Mobile technology intervention for weight loss in rural men: protocol for a pilot pragmatic randomised controlled trial
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 e...
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| Format: | Article |
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BMJ Publishing Group
2020-04-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/10/4/e035089.full |
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| author | Christine M Eisenhauer Fabiana Almeida Brito Aaron M Yoder Kevin A Kupzyk Carol H Pullen Katherine E Salinas Jessica Miller Patricia A Hageman |
| author_facet | Christine M Eisenhauer Fabiana Almeida Brito Aaron M Yoder Kevin A Kupzyk Carol H Pullen Katherine E Salinas Jessica Miller Patricia A Hageman |
| author_sort | Christine M Eisenhauer |
| collection | DOAJ |
| 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.Ethics and dissemination This protocol was approved by the University of Nebraska Medical Center Institutional Review Board (IRB# 594–17-EP). Dissemination of findings will occur through ClinicalTrials.gov and publish pilot data to inform the design of a larger clinical trial.Trial registration number NCT03329079; preresults. Protocol V.10, study completion date 31 August 2020. Roles and responsibilities funder: NIH/NINR Health Disparities Section 1R15NR017522-01. |
| format | Article |
| id | doaj-art-0fbf63fc5cf540a28b0299394c018b8c |
| institution | OA Journals |
| issn | 2044-6055 |
| language | English |
| publishDate | 2020-04-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-0fbf63fc5cf540a28b0299394c018b8c2025-08-20T02:19:54ZengBMJ Publishing GroupBMJ Open2044-60552020-04-0110410.1136/bmjopen-2019-035089Mobile technology intervention for weight loss in rural men: protocol for a pilot pragmatic randomised controlled trialChristine M Eisenhauer0Fabiana Almeida Brito1Aaron M Yoder2Kevin A Kupzyk3Carol H Pullen4Katherine E Salinas5Jessica Miller6Patricia A Hageman7College of Nursing- Northern Division, University of Nebraska Medical Center, Norfolk, Nebraska, USACollege of Public Health, University of Nebraska Medical Center, Omaha, Nebraska, USACollege of Public Health, University of Nebraska Medical Center, Omaha, Nebraska, USACollege of Nursing, University of Nebraska Medical Center, Omaha, Nebraska, USACollege of Nursing, University of Nebraska Medical Center, Omaha, Nebraska, USACollege of Nursing, University of Nebraska Medical Center, Omaha, Nebraska, USACollege of Nursing- Northern Division, University of Nebraska Medical Center, Norfolk, Nebraska, USACollege of Allied Health, University of Nebraska Medical Center, Omaha, Nebraska, USAIntroduction 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.Ethics and dissemination This protocol was approved by the University of Nebraska Medical Center Institutional Review Board (IRB# 594–17-EP). Dissemination of findings will occur through ClinicalTrials.gov and publish pilot data to inform the design of a larger clinical trial.Trial registration number NCT03329079; preresults. Protocol V.10, study completion date 31 August 2020. Roles and responsibilities funder: NIH/NINR Health Disparities Section 1R15NR017522-01.https://bmjopen.bmj.com/content/10/4/e035089.full |
| spellingShingle | Christine M Eisenhauer Fabiana Almeida Brito Aaron M Yoder Kevin A Kupzyk Carol H Pullen Katherine E Salinas Jessica Miller Patricia A Hageman Mobile technology intervention for weight loss in rural men: protocol for a pilot pragmatic randomised controlled trial BMJ Open |
| title | Mobile technology intervention for weight loss in rural men: protocol for a pilot pragmatic randomised controlled trial |
| title_full | Mobile technology intervention for weight loss in rural men: protocol for a pilot pragmatic randomised controlled trial |
| title_fullStr | Mobile technology intervention for weight loss in rural men: protocol for a pilot pragmatic randomised controlled trial |
| title_full_unstemmed | Mobile technology intervention for weight loss in rural men: protocol for a pilot pragmatic randomised controlled trial |
| title_short | Mobile technology intervention for weight loss in rural men: protocol for a pilot pragmatic randomised controlled trial |
| title_sort | mobile technology intervention for weight loss in rural men protocol for a pilot pragmatic randomised controlled trial |
| url | https://bmjopen.bmj.com/content/10/4/e035089.full |
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