Mobile Technology Intervention for Weight Loss in Rural Men: Protocol for a Pilot Pragmatic Randomised Controlled Trial

Details

• Personal Author:
  Brito FA ; Eisenhauer CM ; Hageman PA ; Kupzyk KA ; Miller J ; Pullen CH ; Salinas KE ; Yoder AM
• Description:
  Introduction: Men who are overweight or obese in the rural Midwestern USA are an unrepresented, at-risk group exhibiting rising rates of cardiovascular disease, poor access to preventive care and poor lifestyle behaviours that contribute to sedentary lifestyle and unhealthy diet. Self-monitoring of eating and activity has demonstrated efficacy for weight loss. Use of mobile technologies for self-monitoring eating and activity may address rural men's access disparities to preventive health resources and support weight loss. Our pilot trial will assess the feasibility and acceptability of two mobile applications for weight loss in rural men to inform a future, full-scale trial. Methods and analysis: A 6-month randomised controlled trial with contextual evaluation will randomise 80 men using a 1:1 ratio to either a Mobile Technology Plus (MT+) intervention or a basic Mobile Technology (MT) intervention in rural, midlife men (aged 40-69 years). The MT+ intervention consists of a smartphone self-monitoring application enhanced with discussion group (Lose-It premium), short message service text-based support and Wi-Fi scale. The MT group will receive only a self-monitoring application (Lose-It basic). Feasibility and acceptability will be evaluated using number of men recruited and retained, and evaluative focus group feedback. We seek to determine point estimates and variability of outcome measures of weight loss (kg and % body weight) and improved dietary and physical activity behaviours (Behavioral Risk Factor Surveillance System (BRFSS) physical activity and fruit and vegetable consumption surveys, data from Lose-It! application (kcal/day, steps/day)). Community capacity will be assessed using standard best practice methods. Descriptive content analysis will evaluate intervention acceptability and contextual sensitivity. [Description provided by NIOSH]
• Subjects:
  Behavior Diet Health Promotion Men Occupational Health Safety Software
• Keywords:
  Cell Phones Computer Applications Health Promotion Intervention Effectiveness Mobile Equipment Obesity Physical Fitness Sedentary Lifestyle
• ISSN:
  2044-6055
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  Nebraska ; OSHA Region 7
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  10
• Issue:
  4
• NIOSHTIC Number:
  nn:20062836
• Citation:
  BMJ Open 2020 Apr; 10(4):e035089
• Contact Point Address:
  Christine M Eisenhauer, College of Nursing- Northern Division, University of Nebraska Medical Center, Norfolk, Nebraska, USA
• Email:
  ceisenhauer@unmc.edu
• Federal Fiscal Year:
  2020
• NORA Priority Area:
  Agriculture, Forestry and Fishing
• Performing Organization:
  University of Nebraska Medical Center - Omaha
• Peer Reviewed:
  True
• Start Date:
  20110901
• Source Full Name:
  BMJ Open
• End Date:
  20270831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:7beb3bd99425b7e5eebbdbba60d59a543a3cafecccfb13c9769099e2e8cc8c2d989404be9c6c3ee4b73f0837ca4d03b8d8acccf77a1b658819b2fd04ac83defd
• Download URL:
  https://stacks.cdc.gov/view/cdc/226013/cdc_226013_DS1.pdf
• File Type:
  [PDF - 493.24 KB ]