A Phase 2/3 interventional study of 12 Telephone Coaching Sessions and 24 Telephone Coaching Sessions in Weight Loss, sponsored by Northwestern University. Completed at 1 site in United States. Open to participants aged 18 Years to 60 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-02-01.
Sponsored by Northwestern University · Phase 2/3, Interventional, and Treatment
The overall objective of the proposed research is to use an innovative methodological framework, the Multiphase Optimization Strategy (MOST), to design, for the first time, an optimized, scalable version of a technology-supported intensive lifestyle intervention (INLI) for obesity. MOST involves highly efficient randomized experimentation to assess the effects of individual treatment components, and thereby identify which components and component levels make important contributions to the overall program effect on weight loss. This information then guides assembly of an optimized treatment package that achieves target outcomes with least resource consumption and participant burden. Because the intervention strategies being tested minimize in-person coaching and leverage technology that participants already own, the new optimized intervention, to be called Opt-IN, will be more scalable than traditional INLIs. Opt-IN will thus enjoy greatly increased reach, and enable significant progress in the fight against obesity.
The goal of the proposed study is to determine the optimal composition of a technology supported intervention for obesity that minimizes expense and burden to participants, while achieving 6 month weight loss outcomes comparable or superior to those achieved by the current full cost, full burden form of INLIs. All intervention components to be examined were selected based on the Opt-IN model's prediction that they enhance behavioral adherence to weight regulation via the designated pathways. The five components to be tested will be: (1) coaching intensity (12 vs. 24 phone sessions), (2) text messaging (No vs. Yes), (3) progress report to participant's primary care provider (No vs. Yes), (4) recommendation to use meal replacements (No vs. Yes), (5) training participants' self-selected buddies to be supportive (No vs. Yes).
1,766 studies on the registry are indexed under Weight Loss; 278 are open to participants now.
This study's enrollment of 562 is above the median of 73 across 1,496 interventional studies indexed under Weight Loss.
Browse Weight Loss studies →Northwestern University is the lead sponsor of 1,396 studies on the registry; 199 are open to participants now.
Of its 102 completed or terminated interventional studies of FDA-regulated products, 73 (72%) have results posted.
Counted across the registry records on this site, refreshed daily.
"Buddy" participants must:
Exclusion Criteria:
1) Lifestyle Core; 2) 12 Telephone Coaching Sessions; 3) Report to Primary Care Physician
Behavioral: 12 Telephone Coaching Sessions · Behavioral: Report to Primary Care Physician
1) Lifestyle Core; 2) 12 telephone sessions; 3) Report to Primary Care Physician; 4) Recommendations to use meal replacements; 5) Buddy training via webinars
Behavioral: 12 Telephone Coaching Sessions · Behavioral: Report to Primary Care Physician · Behavioral: Recommendations to use meal replacements · Behavioral: Buddy Training
1) Lifestyle Core; 2) 12 telephone sessions; 3) Report to Primary Care Physician; 4) Regular text messages; 5) Buddy training via webinars
Behavioral: 12 Telephone Coaching Sessions · Behavioral: Report to Primary Care Physician · Behavioral: Text Messages · Behavioral: Buddy Training
1) Lifestyle Core; 2) 12 telephone sessions; 3) Report to Primary Care Physician; 4) Recommendation to use meal replacements; 5) Regular text messages
Behavioral: 12 Telephone Coaching Sessions · Behavioral: Report to Primary Care Physician · Behavioral: Text Messages · Behavioral: Recommendations to use meal replacements
1) Lifestyle Core; 2) 12 telephone sessions; 3) Buddy training via webinars
Behavioral: 12 Telephone Coaching Sessions · Behavioral: Buddy Training
1) Lifestyle Core; 2) 12 telephone coaching sessions; 3) Recommendations to use meal replacements
Behavioral: 12 Telephone Coaching Sessions · Behavioral: Recommendations to use meal replacements
1) Lifestyle Core; 2) 12 telephone sessions; 3) Regular text messages
Behavioral: 12 Telephone Coaching Sessions · Behavioral: Text Messages
1) Lifestyle Core; 2) 12 telephone sessions; 3) Recommendation to use meal replacements; 4) Regular text messages, 5) Buddy training via webinars
Behavioral: 12 Telephone Coaching Sessions · Behavioral: Text Messages · Behavioral: Recommendations to use meal replacements · Behavioral: Buddy Training
1) Lifestyle Core; 2) 24 telephone coaching sessions; 3) Report to Primary Care Physician
Behavioral: 24 Telephone Coaching Sessions · Behavioral: Report to Primary Care Physician
1) Lifestyle Core; 2) 24 telephone sessions; 3) Report to Primary Care Physician; 4) Recommendation to use meal replacements; 5) Buddy training via webinars
Behavioral: 24 Telephone Coaching Sessions · Behavioral: Report to Primary Care Physician · Behavioral: Recommendations to use meal replacements · Behavioral: Buddy Training
1) Lifestyle Core; 2) 24 telephone sessions; 3) Report to Primary Care Physician; 4) Regular text messages; 5) Buddy training via webinars
Behavioral: 24 Telephone Coaching Sessions · Behavioral: Report to Primary Care Physician · Behavioral: Text Messages · Behavioral: Buddy Training
