ClinicalTrials.gg
CompletedNCT03329079Updated Oct 4, 2023Results posted

Engaging Rural Men With Mobile Technologies for Weight Loss

An interventional study of Mobile Technology Plus and Mobile Technology in Weight Loss, sponsored by University of Nebraska. Completed at 1 site in United States. Open to male participants aged 40 Years to 69 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-10-04.

Sponsored by University of Nebraska · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
80
Allocation
Randomized
Ages
40 Years to 69 Years
Sex
Male
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 995 studies in Weight Loss with a site in United States — 114 open to participants now, 169 under way, 6 of them phase 3. Weight Loss · United States.

Enrollment
422nd of 912
80 · median 72
Started
2018
with 58 others
No phase
714 of 995
72 open now
Registered
562nd of 995
by date

Among the 995 studies in Weight Loss with a site in United States, this one is the 422nd largest by enrollment of the 912 interventional ones that give a count, is one of 59 that started in 2018, is one of 714 with no phase, and was the 562nd registered.

Weight Loss

1,815 studies on the registry are indexed under Weight Loss; 294 are open to participants now.

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Open to participants now

114 of the 995 studies in Weight Loss with a site in United States are open now. Recruiting first, the newest first:

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A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 196 Weight Loss studies recruiting now, 71 (36%) set no upper age limit and 108 (55%) stop at 75 or younger; 21 take children under 18; 58 take healthy volunteers.

This study: 40 Years to 69 Years · male · healthy volunteers too.

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02

Study summary

Overweight and obese men in rural Northeast Nebraska are an unrepresented, at-risk group exhibiting rising rates of cardiovascular disease, poor access to preventive care, and a rural milieu that contributes to their sedentary physical activity and unhealthy diet. This study proposes to use a pragmatic randomized controlled trial and community engaged research approaches to 1) determine the feasibility and acceptability of a commercially available, smart phone self-monitoring app (premium-version) plus text-based coaching and daily weighing via Wi-Fi scale intervention for achieving weight loss, 2) determine preliminary efficacy of this intervention group to a comparison group receiving only a self-monitoring app (basic-version) in achieving the outcomes of weight loss (kilogram) and improved dietary and physical activity behaviors (secondary) at 6 months post-baseline, and 3) determine quantitative and qualitative indicators of community capacity to support a contextually relevant weight loss intervention. Eighty men (ages 40-69) with body mass index of 28 or higher, randomly assigned (1:1 ratio) to intervention group or comparison group. Men will complete baseline assessments (weight, % body fat, body mass index height, blood pressure, health history, dietary intake, physical activity frequency/intensity) and receive orientation to the mobile technologies (app features, text messaging, Wi-Fi scale). Men will track their dietary intake, physical activity, and weight on the app for 12 weeks. After the 3-month intervention, post-measure assessments (weight, % body fat, BMI, dietary intake, PA frequency/intensity, technology usability surveys) will be collected at 3 and 6 months post-baseline. At 6 months post-baseline, two groups (n=8 each) of intervention completers will be purposively selected to share their perceptions of the intervention efficacy in an evaluative focus group. A community advisory board comprising local leaders within the men's social network, together with investigators and rural student nurses will guide community outreach efforts for study recruitment, implementation and evaluation. Study findings will be evaluated with the community to inform local dissemination, future intervention revision, and determination of community capacity for support of a larger clinical trial.

Read the detailed description

Obesity is a major public health problem that disproportionately affects rural men and promotes the development of chronic conditions such as diabetes, cardiovascular disease, arthritis, and cancer. This study proposes to evaluate a mobile self-monitoring application (app) with Wi-Fi scale and text messaging intervention (MT+: mobile technology plus) for achieving weight loss in overweight and obese rural men. This proposal aligns with 1) Healthy People 2020's aim to eliminate health disparities by increasing physical activity and reducing obesity in adults; 2) the NIH's strategic plan to prioritize obesity reduction research among underserved rural populations; and, 3) the NINR's strategic focus on technology to promote health. Sixty nine percent of rural men in Nebraska are overweight or obese with increasing prevalence during midlife 40-59 (40%) and older (36%). Rural men are more likely to smoke, be obese, be physically inactive, and have shorter lifespans (2 years) than urban men. Rural men are also more likely to be uninsured/underinsured, less likely to engage in preventive health services, and report overall poorer health than urban men. Despite the burden of obesity, no self-monitoring mobile technology interventions targeting weight loss in rural, U.S. males exist, though the investigators preliminary study demonstrated rural men will use mobile technology for eating and activity self-monitoring. Studies show self-monitoring as one of the most effective behavior-change techniques for weight loss. MT+ provides an accessible means of real-time self-monitoring support for targeting lifestyle behaviors that lead to weight loss.

