ClinicalTrials.gg
CompletedNCT04852042Updated Sep 26, 2025

Digital Health Weight Management Among Public Housing Residents

An interventional study of mHealth and CHW support in Weight Change, Body and Obesity, sponsored by Tufts Medical Center. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-09-26.

Sponsored by Tufts Medical Center · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
316
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This research will test the efficacy of a weight management intervention through a three-group randomized trial: mHealth only, mHealth+Community Health Worker (CHW) support, versus control group, among residents of Boston's public housing developments. The mHealth group consists of a 1-year text messaging program to promote diet and physical activity behavior changes and the CHW support consists of monthly phone counseling delivered by a CHW to support the text messaging program. Our hypothesis is that the mHealth+CHW group will be more effective in bringing about weight loss compared to mHealth alone or the assessment only control group. The findings are expected to inform future health promotion efforts among residents in public housing developments.

02

Conditions studied

  • Weight Change, Body
  • Obesity

Keywords

  • Community health workers
  • Public housing residents
  • Behavioral interventions
  • Healthy eating
  • Physical activity
03

In context

Body Weight Changes

231 studies on the registry are indexed under Body Weight Changes; 30 are open to participants now.

This study's enrollment of 316 is above the median of 80 across 179 interventional studies indexed under Body Weight Changes.

Browse Body Weight Changes studies →

Lead sponsor

Tufts Medical Center is the lead sponsor of 200 studies on the registry; 28 are open to participants now.

Of its 32 completed or terminated interventional studies of FDA-regulated products, 16 (50%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

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

  • Current resident of Boston public housing development
  • No plans to move within the next 6 months and no plan on leaving the country for more than 2 months over the next year
  • Able to read and speak in English or Spanish
  • Has cell phone with a plan that allows for unlimited text messages
  • Willing to wear a device to track physical activity during assessment periods

Exclusion criteria

Exclusion Criteria:

  • Currently enrolled in a comprehensive weight loss program or a research study about weight that is incompatible with study participation
  • Currently on a medically prescribed diet or fast that is incompatible with study participation
  • Currently has a diagnosis of bipolar disorder, mania, manic-depressive disorder, schizophrenia, or psychosis and is not on any medications to treat the condition
  • Precontemplation stage of change for making healthy eating or physical activity changes
  • Pregnancy
  • Medical to physical activity. Self-reported presence of any of the following:

    • Can not walk without help from someone else
    • Regularly needs to use the following special equipment to walk or get around: wheelchair, scooter, walker, or extra oxygen
    • Gets short of breath even when using special equipment at a very low level of physical activity such as walking around the home, making a bed, or taking a bath
    • Advised by a healthcare professional not to exercise and or if diagnosed with a bone or joint problem, it could get worse.
    • Frequently gets pains in the heart or chest
    • Had a heart attack in the past 6 months
    • Often feels faint or has spells of severe dizziness
    • Has very high blood pressure that is often over 175 or the bottom blood pressure number is often over 110
    • Has a good physical reason not to follow an activity program even if they wanted to
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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

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

Study arms

  • Experimental
    mHealth Group

    12 month text messaging program about diet and physical activity behavioral goals

    Behavioral: mHealth

  • Experimental
    mHealth+Community Health Worker (CHW) support

    same as mHealth group + monthly behavioral phone counseling by a CHW

    Behavioral: mHealth · Behavioral: CHW support

  • No intervention
    Control group

    Assessments only

Interventions

  • BehavioralmHealth

    Participants will receive 2-3 text messages daily. The messages will include information to promote healthy eating and physical activity.

  • BehavioralCHW support

    The CHW will provide behavioral counseling to participants guided by a study website related to their healthy eating and physical activity goals.

06

What researchers measure

Primary outcomes

  1. Change in Weight at 12-month follow up

    Weight will be objectively measured by study staff using standard procedures using an accurate electronic scale designed for portable use measured to the nearest 1/10th reading.

    Time frame: Baseline, 12-month follow up

Secondary outcomes

  1. Change in Weight at 6-month follow up

    Weight will be objectively measured by study staff using standard procedures using an accurate electronic scale designed for portable use measured to the nearest 1/10th reading.

    Time frame: Baseline, 6-month follow up

  2. Diet behavior

    Diet (for example: fruits \& vegetables, whole grains, lean meats, and sugary beverages) will be measured via unannounced 24-hour recalls, one per person per assessment period. Other diet behaviors (for example: breakfast consumption) will be measured via questions on standardized surveys.

    Time frame: Baseline, 6-month follow up, 12-month follow up

  3. Physical activity behavior

    Physical activity will be objectively measured via Actigraph 3tx accelerometers worn by participants for 7 days (minimum of 4 days) to assess time spent in light-to-moderate-to-vigorous physical activity.

    Time frame: Baseline, 6-month follow up, 12-month follow up

  4. Psycho-social variables

    Psycho-social variables (for example: Self-efficacy, motivation, outcome expectations, depressive symptoms, sleep, social support) will be evaluated for change over the intervention period and whether they moderate the intervention effect on weight.

    Time frame: Baseline, 6-month follow up, 12-month follow up

07

Study locations

1 site
  • Boston Medical Center
    Boston, Massachusetts 02118, United States
08

References and documents

Publications

  • Solar C, Nansubuga A, Murillo J, Ranker L, Borrelli B, Bowen DJ, Xuan Z, Kane J, Werntz S, Crouter SE, Quintiliani LM. Mobile health plus community health worker support for weight management among public housing residents (Path to Health): A randomized controlled trial protocol. Contemp Clin Trials. 2022 Aug;119:106836. doi: 10.1016/j.cct.2022.106836. Epub 2022 Jun 18. PubMed 35724842 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 26, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04852042
Responsible party
Sponsor
First posted
Apr 21, 2021
Start date
Sep 28, 2021
Primary completion
Aug 7, 2025
Completion
Aug 11, 2025
Last update
Sep 26, 2025

Study contacts

Lisa Quintiliani, PhD
principal investigator · Tufts Medical Center
Ziming Xuan, ScD
principal investigator · BU School of Public Health, Community Health Services

Oversight

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

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