1) Lifestyle Core; 2) 24 telephone sessions; 3) Report to Primary Care Physician; 4) Recommendation to use meal replacements; 5) Regular text messages
Behavioral: 24 Telephone Coaching Sessions · Behavioral: Report to Primary Care Physician · Behavioral: Text Messages · Behavioral: Recommendations to use meal replacements
1) Lifestyle Core; 2) 24 telephone sessions; 3) Buddy training via webinars
Behavioral: 24 Telephone Coaching Sessions · Behavioral: Buddy Training
1) Lifestyle Core; 2) 24 telephone coaching sessions; 3) Recommendation to use meal replacements
Behavioral: 24 Telephone Coaching Sessions · Behavioral: Recommendations to use meal replacements
1) Lifestyle Core; 2) 24 telephone sessions; 3) Regular text messages
Behavioral: 24 Telephone Coaching Sessions · Behavioral: Text Messages
1) Lifestyle Core; 2) 24 telephone sessions; 3) Recommendation to use meal replacements; 4) Regular text messages, 5) Buddy training via webinars
Behavioral: 24 Telephone Coaching Sessions · Behavioral: Text Messages · Behavioral: Recommendations to use meal replacements · Behavioral: Buddy Training
1) Lifestyle Core; 2) 12 Telephone Coaching Sessions
Behavioral: 12 Telephone Coaching Sessions
1) Lifestyle Core; 2) 12 telephone sessions; 3) Recommendations to use meal replacements; 4) Buddy training via webinars
Behavioral: 12 Telephone Coaching Sessions · Behavioral: Recommendations to use meal replacements · Behavioral: Buddy Training
1) Lifestyle Core; 2) 12 telephone sessions; 3) Regular text messages; 4) Buddy training via webinars
Behavioral: 12 Telephone Coaching Sessions · Behavioral: Text Messages · Behavioral: Buddy Training
1) Lifestyle Core; 2) 12 telephone sessions; 3) Regular text messages; 4) Recommendation to use meal replacements
Behavioral: 12 Telephone Coaching Sessions · Behavioral: Text Messages · Behavioral: Recommendations to use meal replacements
1) Lifestyle Core; 2) 12 telephone sessions; 3) Report to Primary Care Physician; 4) Buddy training via webinars
Behavioral: Report to Primary Care Physician · Behavioral: Buddy Training
1) Lifestyle Core; 2) 12 telephone coaching sessions; 3) Report to Primary Care Physician; 4) Recommendations to use meal replacements
Behavioral: Report to Primary Care Physician
1) Lifestyle Core; 2) 12 telephone sessions; 3) Report to Primary Care Physician; 4) Regular text messages
Behavioral: 12 Telephone Coaching Sessions · Behavioral: Report to Primary Care Physician · Behavioral: Text Messages
1) Lifestyle Core; 2) 12 telephone sessions; 3) Report to Primary Care Physician; 4) Recommendation to use meal replacements; 5) Regular text messages, 6) Buddy training via webinars
Behavioral: 12 Telephone Coaching Sessions · Behavioral: Report to Primary Care Physician · Behavioral: Text Messages · Behavioral: Recommendations to use meal replacements · Behavioral: Buddy Training
1) Lifestyle Core; 2) 24 telephone coaching sessions
Behavioral: 24 Telephone Coaching Sessions
1) Lifestyle Core; 2) 24 telephone sessions; 3) Recommendation to use meal replacements; 4) Buddy training via webinars
Behavioral: 24 Telephone Coaching Sessions · Behavioral: Recommendations to use meal replacements · Behavioral: Buddy Training
1) Lifestyle Core; 2) 24 telephone sessions; 3) Regular text messages; 4) Buddy training via webinars
Behavioral: 24 Telephone Coaching Sessions · Behavioral: Text Messages · Behavioral: Buddy Training
1) Lifestyle Core; 2) 24 telephone sessions; 3) Regular text messages; 4) Recommendation to use meal replacements
Behavioral: 24 Telephone Coaching Sessions · Behavioral: Text Messages · Behavioral: Recommendations to use meal replacements
1) Lifestyle Core; 2) 24 telephone sessions; 3) Report to Primary Care Physician; 4) Buddy training via webinars
Behavioral: 24 Telephone Coaching Sessions · Behavioral: Report to Primary Care Physician · Behavioral: Buddy Training
1) Lifestyle Core; 2) 24 telephone coaching sessions; 3) Report to Primary Care Physician; 4) Recommendation to use meal replacements
Behavioral: 24 Telephone Coaching Sessions · Behavioral: Report to Primary Care Physician · Behavioral: Recommendations to use meal replacements
1) Lifestyle Core; 2) 24 telephone sessions; 3) Report to Primary Care Physician; 4) Regular text messages
Behavioral: 24 Telephone Coaching Sessions · Behavioral: Report to Primary Care Physician · Behavioral: Text Messages
1) Lifestyle Core; 2) 24 telephone sessions; 3) Report to Primary Care Physician; 4) Recommendation to use meal replacements; 5) Regular text messages, 6) Buddy training via webinars
Behavioral: 24 Telephone Coaching Sessions · Behavioral: Report to Primary Care Physician · Behavioral: Text Messages · Behavioral: Recommendations to use meal replacements · Behavioral: Buddy Training
Participants will receive 12 telephone coaching sessions
Participants will receive 24 telephone coaching sessions
Participants will have a report detailing their weight loss progress sent to their primary care physician
Participants will receive regular text messages
Participants will receive recommendations from their coach to use meal replacements
Participants will have a buddy that will be trained via webinars to be a supportive buddy
Weight Change (kg) From Baseline to Month 6, Main Effect of Time
Estimated mean change from Baseline to Month 6 were obtained from a linear mixed models analysis of variance to account for missing data. All randomized participants were utilized in the model (ITT analysis).