The investigators propose a pragmatic, randomized controlled trial (RCT) to examine the feasibility, acceptability, and preliminary efficacy of a MT+ intervention for weight loss in overweight and obese men in a practical, real-life rural environment. This 6-month pilot RCT includes a 3-month intervention with 6-month post-baseline follow-up. The intervention group (n=40) will receive a 3-month MT+ intervention using a commercially available, premium-version mobile phone app with social comparison group, behavior change text messaging, and daily self-weighing via Wi-Fi scale. The comparison group (n=40) will receive the basic-version mobile phone app only (MT). Primary efficacy outcome will be loss of body weight (kg \& % body weight) at 3 and 6 months. Secondary outcomes will be improved diet and increased physical activity (PA). A multi-method formative evaluation of the intervention (student outreach, community advisory board (CAB), community capacity surveys, focus group, community dissemination) will occur across the study. Primary feasibility outcomes will include recruitment/retention rates and community resource development for program sustainment. The multi-modal feedback will help 1) facilitate recruitment of a hard-to-reach population, and 2) inform intervention feasibility and acceptability. These local insights may foster minimized attrition and improve future study outcomes. The specific aims of this study are:

Aim #1: Determine the feasibility and acceptability of a MT+ intervention for achieving weight loss in rural overweight and obese men. The aim will specifically address groups by the 1) participation rates including number of men recruited and randomized over a 6 month period. 2) retention rates, 3) feasibility, usability, satisfaction ratings, 4) adherence record of logging by men in the intervention group, and 5) evaluative focus group feedback.

Aim #2: Determine preliminary efficacy of a MT+ intervention to a comparison group receiving only a basic self-monitoring app (MT) in achieving 1) weight loss (primary), and 2) improved dietary and PA behavior (secondary) at 6 months post-baseline in rural men.

Aim #3: Determine quantitative and qualitative indicators of community capacity (resource mobilization, learning opportunities-skills development, partnership linkages, participatory decision-making, leadership) to support a relevant weight loss intervention for rural men.

Through a collaborative process guided by Community-Engaged Research (CEnR) approaches with a community-academic partnership involving UNMC students, community leaders, the investigators plan to create and disseminate local knowledge about obesity in rural men. Specifically, the investigators plan to 1) document the feasibility, acceptability, and preliminary efficacy of a weight loss intervention among rural men, a current gap in the NIH health disparities portfolio, 2) engage rural communities through student-informed outreach approaches and CAB partnership linkages to improve the efficacy of weight loss interventions for rural men, and 3) strengthen the research environment of the University of Nebraska Medical Center (UNMC) institution through providing opportunities for undergraduate and graduate students to conduct CEnR.

03

Conditions studied

  • Weight Loss

Browse trials for

Keywords

  • rural
  • men
  • community-based participatory research
  • weight loss
  • mobile applications
  • text messaging
04

Who can participate

Ages eligible
40 Years to 69 Years
Sexes eligible
Male
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Man age 40-69
  • Reside in Northeast Nebraska
  • of 28 (kg/m2) or higher (BMI greater than 50 with clinician clearance, maximum weight 396 pounds)
  • Smart phone owner with enabled text messaging
  • Have an email account
  • Answer "no" to all questions on the PAR-Q 17 health history assessment or are willing to get physician evaluation prior to enrolling
  • Willing to share self-monitoring logs of eating, activity, and weight with investigative team.

Exclusion criteria

Exclusion Criteria:

  • Have recently lost 5% or more of body weight
  • Are currently taking medications that cause or are influenced by weight loss
  • Have used weight loss app in the past to lose weight
  • Family member from same household is enrolled in this study
  • Type I diabetes or Type II diabetes with insulin dependence
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
80 participants (actual)

Study arms

  • Experimental
    Mobile Technology Plus (MT+)

    Experimental arm will receive a 3-month MT+ intervention using the premium mobile phone app version with social comparison group, behavior change text messaging, and daily self-weighing via Wi-Fi scale.

    Behavioral: Mobile Technology Plus

  • Active comparator
    Mobile Technology (MT)

    Comparison group will receive the basic version of the mobile phone app only.

