Testing the Efficacy of a Spousal Support Enhanced Weight Loss Program on Weight Loss Among African American Men

NCT ID: NCT02458053

Last Updated: 2017-09-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

104 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-02-29

Study Completion Date

2017-08-31

Brief Summary

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The purpose of this study is to determine the effect of a spousal support enhanced weight loss program on weight loss among African American men.

Detailed Description

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In 2012, African Americans (AA) were 1.4 times more likely to be overweight and obese than non-Hispanic Whites. The Office of Minority Health reports the prevalence of overweight and obesity (BMI\>25) among AA men age 20 and older is 70%. AA men suffer disproportionately from obesity-related consequences. Modest weight loss (WL) of 10% or less improves cardiovascular disease risk factors and reduces the risk of type 2 diabetes. However, the majority of participants in lifestyle weight loss (LWL) interventions are most commonly Caucasian women. While men are unrepresented in weight loss programs; even fewer studies examine WL in AA men. Only 4.5% of AA men participate in research studies, according to the National Institute of Health (NIH). When AA men have participated in LWL interventions, they have loss less weight compared to Caucasian men. Consequently, the evidence on the appropriateness of the current WL strategies and recommendations for AA men is limited.

There is limited literature on the appropriate strategies for WL in AA men because of their lack of participation. Social support is a predictor of weight loss and support from family is important in AA culture. Spousal support results, defined as spouse or significant other, are inconsistent and are largely conducted in Caucasian populations. The use of individual based theoretical frameworks may explain these inconsistencies. Using a dyad based framework like the Interdependence Theory may produce different results. The use of a dyad based theoretical framework and testing the effects of spousal support adds to the literature of WL among AA men.

This study seeks to determine the best strategies to attract overweight and obese AA men to participate and examine the efficacy of a 3 month spousal support enhanced behavioral weight loss intervention focused on behavior modification, nutrition and physical activity compared to a traditional intervention in achieving clinical significant weight loss in AA men. Using 2 arms randomized controlled trial (RCT) 26 AA men and their partners will be recruited to participate in each arm in Orange, Durham and Wake County, North Carolina. The investigator hypothesizes the proposed TEAM (Together Eating \& Activity Matters) program, a spousal support enhanced WL intervention, will result in clinical weight loss among AA men.

Conditions

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Overweight Weight Loss Obese

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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TEAM Enhanced

The enhanced intervention will include group sessions where the participant attends with partner ( including a couples skill training session), weekly tailored feedback, and weekly lessons.

Group Type EXPERIMENTAL

Attends with partner

Intervention Type BEHAVIORAL

The index partner will participate in intervention as a couple with their female counterpart.

Couples Skill Training

Intervention Type BEHAVIORAL

Participants and their partners will attend a pre session covering topics to assist them in working together to facilitate lifestyle changes.

Face to face group sessions

Intervention Type BEHAVIORAL

Group sessions will consists of components in traditional weight management programs.

Self Monitor

Intervention Type BEHAVIORAL

Participants will be instructed to monitor their eating and physical activity behaviors online/mobile application.

Notebook

Intervention Type OTHER

The notebook will consist of behavioral lessons, diet and physical activity plans, and additional resources to assist participants in achieving their behavioral goals.

Feedback

Intervention Type BEHAVIORAL

Each participant will receive a tailored email providing feedback on their weekly progress.

TEAM Traditional

The intervention will include group sessions where the male attends alone, weekly tailored feedback, and weekly lessons.

Group Type ACTIVE_COMPARATOR

Face to face group sessions

Intervention Type BEHAVIORAL

Group sessions will consists of components in traditional weight management programs.

Self Monitor

Intervention Type BEHAVIORAL

Participants will be instructed to monitor their eating and physical activity behaviors online/mobile application.

Notebook

Intervention Type OTHER

The notebook will consist of behavioral lessons, diet and physical activity plans, and additional resources to assist participants in achieving their behavioral goals.

Feedback

Intervention Type BEHAVIORAL

Each participant will receive a tailored email providing feedback on their weekly progress.

Interventions

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Attends with partner

The index partner will participate in intervention as a couple with their female counterpart.

Intervention Type BEHAVIORAL

Couples Skill Training

Participants and their partners will attend a pre session covering topics to assist them in working together to facilitate lifestyle changes.

Intervention Type BEHAVIORAL

Face to face group sessions

Group sessions will consists of components in traditional weight management programs.

Intervention Type BEHAVIORAL

Self Monitor

Participants will be instructed to monitor their eating and physical activity behaviors online/mobile application.

Intervention Type BEHAVIORAL

Notebook

The notebook will consist of behavioral lessons, diet and physical activity plans, and additional resources to assist participants in achieving their behavioral goals.

Intervention Type OTHER

Feedback

Each participant will receive a tailored email providing feedback on their weekly progress.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* The participant self-identifies as African American male.
* The participant is between the ages of 18 and 65.
* The participant has a BMI between 25 and 45 kg/m2.
* The participant enrolls with an African American overweight female spouse or cohabiting intimate partner
* The participant has weekly access to the internet and/or a mobile phone with internet capabilities.

Exclusion Criteria

* Both the participant and the partner are not willing and interested in losing weight.
* The participant is taking any medications that affect weight.
* The participant is participating in any other weight loss program.
* The participant has recently lost 10 lbs or more.
* The participant is expecting to relocate within the next 6 months.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

Yes

Sponsors

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University of North Carolina, Chapel Hill

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Deborah F Tate, PhD

Role: STUDY_CHAIR

University of North Carolina, Chapel Hill

Candice Alick, MS

Role: PRINCIPAL_INVESTIGATOR

University of NC-Chapel Hill

Locations

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University of North Carolina at Chapel Hill

Chapel Hill, North Carolina, United States

Site Status

Countries

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United States

References

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Alick CL, Samuel-Hodge C, Ward D, Ammerman A, Rini C, Tate DF. Together Eating & Activity Matters (TEAM): results of a pilot randomized-clinical trial of a spousal support weight loss intervention for Black men. Obes Sci Pract. 2018 Jan 17;4(1):62-75. doi: 10.1002/osp4.142. eCollection 2018 Feb.

Reference Type DERIVED
PMID: 29479466 (View on PubMed)

Other Identifiers

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14-3193

Identifier Type: -

Identifier Source: org_study_id

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