Time frame: From Baseline to Month 6
Weight Change (kg) From Baseline to Month 6, Time by Factor Interaction
Estimated mean change from Baseline to Month 6 were obtained from a linear mixed models analysis of variance to account for missing data. All randomized participants were utilized in the model (ITT analysis). This outcome measure is reported as an additional effect beyond that of Outcome Measure 1 (each component has it's own weight loss effect that is above and beyond the weight change calculated in the Outcome Measure 1 analyses).
Time frame: From Baseline to Month 6
Intervention for <$500
Using the results from primary aim 1, an intervention with only active treatment components with the largest treatment effect that can be obtained for implementation costs of $500 or less was identified and built.
Time frame: 6 months
Treatment Adherence
Treatment adherence is a hypothesized mediator that will be operationalized as the number of treatment sessions completed divided by the number of treatment sessions offered (12 or 24)
Time frame: 6 months
Self-monitoring Adherence
Self-monitoring is a hypothesized mediator that will be operationalized as the number of days recording weight, dietary intake, and physical activity
Time frame: 6 months
Self-efficacy
Self-efficacy is an exploratory mediator that will be assessed to examine treatment effects on confidence about performing two categories of behaviors associated with weight loss: diet and physical activity
Time frame: 6 months
Self-Regulation
Self-regulation is an exploratory mediator that will be assessed using the Three Factor Eating Questionnaire and Treatment Self-Regulation Questionnaire
Time frame: 6 months
Supportive Accountability
Supportive accountability is an exploratory mediator that will be measured by assessing two constructs that define supportive accountability: therapeutic alliance and perceived autonomy support
Time frame: 6 months
Facilitation
Facilitation is an exploratory mediator that will be measured by rating how much the tools provided by the study have changed their environment and by the Weight Management Support Inventory
Time frame: 6 months
8593 were screened. 1159 attended orientation. 1078 signed consent. 562 were randomized.
| Milestone | 1. 12 Calls, PCP | 2. 12 Calls, PCP, MR, Buddy | 3. 12 Calls, PCP, Texts, Buddy | 4. 12 Calls, PCP, Texts, MR | 5. 12 Calls, Buddy | 6. 12 Calls, MR | 7. 12 Calls, Texts | 8. 12 Calls, Texts, MR, Buddy | 9. 24 Calls, PCP | 10. 24 Calls, PCP, MR, Buddy | 11. 24 Calls, PCP, Texts, Buddy | 12. 24 Calls, PCP, Texts, MR | 13. 24 Calls, Buddy | 14. 24 Calls, MR | 15. 24 Calls, Texts | 16. 24 Calls, Texts, MR, Buddy | 17. 12 Calls | 18. 12 Calls, MR, Buddy | 19. 12 Calls, Texts, Buddy | 20. 12 Calls, Texts, MR | 21. 12 Calls, PCP, Buddy | 22. 12 Calls, PCP, MR | 23. 12 Calls PCP, Texts | 24. 12 Calls, PCP, Texts, MR, Buddy | 25. 24 Calls | 26. 24 Calls, MR, Buddy | 27. 24 Calls, Texts, Buddy | 28. 24 Calls, Texts, MR | 29. 24 Calls, PCP, Buddy | 30. 24 Calls, PCP, MR | 31. 24 Calls, PCP, Texts | 32. 24 Calls, PCP, Texts, MR, Buddy |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Started | 18 | 18 | 18 | 18 | 18 | 18 | 18 | 18 | 19 | 18 | 18 | 18 | 18 | 18 | 18 | 18 | 17 | 18 | 17 | 16 | 16 | 17 | 17 | 18 | 17 | 16 | 18 | 17 | 18 | 17 | 17 | 17 |
| 3-mo visit | 15 | 18 | 16 | 18 | 15 | 15 | 16 | 18 | 18 | 15 | 18 | 17 | 16 | 16 | 16 | 16 | 16 | 16 | 14 | 13 | 15 | 17 | 15 | 18 | 13 | 14 | 17 | 14 | 15 | 16 | 16 | 17 |
| Intent to treat | 4 | 2 | 3 | 0 | 4 | 6 | 4 | 1 | 3 | 5 | 1 | 2 | 3 | 2 | 3 | 2 | 3 | 1 | 3 | 5 | 2 | 1 | 4 | 1 | 6 | 2 | 2 | 4 | 4 | 3 | 2 | 0 |
| Completed | 14 | 16 | 15 | 18 | 14 | 12 | 14 | 17 | 16 | 13 | 17 | 16 | 15 | 16 | 15 | 16 | 14 | 17 | 14 | 11 | 14 | 16 | 13 | 17 | 11 | 14 | 16 | 13 | 14 | 14 | 15 | 17 |
| Not completed | 4 | 2 | 3 | 0 | 4 | 6 | 4 | 1 | 3 | 5 | 1 | 2 | 3 | 2 | 3 | 2 | 3 | 1 | 3 | 5 | 2 | 1 | 4 | 1 | 6 | 2 | 2 | 4 | 4 | 3 | 2 | 0 |
| Withdrew: Lost to follow-up | 2 | 2 | 2 | 0 | 2 | 3 | 3 | 1 | 2 | 3 | 1 | 2 | 2 | 1 | 2 | 1 | 3 | 1 | 3 | 3 | 2 | 1 | 3 | 1 | 4 | 1 | 1 | 2 | 3 | 3 | 2 | 0 |
| Withdrew: Withdrawal by subject | 2 | 0 | 1 | 0 | 2 | 3 | 1 | 0 | 1 | 2 | 0 | 0 | 1 | 1 | 1 | 1 | 0 | 0 | 0 | 2 | 0 | 0 | 1 | 0 | 2 | 1 | 1 | 2 | 1 | 0 | 0 | 0 |
Estimated mean change from Baseline to Month 6 were obtained from a linear mixed models analysis of variance to account for missing data. All randomized participants were utilized in the model (ITT analysis).
