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CompletedNCT01232699iReach2Updated Dec 24, 2018

Internet Obesity Treatment Enhanced With Motivational Interviewing

An interventional study of Internet Obesity Treatment and Internet Obesity Treatment with MI in Obesity, sponsored by University of Vermont. Completed at 2 sites in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-12-24.

Sponsored by University of Vermont · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
495
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

Internet-based weight control programs have been shown effective in producing weight loss, but in-person delivery of behavioral weight control produces significantly greater weight loss than on-line delivery of the same program. Motivational Interviewing has been shown to increase weight loss when delivered as an adjunct to in-person weight loss programs but has not been examined in conjunction with web-based obesity treatment. Therefore, the overall goal of this project is to determine if the addition of on-line Motivational Interviewing to a web-based group behavioral obesity treatment program will augment weight loss outcomes.

Read the detailed description

This randomized controlled trial is designed to determine whether weight losses in a group behavioral weight loss intervention conducted over the Internet are increased with the inclusion of individual, online MI sessions. All participants will receive the same online 6-month group-based behavioral weight loss program followed by 12 months of weight maintenance. Overweight and obese adults at two study sties (N=426) will be randomized to (1) Internet intervention; or 2) Internet intervention with individual MI sessions occurring at three month intervals on a fixed schedule (Internet+MI-Fixed). Assessments will be conducted every six months and will include measures of body weight and height, diet and exercise behaviors, Quality of Life, adherence measures (eg., attendance, compliance with self-monitoring), social influence components, motivation, treatment satisfaction, demographic data and descriptive information regarding use of website components. A third arm was added for the final 3 intervention cohorts. All participants received the program as described above with the addition of motivational interviewing contingent on participants' attendance in classes.

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Conditions studied

  • Obesity

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Keywords

  • obesity
  • weight loss
  • internet treatment
  • motivational interviewing
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In context

Obesity

6,296 studies on the registry are indexed under Obesity; 1,692 are open to participants now.

This study's enrollment of 495 is above the median of 78 across 4,878 interventional studies indexed under Obesity.

Browse Obesity studies →

Lead sponsor

University of Vermont is the lead sponsor of 215 studies on the registry; 28 are open to participants now.

Of its 16 completed or terminated interventional studies of FDA-regulated products, 9 (56%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • must be over 18
  • must have a BMI between 18 and 50
  • must live within 60 minutes driving distance of University of Arkansas, Little Rock, AR, or University of Vermont, Burlington, Vermont
  • must be able to walk for exercise

Exclusion criteria

Exclusion Criteria:

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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
495 participants (actual)

Study arms

  • Active comparator
    Internet Obesity Treatment

    Participants will attend weekly class sessions on line and track food and exercise in an on-line journal.

    Behavioral: Internet Obesity Treatment

  • Experimental
    Internet Obesity Treatment with MI

    Participants will attend weekly classes on line, record food and exercise in an on-line journal, and will have no more than 6 individual motivational interviewing sessions.

    Behavioral: Internet Obesity Treatment with MI

  • Experimental
    Contingent MI

    Intervention is the same as for the MI arm, however participants will only receive MI if meeting certain treatment participation conditions.

    Behavioral: Contingent MI

Interventions

  • BehavioralInternet Obesity Treatment

    Participants will engage in self monitoring, will receive skills training to help cope with environmental triggers, and will receive nutrition advice.

    Also known as: iREACH2

  • BehavioralInternet Obesity Treatment with MI

    In addition to weekly group meetings, self-monitoring through recording calorie and fat intake daily as well as exercise, participants will meet one-on-one with an MI counselor on-line in order to augment an individual's motivation to change behavior.

    Also known as: iREACH2

  • BehavioralContingent MI

    Participants will attend weekly behavioral internet meetings. They may or may not receive Motivational Interviewing depending on their class attendance.

    Also known as: iReach2

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What researchers measure

Primary outcomes

  1. Change in Body Weight

    Weights will be taken in street clothes without shoes using a hospital quality digital floor model scale.

    Time frame: 6 months

  2. Change in Body Weight

    Time frame: 12 months

  3. Change in Body Weight

    Time frame: 18 months

  4. Change in body weight

    Weights will be taken in street clothes without shoes using a hospital quality digital floor model scale. Height will be taken at baseline using a wall-mounted stadiometer and BMI will be calculated as weight (kg)/height(m2)

    Time frame: 0

Secondary outcomes

  1. Adherence to Treatment Components

    Items will include attendance at chat group meetings and completion of online food diaries and exercise records.

    Time frame: 6 months

  2. Adherence to Treatment Components

    Time frame: 12 months

  3. Adherence to Treatment Components

    Time frame: 18 months

  4. Motivation Measures

    We will assess participant motivation for participating in a weight reduction program and adhering to the program.

    Time frame: 0

  5. Motivation Measures

    Time frame: 6

  6. Motivation Measures

    Time frame: 12 months

  7. Motivation Measures

    Time frame: 18 months

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Study locations

2 sites
  • University of Arkansas for the Medical Sciences
    Little Rock, Arkansas 72205, United States
  • Behavioral Weight Management Program/Univ of Vermont
    Burlington, Vermont 05405, United States
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References and documents

Publications

  • Harvey J, Krukowski R, Priest J, West D. Log Often, Lose More: Electronic Dietary Self-Monitoring for Weight Loss. Obesity (Silver Spring). 2019 Mar;27(3):380-384. doi: 10.1002/oby.22382. PubMed 30801989 ↗
  • West DS, Harvey JR, Krukowski RA, Prewitt TE, Priest J, Ashikaga T. Do individual, online motivational interviewing chat sessions enhance weight loss in a group-based, online weight control program? Obesity (Silver Spring). 2016 Nov;24(11):2334-2340. doi: 10.1002/oby.21645. Epub 2016 Sep 12. PubMed 27616628 ↗
  • Krukowski RA, DiLillo V, Ingle K, Harvey JR, West DS. Design and Methods of a Synchronous Online Motivational Interviewing Intervention for Weight Management. JMIR Res Protoc. 2016 Apr 19;5(2):e69. doi: 10.2196/resprot.5382. PubMed 27095604 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 24, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01232699
Lead sponsor
University of Vermont
Collaborators
University of Arkansas
Responsible party
Jean R. Harvey, PhD, RD (Principal Investigator, University of Vermont) — Principal investigator
First posted
Nov 2, 2010
Start date
Dec 2010
Primary completion
Apr 2014
Completion
Apr 2014
Last update
Dec 24, 2018

Study contacts

Jean R Harvey Berino, PhD.
principal investigator · University of Vermont
Delia Smith-West, PhD.
principal investigator · UAMS

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Dec 2018. You cannot join it, but the record below documents what was studied.

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