    Behavioral: Mobile Technology

Interventions

  • BehavioralMobile Technology Plus

    The intervention group MT+ will receive the premium-version mobile phone app with social comparison group, behavior change text messaging, and daily self-weighing via Wi-Fi scale.

    Also known as: MT+

  • BehavioralMobile Technology

    The comparison group MT will receive the basic-version mobile phone app only to self monitor eating, activity, and weight.

    Also known as: MT

06

What researchers measure

Primary outcomes

  1. Mean Change in Weight by Randomized Group

    Weight in kilograms (as measured on a Tanita brand digital scale, TBF-215 Tanita Corporation of America)

    Time frame: Observed means from baseline weight and at 6 months

Secondary outcomes

  1. Point Estimate and Variability of Outcome Measure for Fruit and Vegetable Intake

    daily fruit and vegetable servings (Brief Risk Factor Surveillance Survey written questionnaire- Fruit and vegetable dietary intake module (Reported total number of fruit and vegetable serving sizes per 24 hour period)

    Time frame: Observed means from baseline fruit and vegetable intake at 6 months

  2. Point Estimate and Variability of Outcome Measure for Beverage Intake Quality

    sugar-sweetened total beverage energy intake (Sugar Sweetened beverage intake questionnaire (BEV-Q15) Reported total number of fluid ounces consumed per 24 hour period)

    Time frame: Observed means from baseline beverage intake and at 6 months

  3. Point Estimate and Variability of Outcome Measure for Physical Activity

    total steps taken in 24 hour period (Automated app report of total steps measured via gyroscope on smart phone- total step count range 0-10,000 steps (higher step value represents desired outcome of 10,000 steps per day)

    Time frame: Observed means from baseline overall physical activity and at 6 months

07

Results

Posted Oct 4, 2023

Participant flow

Participant flow — Overall Study
MilestoneMobile Technology Plus (MT+)Mobile Technology (MT)
Started4040
Completed3638
Not completed42

Outcome measures

PrimaryMean Change in Weight by Randomized Group

Weight in kilograms (as measured on a Tanita brand digital scale, TBF-215 Tanita Corporation of America)

Time frame:
Observed means from baseline weight and at 6 months
Reported as:
Mean · kilograms
Mean Change in Weight by Randomized Group
kilogramsMobile Technology Plus (MT+)Mobile Technology (MT)
Mean Change in Weight by Randomized Group-7.03 ± 2.9-4.14 ± 5.85
SecondaryPoint Estimate and Variability of Outcome Measure for Fruit and Vegetable Intake

daily fruit and vegetable servings (Brief Risk Factor Surveillance Survey written questionnaire- Fruit and vegetable dietary intake module (Reported total number of fruit and vegetable serving sizes per 24 hour period)

Time frame:
Observed means from baseline fruit and vegetable intake at 6 months
Reported as:
Mean · servings per day
Point Estimate and Variability of Outcome Measure for Fruit and Vegetable Intake
servings per dayMobile Technology Plus (MT+)Mobile Technology (MT)
Point Estimate and Variability of Outcome Measure for Fruit and Vegetable Intake3.16 ± 1.673.09 ± 1.54
SecondaryPoint Estimate and Variability of Outcome Measure for Beverage Intake Quality

sugar-sweetened total beverage energy intake (Sugar Sweetened beverage intake questionnaire (BEV-Q15) Reported total number of fluid ounces consumed per 24 hour period)

Time frame:
Observed means from baseline beverage intake and at 6 months
Reported as:
Mean · fluid ounces per day
Point Estimate and Variability of Outcome Measure for Beverage Intake Quality
fluid ounces per dayMobile Technology Plus (MT+)Mobile Technology (MT)
Point Estimate and Variability of Outcome Measure for Beverage Intake Quality4.34 ± 6.4410.58 ± 17.01
SecondaryPoint Estimate and Variability of Outcome Measure for Physical Activity

total steps taken in 24 hour period (Automated app report of total steps measured via gyroscope on smart phone- total step count range 0-10,000 steps (higher step value represents desired outcome of 10,000 steps per day)

Time frame:
Observed means from baseline overall physical activity and at 6 months
Reported as:
Mean · Activity steps as measured by phone app
Point Estimate and Variability of Outcome Measure for Physical Activity
Activity steps as measured by phone appMobile Technology Plus (MT+)Mobile Technology (MT)
Point Estimate and Variability of Outcome Measure for Physical Activity6874.64 ± 4650.585359.50 ± 2995.44