| Kg | All Reporting Groups |
|---|---|
| Weight Change (kg) From Baseline to Month 6, Main Effect of Time | -4.8 (-5.3 to -4.4) |
Estimated mean change from Baseline to Month 6 were obtained from a linear mixed models analysis of variance to account for missing data. All randomized participants were utilized in the model (ITT analysis). This outcome measure is reported as an additional effect beyond that of Outcome Measure 1 (each component has it's own weight loss effect that is above and beyond the weight change calculated in the Outcome Measure 1 analyses).
| Kg | Coaching Calls | PCP Reports | Text Messages | Meal Replacements | Buddy Training |
|---|---|---|---|---|---|
| Weight Change (kg) From Baseline to Month 6, Time by Factor Interaction | .1244 (-.3026 to .5513) | -.0226 (-.4495 to .4044) | .0840 (-.3429 to .5109) | .1081 (-.3188 to .5350) | -.4353 (-.8622 to -.0084) |
Using the results from primary aim 1, an intervention with only active treatment components with the largest treatment effect that can be obtained for implementation costs of $500 or less was identified and built.
| dollars | All Reporting Groups |
|---|---|
| Intervention for <$500 | 427 |
Treatment adherence is a hypothesized mediator that will be operationalized as the number of treatment sessions completed divided by the number of treatment sessions offered (12 or 24)
Results for this outcome have not been posted.
Self-monitoring is a hypothesized mediator that will be operationalized as the number of days recording weight, dietary intake, and physical activity
Results for this outcome have not been posted.
Self-efficacy is an exploratory mediator that will be assessed to examine treatment effects on confidence about performing two categories of behaviors associated with weight loss: diet and physical activity
Results for this outcome have not been posted.
Self-regulation is an exploratory mediator that will be assessed using the Three Factor Eating Questionnaire and Treatment Self-Regulation Questionnaire
Results for this outcome have not been posted.
Supportive accountability is an exploratory mediator that will be measured by assessing two constructs that define supportive accountability: therapeutic alliance and perceived autonomy support
Results for this outcome have not been posted.
Facilitation is an exploratory mediator that will be measured by rating how much the tools provided by the study have changed their environment and by the Weight Management Support Inventory
Results for this outcome have not been posted.
Collected over Adverse event data were collected from randomization to 6-month follow-up. All 562 participants in the study were enrolled between 2013 and 2017.. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Condition 1 | 0/18 (0%) | 0/18 (0%) | 6/18 (33.3%) |
| Condition 2 | 0/18 (0%) | 0/18 (0%) | 8/18 (44.4%) |
| Condition 3 | 0/18 (0%) | 0/18 (0%) | 7/18 (38.9%) |
| Condition 4 | 0/18 (0%) | 0/18 (0%) | 4/18 (22.2%) |
| Condition 5 | 0/18 (0%) | 1/18 (5.6%) | 4/18 (22.2%) |
| Condition 6 | 0/18 (0%) | 0/18 (0%) | 2/18 (11.1%) |
| Condition 7 | 0/18 (0%) | 0/18 (0%) | 5/18 (27.8%) |
| Condition 8 | 0/18 (0%) | 0/18 (0%) | 8/18 (44.4%) |
| Condition 9 | 0/19 (0%) | 0/19 (0%) | 8/18 (44.4%) |
