 - Telecoaching plus a portion control plate for weight care management
T2 - A randomized trial
AU - Huber, Jill M.
AU - Shapiro, Joshua S.
AU - Wieland, Mark L.
AU - Croghan, Ivana T.
AU - Vickers Douglas, Kristen S.
AU - Schroeder, Darrell R.
AU - Hathaway, Julie C.
AU - Ebbert, Jon O.
N1 - Publisher Copyright:
© 2015 Huber et al.
PY - 2015/7/30
Y1 - 2015/7/30
N2 - Background: Obesity is a leading preventable cause of death and disability and is associated with a lower health-related quality of life. We evaluated the impact of telecoaching conducted by a counselor trained in motivational interviewing paired with a portion control plate for obese patients in a primary care setting. Methods: We conducted a randomized, clinical trial among patients in a primary care practice in the midwestern United States. Patients were randomized to either usual care or an intervention including telecoaching with a portion control plate. The intervention was provided during a 3-month period with follow-up of all patients through 6 months after randomization. The primary outcomes were weight, body mass index (BMI),waist circumference, and waist to hip ratio measured at baseline, 6, 12, 18, and 24 weeks. Secondary outcomes included measures assessing eating behaviors, self-efficacy, and physical activity at baseline and at 12 and 24 weeks. Results: A total of 1,101 subjects were pre-screened, and 90 were randomly assigned to telecoaching plus portion control plate (n = 45) or usual care (n = 45). Using last-value carried forward without adjustment for baseline demographics, significant reductions in BMI (estimated treatment effect -0.4 kg/m2, P =.038) and waist to hip ratio (estimated treatment effect -.02, P =.037) at 3 months were observed in the telecoaching plus portion control plate group compared to usual care. These differences were not statistically significant at 6 months. In females, the telecoaching plus portion control plate intervention was associated with significant reductions in weight and BMI at both 3 months (estimated treatment effect -1.6 kg, P =.016 and -0.6 kg/m2, P =.020) and 6 months (estimated treatment effect -2.3 kg, P =.013 and -0.8 kg/m2, P =.025). In males, the telecoaching plus portion control intervention was associated with a significant reduction in waist to hip ratio at 3 months (estimated treatment effect -0.04, P =.017), but failed to show a significant difference in weight and BMI. Conclusion: Telecoaching with a portion control plate can produce positive change in body habitus among obese primary care patients; however, changes depend upon sex. Trial registration: ClinicalTrials.gov NCT02373878, 13 February 2015. https://clinicaltrials.gov/ct2/show/NCT02373878.
AB - Background: Obesity is a leading preventable cause of death and disability and is associated with a lower health-related quality of life. We evaluated the impact of telecoaching conducted by a counselor trained in motivational interviewing paired with a portion control plate for obese patients in a primary care setting. Methods: We conducted a randomized, clinical trial among patients in a primary care practice in the midwestern United States. Patients were randomized to either usual care or an intervention including telecoaching with a portion control plate. The intervention was provided during a 3-month period with follow-up of all patients through 6 months after randomization. The primary outcomes were weight, body mass index (BMI),waist circumference, and waist to hip ratio measured at baseline, 6, 12, 18, and 24 weeks. Secondary outcomes included measures assessing eating behaviors, self-efficacy, and physical activity at baseline and at 12 and 24 weeks. Results: A total of 1,101 subjects were pre-screened, and 90 were randomly assigned to telecoaching plus portion control plate (n = 45) or usual care (n = 45). Using last-value carried forward without adjustment for baseline demographics, significant reductions in BMI (estimated treatment effect -0.4 kg/m2, P =.038) and waist to hip ratio (estimated treatment effect -.02, P =.037) at 3 months were observed in the telecoaching plus portion control plate group compared to usual care. These differences were not statistically significant at 6 months. In females, the telecoaching plus portion control plate intervention was associated with significant reductions in weight and BMI at both 3 months (estimated treatment effect -1.6 kg, P =.016 and -0.6 kg/m2, P =.020) and 6 months (estimated treatment effect -2.3 kg, P =.013 and -0.8 kg/m2, P =.025). In males, the telecoaching plus portion control intervention was associated with a significant reduction in waist to hip ratio at 3 months (estimated treatment effect -0.04, P =.017), but failed to show a significant difference in weight and BMI. Conclusion: Telecoaching with a portion control plate can produce positive change in body habitus among obese primary care patients; however, changes depend upon sex. Trial registration: ClinicalTrials.gov NCT02373878, 13 February 2015. https://clinicaltrials.gov/ct2/show/NCT02373878.
KW - Obesity
KW - Patient-centered medical home
KW - Portion control plate
KW - Primary care
KW - Telecoaching
UR - http://www.scopus.com/inward/record.url?scp=84939171444&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84939171444&partnerID=8YFLogxK
U2 - 10.1186/s13063-015-0880-1
DO - 10.1186/s13063-015-0880-1
M3 - Article
C2 - 26223309
AN - SCOPUS:84939171444
SN - 1745-6215
VL - 16
JO - Trials
JF - Trials
IS - 1
M1 - 323
ER -