Adverse events

Collected over 1 year, 5 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Mobile Technology Plus (MT+)0/40 (0%)0/40 (0%)0/40 (0%)
Mobile Technology (MT)0/40 (0%)0/40 (0%)0/40 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)Mobile Technology Plus (MT+)Mobile Technology (MT)Total
Mean54.06 ± 8.1554.35 ± 9.1054.20 ± 8.59
Sex: Female, Male
Sex: Female, Male(Participants)Mobile Technology Plus (MT+)Mobile Technology (MT)Total
Female000
Male404080
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Mobile Technology Plus (MT+)Mobile Technology (MT)Total
Hispanic or Latino000
Not Hispanic or Latino393978
Unknown or Not Reported112
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Mobile Technology Plus (MT+)Mobile Technology (MT)Total
American Indian or Alaska Native000
Asian011
Native Hawaiian or Other Pacific Islander000
Black or African American011
White403878
More than one race000
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(participants)Mobile Technology Plus (MT+)Mobile Technology (MT)Total
United States404080
08

Study locations

1 site
  • University of Nebraska Medical Center
    Norfolk, Nebraska 68701, United States
09

References and documents

Publications

  • Eisenhauer CM, Hageman PA, Rowland S, Becker BJ, Barnason SA, Pullen CH. Acceptability of mHealth Technology for Self-Monitoring Eating and Activity among Rural Men. Public Health Nurs. 2017 Mar;34(2):138-146. doi: 10.1111/phn.12297. Epub 2016 Oct 18. PubMed 27757986 ↗
  • Hageman PA, Pullen CH, Yoerger M. Physical Function and Health-Related Quality of Life in Overweight and Obese Rural Women Who Meet Physical Activity Recommendations. J Aging Phys Act. 2018 Jul 1;26(3):438-444. doi: 10.1123/japa.2017-0117. Epub 2018 Jun 13. PubMed 28952857 ↗
  • Hageman PA, Pullen CH, Hertzog M, Pozehl B, Eisenhauer C, Boeckner LS. Web-Based Interventions Alone or Supplemented with Peer-Led Support or Professional Email Counseling for Weight Loss and Weight Maintenance in Women from Rural Communities: Results of a Clinical Trial. J Obes. 2017;2017:1602627. doi: 10.1155/2017/1602627. Epub 2017 Apr 5. PubMed 28480078 ↗
  • Eisenhauer CM, Brito FA, Yoder AM, Kupzyk KA, Pullen CH, Salinas KE, Miller J, Hageman PA. Mobile technology intervention for weight loss in rural men: protocol for a pilot pragmatic randomised controlled trial. BMJ Open. 2020 Apr 14;10(4):e035089. doi: 10.1136/bmjopen-2019-035089. PubMed 32295776 ↗
  • Eisenhauer CM, Brito F, Kupzyk K, Yoder A, Almeida F, Beller RJ, Miller J, Hageman PA. Mobile health assisted self-monitoring is acceptable for supporting weight loss in rural men: a pragmatic randomized controlled feasibility trial. BMC Public Health. 2021 Aug 18;21(1):1568. doi: 10.1186/s12889-021-11618-7. PubMed 34407782 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No — Summary results will be shared with all identifiers removed at the completion of the study after all analyses have been finalized.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jun 2018 to primary completion in Jun 2022, 48 months.

Results were first posted in Oct 2023, 1 year 3 months after primary completion.

Of 670 non-industry interventional studies with no phase under Weight Loss, half reached primary completion within 25 months of starting (the median), counting those still running; a quarter within 13 and three quarters within 45. This study's 48 months is above that.

Counting every sponsor, half of 729 studies reached it within 24 months; a quarter within 11 and three quarters within 43.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 18, 2017
First posted
Nov 1, 2017
StartActual
Jun 6, 2018
Primary completionActual
Jun 30, 2022
CompletionActual
Jun 30, 2022
Results first posted
Oct 4, 2023
Last update
Oct 4, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 4, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03329079
Collaborators
Northeast Nebraska Public Health Department
Responsible party
Sponsor
First posted
Nov 1, 2017
Start date
Jun 6, 2018
Primary completion
Jun 30, 2022
Completion
Jun 30, 2022
Results posted
Oct 4, 2023
Last update
Oct 4, 2023

Study contacts

Ann M Berger, PhD
study director · University of Nebraska

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Oct 2023. You cannot join it, but the record below documents what was studied.

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