| Condition 10 | 0/18 (0%) | 0/18 (0%) | 8/18 (44.4%) |
| Condition 11 | 0/18 (0%) | 0/18 (0%) | 4/18 (22.2%) |
| Condition 12 | 0/18 (0%) | 0/18 (0%) | 9/18 (50%) |
| Condition 13 | 0/18 (0%) | 0/18 (0%) | 7/18 (38.9%) |
| Condition 14 | 0/18 (0%) | 0/18 (0%) | 8/18 (44.4%) |
| Condition 15 | 0/18 (0%) | 0/18 (0%) | 8/18 (44.4%) |
| Condition 16 | 0/18 (0%) | 1/18 (5.6%) | 8/18 (44.4%) |
| Condition 17 | 0/17 (0%) | 0/17 (0%) | 5/17 (29.4%) |
| Condition 18 | 0/18 (0%) | 0/18 (0%) | 2/18 (11.1%) |
| Condition 19 | 0/17 (0%) | 0/17 (0%) | 1/17 (5.9%) |
| Condition 20 | 0/16 (0%) | 0/16 (0%) | 2/16 (12.5%) |
| Condition 21 | 0/16 (0%) | 0/16 (0%) | 2/16 (12.5%) |
| Condition 22 | 0/17 (0%) | 0/17 (0%) | 2/17 (11.8%) |
| Condition 23 | 0/17 (0%) | 0/17 (0%) | 1/17 (5.9%) |
| Condition 24 | 0/18 (0%) | 0/18 (0%) | 2/18 (11.1%) |
| Condition 25 | 0/17 (0%) | 0/17 (0%) | 3/17 (17.6%) |
| Condition 26 | 0/16 (0%) | 0/16 (0%) | 2/16 (12.5%) |
| Condition 27 | 0/18 (0%) | 0/18 (0%) | 3/18 (16.7%) |
| Condition 28 | 0/17 (0%) | 0/17 (0%) | 4/17 (23.5%) |
| Condition 29 | 0/18 (0%) | 0/18 (0%) | 3/18 (16.7%) |
| Condition 30 | 0/17 (0%) | 0/17 (0%) | 2/17 (11.8%) |
| Condition 31 | 0/17 (0%) | 0/17 (0%) | 3/17 (17.6%) |
| Condition 32 | 0/17 (0%) | 0/17 (0%) | 1/17 (5.9%) |
| Event | Condition 1 | Condition 2 | Condition 3 | Condition 4 | Condition 5 | Condition 6 | Condition 7 | Condition 8 | Condition 9 | Condition 10 | Condition 11 | Condition 12 | Condition 13 | Condition 14 | Condition 15 | Condition 16 | Condition 17 | Condition 18 | Condition 19 | Condition 20 | Condition 21 | Condition 22 | Condition 23 | Condition 24 | Condition 25 | Condition 26 | Condition 27 | Condition 28 | Condition 29 | Condition 30 | Condition 31 | Condition 32 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Brain bleedInjury, poisoning and procedural complications | 0/18 | 0/18 | 0/18 | 0/18 | 0/18 | 0/18 | 0/18 | 0/18 | 0/19 | 0/18 | 0/18 | 0/18 | 0/18 | 0/18 | 0/18 | 1/18 | 0/17 | 0/18 | 0/17 | 0/16 | 0/16 | 0/17 | 0/17 | 0/18 | 0/17 | 0/16 | 0/18 | 0/17 | 0/18 | 0/17 | 0/17 | 0/17 |
| severe head injuryInjury, poisoning and procedural complications | 0/18 | 0/18 | 0/18 | 0/18 | 1/18 | 0/18 | 0/18 | 0/18 | 0/19 | 0/18 | 0/18 | 0/18 | 0/18 | 0/18 | 0/18 | 0/18 | 0/17 | 0/18 | 0/17 | 0/16 | 0/16 | 0/17 | 0/17 | 0/18 | 0/17 | 0/16 | 0/18 | 0/17 | 0/18 | 0/17 | 0/17 | 0/17 |
| Event | Condition 1 | Condition 2 | Condition 3 | Condition 4 | Condition 5 | Condition 6 | Condition 7 | Condition 8 | Condition 9 | Condition 10 | Condition 11 | Condition 12 | Condition 13 | Condition 14 | Condition 15 | Condition 16 | Condition 17 | Condition 18 | Condition 19 | Condition 20 | Condition 21 | Condition 22 | Condition 23 | Condition 24 | Condition 25 | Condition 26 | Condition 27 | Condition 28 | Condition 29 | Condition 30 | Condition 31 | Condition 32 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| food poisoningInfections and infestations | 0/18 | 0/18 | 1/18 | 0/18 | 0/18 | 0/18 | 0/18 | 3/18 | 0/18 | 0/18 | 0/18 | 0/18 | 0/18 | 0/18 | 0/18 | 2/18 | 0/17 | 0/18 | 0/17 | 0/16 | 0/16 | 0/17 | 0/17 | 0/18 | 0/17 | 0/16 | 0/18 | 0/17 | 0/18 | 0/17 | 0/17 | 0/17 |
