Simplifying Diet Tracking in a Digital Weight Loss Intervention

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorStanford University

About this trial

The purpose of this study is to compare two approaches for tracking dietary intake in a 12-month fully digital weight loss intervention: (1) Simplified approach: track Red Zone Foods (e.g., foods high in calories and low in nutritional value) vs. (2) Detailed approach: track all foods and their corresponding calories. In essence, this is a head-to-head comparison of two tracking approaches; the investigators are evaluating whether weight loss is comparable over 12 months, or whether one approach will have greater weight loss.

The investigators will recruit 328 adults. Broadly, adults with overweight or obesity who live in the United States will be eligible. The weight loss intervention will last 12 months. All participants will be asked to track their dietary intake + body weight + steps daily as well as complete weekly behavioral lessons and action plans to promote healthy eating and physical activity. All study tasks will occur remotely. Assessment of body weight and survey measures will occur at the beginning of the trial ("baseline"), and at 1, 6, 12, and 18 months.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

adults (ages 18+ years)

body mass index (BMI) 25.0 to 45.0 kg/m²

smartphone ownership

willing to install a mobile app on personal smartphone

Disqualifiers

concurrent enrollment in another weight management intervention

loss of ≥5% weight in the past 6 months

prior or planned bariatric surgery during the trial period

current or planned pregnancy during the trial period, or recent pregnancy in the past 6 months

Trial design

Design model

Parallel

Treatments tested in this trial

  • Simplified Dietary Self-Monitoring

    Behavioral

    Participants randomized to receive this intervention are instructed to track their Red Zone Foods (i.e., foods high in calories and low in nutritional value) daily via a web-based checklist. Participants receive a daily Red Zone Food goal.

  • Detailed Dietary Self-Monitoring

    Behavioral

    Participants randomized to receive this intervention are instructed to track all foods/drinks and their corresponding calories daily via a mobile app. Participants receive a daily calorie goal.

  • Core Behavioral Weight Loss Intervention

    Behavioral

    All participants receive a 12-month core behavioral weight loss intervention consisting of the following: goal setting; daily self-monitoring of body weight \& steps; weekly behavioral lessons and action plans to promote healthy eating and physical activity; and tailored feedback. The intervention will be delivered remotely via email and/or text message.

Treatment groups

328 Participants
are divided into 2 treatment groups
Group A: Simplified (Track Red Zone Foods)Experimental treatment 2 interventions
Group B: Detailed (Track All Foods/Calories)Experimental treatment 2 interventions

Trial outcomes

Primary outcomes

1

Weight Change from Baseline to 12 Months

mean change in body weight (kg); assessed objectively via e-scale using standardized procedures (e.g., place the scale on a hard surface; collect weight in the morning, without clothing, prior to eating/drinking)

Time frame
Baseline, 12 Months

Secondary outcomes

1

Weight Change from Baseline to 1 Month

mean change in body weight (kg); assessed objectively via e-scale using standardized procedures

Time frame
Baseline, 1 Month
2

Weight Change from Baseline to 6 Months

mean change in body weight (kg); assessed objectively via e-scale using standardized procedures

Time frame
Baseline, 6 Months
3

Weight Change from Baseline to 18 Months

mean change in body weight (kg); assessed objectively via e-scale using standardized procedures

Time frame
Baseline, 18 Months
4

Caloric Intake Change from Baseline to 12 Months

mean change in daily caloric intake (kilocalories); assessed via the Automated Self-Administered 24-Hour Dietary Assessment Tool (ASA24): 2 separate diet recalls per time point: 1 week day, 1 weekend day

Time frame
Baseline, 12 Months

Other outcomes

Sponsors and contacts

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