| sinus infectionInfections and infestations | 0/18 | 0/18 | 0/18 | 0/18 | 0/18 | 0/18 | 0/18 | 0/18 | 1/18 | 1/18 | 0/18 | 0/18 | 0/18 | 1/18 | 1/18 | 3/18 | 0/17 | 0/18 | 0/17 | 0/16 | 0/16 | 0/17 | 0/17 | 0/18 | 0/17 | 0/16 | 0/18 | 0/17 | 0/18 | 0/17 | 0/17 | 0/17 |
| muscle sorenessInjury, poisoning and procedural complications | 1/18 | 0/18 | 0/18 | 1/18 | 1/18 | 1/18 | 1/18 | 1/18 | 1/18 | 3/18 | 1/18 | 1/18 | 1/18 | 1/18 | 1/18 | 2/18 | 1/17 | 0/18 | 0/17 | 0/16 | 1/16 | 0/17 | 0/17 | 0/18 | 0/17 | 0/16 | 0/18 | 0/17 | 2/18 | 0/17 | 0/17 | 0/17 |
| joint sorenessInjury, poisoning and procedural complications | 1/18 | 1/18 | 1/18 | 1/18 | 1/18 | 0/18 | 1/18 | 0/18 | 0/18 | 2/18 | 1/18 | 1/18 | 1/18 | 0/18 | 2/18 | 3/18 | 1/17 | 0/18 | 0/17 | 1/16 | 0/16 | 0/17 | 0/17 | 0/18 | 1/17 | 0/16 | 1/18 | 0/17 | 0/18 | 0/17 | 0/17 | 0/17 |
| bronchitisInfections and infestations | 0/18 | 0/18 | 0/18 | 0/18 | 0/18 | 0/18 | 0/18 | 0/18 | 2/18 | 0/18 | 0/18 | 0/18 | 0/18 | 0/18 | 1/18 | 0/18 | 0/17 | 0/18 | 0/17 | 0/16 | 0/16 | 0/17 | 0/17 | 0/18 | 0/17 | 1/16 | 0/18 | 0/17 | 0/18 | 0/17 | 0/17 | 0/17 |
| dental procedureSurgical and medical procedures | 1/18 | 0/18 | 0/18 | 0/18 | 1/18 | 0/18 | 0/18 | 0/18 | 2/18 | 1/18 | 0/18 | 0/18 | 0/18 | 0/18 | 0/18 | 0/18 | 0/17 | 0/18 | 1/17 | 0/16 | 0/16 | 0/17 | 0/17 | 0/18 | 0/17 | 0/16 | 0/18 | 0/17 | 0/18 | 0/17 | 0/17 | 0/17 |
| muscle strainInjury, poisoning and procedural complications | 2/18 | 1/18 | 0/18 | 0/18 | 0/18 | 1/18 | 1/18 | 0/18 | 1/18 | 0/18 | 1/18 | 2/18 | 1/18 | 1/18 | 0/18 | 1/18 | 0/17 | 0/18 | 0/17 | 0/16 | 0/16 | 0/17 | 0/17 | 0/18 | 1/17 | 0/16 | 0/18 | 1/17 | 0/18 | 0/17 | 0/17 | 1/17 |
| ankle sprainInjury, poisoning and procedural complications | 0/18 | 2/18 | 1/18 | 0/18 | 0/18 | 0/18 | 0/18 | 1/18 | 0/18 | 0/18 | 0/18 | 0/18 | 1/18 | 0/18 | 1/18 | 0/18 | 1/17 | 0/18 | 0/17 | 0/16 | 0/16 | 0/17 | 0/17 | 0/18 | 0/17 | 0/16 | 1/18 | 0/17 | 0/18 | 0/17 | 0/17 | 0/17 |
| lacerationInjury, poisoning and procedural complications | 0/18 | 0/18 | 0/18 | 0/18 | 0/18 | 0/18 | 0/18 | 0/18 | 2/18 | 0/18 | 0/18 | 1/18 | 0/18 | 0/18 | 0/18 | 0/18 | 0/17 | 0/18 | 0/17 | 0/16 | 0/16 | 0/17 | 0/17 | 0/18 | 0/17 | 0/16 | 0/18 | 1/17 | 0/18 | 0/17 | 0/17 | 0/17 |
| migraineInjury, poisoning and procedural complications | 0/18 | 0/18 | 0/18 | 0/18 | 0/18 | 0/18 | 0/18 | 0/18 | 0/18 | 1/18 | 0/18 | 0/18 | 0/18 | 2/18 | 0/18 | 0/18 | 0/17 | 0/18 | 0/17 | 0/16 | 0/16 | 0/17 | 0/17 | 0/18 | 0/17 | 0/16 | 0/18 | 0/17 | 0/18 | 0/17 | 0/17 | 0/17 |
Baseline population included all randomized participants (562).
| Age, Continuous(years) | 1. 12 Calls, PCP | 2. 12 Calls, PCP, MR, Buddy | 3. 12 Calls, PCP, Texts, Buddy | 4. 12 Calls, PCP, Texts, MR | 5. 12 Calls, Buddy | 6. 12 Calls, MR | 7. 12 Calls, Texts | 8. 12 Calls, Texts, MR, Buddy | 9. 24 Calls, PCP | 10. 24 Calls, PCP, MR, Buddy | 11. 24 Calls, PCP, Texts, Buddy | 12. 24 Calls, PCP, Texts, MR | 13. 24 Calls, Buddy | 14. 24 Calls, MR | 15. 24 Calls, Texts | 16. 24 Calls, Texts, MR, Buddy | 17. 12 Calls | 18. 12 Calls, MR, Buddy | 19. 12 Calls, Texts, Buddy | 20. 12 Calls, Texts, MR | 21. 12 Calls, PCP, Buddy | 22. 12 Calls, PCP, MR | 23. 12 Calls PCP, Texts | 24. 12 Calls, PCP, Texts, MR, Buddy | 25. 24 Calls | 26. 24 Calls, MR, Buddy | 27. 24 Calls, Texts, Buddy | 28. 24 Calls, Texts, MR | 29. 24 Calls, PCP, Buddy | 30. 24 Calls, PCP, MR | 31. 24 Calls, PCP, Texts | 32. 24 Calls, PCP, Texts, MR, Buddy | Total |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Mean | 40.0 ± 8.6 | 43.2 ± 14.2 | 41.7 ± 10.9 | 40.2 ± 11.2 | 31.4 ± 9.1 | 40.5 ± 9.9 | 40.8 ± 12.2 | 39.4 ± 12.9 | 39.5 ± 8.3 | 38.7 ± 8.9 | 39.1 ± 11.2 | 40.6 ± 12.0 | 40.4 ± 9.1 | 36.3 ± 10.6 | 39.8 ± 12.8 | 35.8 ± 11.8 | 38.2 ± 12.0 | 39.2 ± 10.5 | 37.4 ± 10.9 | 32.2 ± 7.1 | 36.7 ± 6.0 | 40.3 ± 10.8 | 40.1 ± 11.6 | 37.9 ± 12.8 | 35.7 ± 9.6 | 47.3 ± 10.2 | 35.1 ± 9.0 | 41.0 ± 10.1 | 39.1 ± 11.7 | 37.2 ± 9.9 | 40.6 ± 12.8 | 39.9 ± 12.0 | 38.9 ± 10.9 |
| Sex: Female, Male(Participants) | 1. 12 Calls, PCP | 2. 12 Calls, PCP, MR, Buddy | 3. 12 Calls, PCP, Texts, Buddy | 4. 12 Calls, PCP, Texts, MR | 5. 12 Calls, Buddy | 6. 12 Calls, MR | 7. 12 Calls, Texts | 8. 12 Calls, Texts, MR, Buddy | 9. 24 Calls, PCP | 10. 24 Calls, PCP, MR, Buddy | 11. 24 Calls, PCP, Texts, Buddy | 12. 24 Calls, PCP, Texts, MR | 13. 24 Calls, Buddy | 14. 24 Calls, MR | 15. 24 Calls, Texts | 16. 24 Calls, Texts, MR, Buddy | 17. 12 Calls | 18. 12 Calls, MR, Buddy | 19. 12 Calls, Texts, Buddy | 20. 12 Calls, Texts, MR | 21. 12 Calls, PCP, Buddy | 22. 12 Calls, PCP, MR | 23. 12 Calls PCP, Texts | 24. 12 Calls, PCP, Texts, MR, Buddy | 25. 24 Calls | 26. 24 Calls, MR, Buddy | 27. 24 Calls, Texts, Buddy | 28. 24 Calls, Texts, MR | 29. 24 Calls, PCP, Buddy | 30. 24 Calls, PCP, MR | 31. 24 Calls, PCP, Texts | 32. 24 Calls, PCP, Texts, MR, Buddy | Total |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Female | 15 | 15 | 15 | 15 | 15 | 15 | 15 | 15 | 16 | 15 | 15 | 15 | 15 | 15 | 15 | 15 | 14 | 14 | 14 | 12 | 13 | 14 | 14 | 14 | 14 | 13 | 14 | 14 | 14 | 14 | 13 | 13 | 459 |
| Male | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 4 | 3 | 4 | 3 | 3 | 3 | 4 | 3 | 3 | 4 | 3 | 4 | 3 | 4 | 4 | 103 |
| Ethnicity (NIH/OMB)(Participants) | 1. 12 Calls, PCP | 2. 12 Calls, PCP, MR, Buddy | 3. 12 Calls, PCP, Texts, Buddy | 4. 12 Calls, PCP, Texts, MR | 5. 12 Calls, Buddy | 6. 12 Calls, MR | 7. 12 Calls, Texts | 8. 12 Calls, Texts, MR, Buddy | 9. 24 Calls, PCP | 10. 24 Calls, PCP, MR, Buddy | 11. 24 Calls, PCP, Texts, Buddy | 12. 24 Calls, PCP, Texts, MR | 13. 24 Calls, Buddy | 14. 24 Calls, MR | 15. 24 Calls, Texts | 16. 24 Calls, Texts, MR, Buddy | 17. 12 Calls | 18. 12 Calls, MR, Buddy | 19. 12 Calls, Texts, Buddy | 20. 12 Calls, Texts, MR | 21. 12 Calls, PCP, Buddy | 22. 12 Calls, PCP, MR | 23. 12 Calls PCP, Texts | 24. 12 Calls, PCP, Texts, MR, Buddy | 25. 24 Calls | 26. 24 Calls, MR, Buddy | 27. 24 Calls, Texts, Buddy | 28. 24 Calls, Texts, MR | 29. 24 Calls, PCP, Buddy | 30. 24 Calls, PCP, MR | 31. 24 Calls, PCP, Texts | 32. 24 Calls, PCP, Texts, MR, Buddy | Total |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Hispanic or Latino | 12 | 18 | 16 | 11 | 15 | 18 | 16 | 13 | 16 | 16 | 18 | 17 | 13 | 17 | 17 | 17 | 13 | 16 | 12 | 14 | 13 | 14 | 15 | 16 | 15 | 16 | 18 | 14 | 16 | 15 | 15 | 17 | 489 |
| Not Hispanic or Latino | 4 | 0 | 1 | 4 | 3 | 0 | 1 | 2 | 3 | 2 | 0 | 1 | 4 | 1 | 0 | 0 | 4 | 2 | 3 | 2 | 2 | 1 | 2 | 2 | 2 | 0 | 0 | 2 | 2 | 2 | 1 | 0 | 53 |
| Unknown or Not Reported | 2 | 0 | 1 | 3 | 0 | 0 | 1 | 3 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 1 | 0 | 0 | 2 | 0 | 1 | 2 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 20 |
| Race/Ethnicity, Customized(Participants) | 1. 12 Calls, PCP | 2. 12 Calls, PCP, MR, Buddy | 3. 12 Calls, PCP, Texts, Buddy | 4. 12 Calls, PCP, Texts, MR | 5. 12 Calls, Buddy | 6. 12 Calls, MR | 7. 12 Calls, Texts | 8. 12 Calls, Texts, MR, Buddy | 9. 24 Calls, PCP | 10. 24 Calls, PCP, MR, Buddy | 11. 24 Calls, PCP, Texts, Buddy | 12. 24 Calls, PCP, Texts, MR | 13. 24 Calls, Buddy | 14. 24 Calls, MR | 15. 24 Calls, Texts | 16. 24 Calls, Texts, MR, Buddy | 17. 12 Calls | 18. 12 Calls, MR, Buddy | 19. 12 Calls, Texts, Buddy | 20. 12 Calls, Texts, MR | 21. 12 Calls, PCP, Buddy | 22. 12 Calls, PCP, MR | 23. 12 Calls PCP, Texts | 24. 12 Calls, PCP, Texts, MR, Buddy | 25. 24 Calls | 26. 24 Calls, MR, Buddy | 27. 24 Calls, Texts, Buddy | 28. 24 Calls, Texts, MR | 29. 24 Calls, PCP, Buddy | 30. 24 Calls, PCP, MR | 31. 24 Calls, PCP, Texts | 32. 24 Calls, PCP, Texts, MR, Buddy | Total |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| White/Caucasian | 10 | 15 | 11 | 12 | 16 | 15 | 15 | 10 | 15 | 14 | 14 | 12 | 12 | 15 | 15 | 14 | 13 | 15 | 9 | 14 | 11 | 14 | 12 | 14 | 12 | 13 | 14 | 9 | 13 | 10 | 13 | 16 | 417 |
| Black | 3 | 3 | 4 | 3 | 2 | 2 | 1 | 5 | 4 | 3 | 4 | 4 | 5 | 2 | 3 | 3 | 1 | 2 | 3 | 1 | 2 | 1 | 4 | 3 | 1 | 1 | 3 | 5 | 4 | 2 | 2 | 1 | 87 |
| Asian | 2 | 0 | 2 | 0 | 0 | 1 | 1 | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 2 | 0 | 1 | 0 | 0 | 0 | 2 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 16 |
| American Indian or Alaska Native | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 0 | 0 | 0 | 0 | 5 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| Other/Unknown | 1 | 0 | 1 | 3 | 0 | 0 | 1 | 3 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 3 | 1 | 3 | 1 | 2 | 2 | 1 | 1 | 2 | 1 | 1 | 1 | 1 | 5 | 1 | 0 | 36 |
| Weight (kg)(Kilograms) | 1. 12 Calls, PCP | 2. 12 Calls, PCP, MR, Buddy | 3. 12 Calls, PCP, Texts, Buddy | 4. 12 Calls, PCP, Texts, MR | 5. 12 Calls, Buddy | 6. 12 Calls, MR | 7. 12 Calls, Texts | 8. 12 Calls, Texts, MR, Buddy | 9. 24 Calls, PCP | 10. 24 Calls, PCP, MR, Buddy | 11. 24 Calls, PCP, Texts, Buddy | 12. 24 Calls, PCP, Texts, MR | 13. 24 Calls, Buddy | 14. 24 Calls, MR | 15. 24 Calls, Texts | 16. 24 Calls, Texts, MR, Buddy | 17. 12 Calls | 18. 12 Calls, MR, Buddy | 19. 12 Calls, Texts, Buddy | 20. 12 Calls, Texts, MR | 21. 12 Calls, PCP, Buddy | 22. 12 Calls, PCP, MR | 23. 12 Calls PCP, Texts | 24. 12 Calls, PCP, Texts, MR, Buddy | 25. 24 Calls | 26. 24 Calls, MR, Buddy | 27. 24 Calls, Texts, Buddy | 28. 24 Calls, Texts, MR | 29. 24 Calls, PCP, Buddy | 30. 24 Calls, PCP, MR | 31. 24 Calls, PCP, Texts | 32. 24 Calls, PCP, Texts, MR, Buddy | Total |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Mean | 88.9 ± 10.6 | 91.2 ± 14.0 | 87.3 ± 12.0 | 88.8 ± 14.0 | 90.4 ± 11.3 | 90.0 ± 13.3 | 97.8 ± 13.3 | 87.3 ± 13.4 | 94.4 ± 14.7 | 93.1 ± 12.9 | 97.6 ± 14.4 | 88.1 ± 13.4 | 89.6 ± 12.9 | 87.2 ± 13.9 | 94.3 ± 14.7 | 91.3 ± 11.3 | 88.4 ± 13.7 | 90.2 ± 15.2 | 90.8 ± 14.8 | 83.3 ± 9.8 | 92.9 ± 14.8 | 86.1 ± 10.5 | 98.0 ± 15.3 | 90.5 ± 17.6 | 80.7 ± 12.2 | 89.8 ± 9.9 | 90.1 ± 12.0 | 85.5 ± 10.8 | 89.7 ± 13.4 | 93.7 ± 16.6 | 86.8 ± 11.5 | 86.1 ± 16.0 | 90.0 ± 13.6 |
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