NCT00912652

Brief Summary

More and more Americans are becoming overweight. The rates of overweight are especially high in rural areas of the country. Until now, there has been little access to weight management programs in rural areas. This study will examine ways to help individuals from rural counties to manage weight and improve fitness. To do this, three doses of lifestyle treatment (Low, Moderate and High)will be compared to an education control condition. Our principal hypothesis is that both the Moderate and High conditions will have greater weight loss at two years than either the Low or Control conditions.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
612

participants targeted

Target at P75+ for not_applicable obesity

Timeline
Completed

Started Jun 2008

Longer than P75 for not_applicable obesity

Geographic Reach
1 country

8 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

June 1, 2008

Completed
12 months until next milestone

First Submitted

Initial submission to the registry

May 29, 2009

Completed
5 days until next milestone

First Posted

Study publicly available on registry

June 3, 2009

Completed
3.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2013

Completed
1.2 years until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2014

Completed
Last Updated

April 5, 2018

Status Verified

April 1, 2018

Enrollment Period

4.8 years

First QC Date

May 29, 2009

Last Update Submit

April 4, 2018

Conditions

Keywords

obesityrural healthexercise

Outcome Measures

Primary Outcomes (1)

  • body weight

    two years

Secondary Outcomes (9)

  • blood pressure

    two years

  • lipid profile

    two years

  • glycemic control

    two years

  • High-sensitivity C-reactive protein (hsCRP)

    two years

  • physical activity

    two-years

  • +4 more secondary outcomes

Study Arms (4)

High Intensity Lifestyle Intervention

EXPERIMENTAL

High intensity group will receive 48 sessions of lifestyle intervention over a two-year period

Behavioral: lifestyle intervention

Mod. Intensity Lifestyle Intervention

EXPERIMENTAL

Moderate intensity group will receive 32 sessions of lifestyle intervention over a two-year period.

Behavioral: lifestyle intervention

Low Intensity Lifestyle Intervention

EXPERIMENTAL

Low intensity group will receive 16 sessions of lifestyle intervention over a two-year period.

Behavioral: lifestyle intervention

Health Education Control

ACTIVE COMPARATOR

Health education control group will receive 16 sessions of health education related to diet and exercise over a two-year period.

Behavioral: Health Education Control

Interventions

Three doses of lifestyle intervention will be compared to an education control condition.

High Intensity Lifestyle InterventionLow Intensity Lifestyle InterventionMod. Intensity Lifestyle Intervention

Health education control group will receive 16 session of health education related to diet and exercise over a two-year period.

Health Education Control

Eligibility Criteria

Age21 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age: 21 to 75 years
  • Body Mass Index: 30 to 45 kg/m\*\*2

You may not qualify if:

  • Underlying disease likely to limit lifespan and/or increase risk of interventions:cancer requiring treatment in past five years (exception: non-melanoma skin cancer); serious infectious diseases (e.g., self-reported HIV, self-reported tuberculosis or treatment); myocardial infarction or cerebrovascular accident within the last six months; unstable angina within the past six months; congestive heart failure; chronic hepatitis; cirrhosis; chronic malabsorption syndrome; chronic pancreatitis; irritable bowel syndrome; previous bariatric surgery; history of organ transplantation; history of musculoskeletal conditions that limit walking; chronic lung diseases that limit physical activity; and any other condition likely to limit five-year life expectancy.
  • Conditions or behaviors likely to affect the conduct of the trial: unwilling or unable to give informed consent; unable to read English at the 5th grade level; unwilling to accept random assignment; unwilling to travel to Extension office for intervention sessions; participation in another randomized research project; weight loss \> 10 pounds in past six months; likely to move out of the county in next two years; major psychiatric disorder; excessive alcohol intake; BMI \> 45; prior participation in the TOURS trial; and other conditions which in the opinion of staff would adversely affect participation in the trial

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (8)

Levy County

Bronson, Florida, 32621, United States

Location

Flagler County

Bunnell, Florida, 32110, United States

Location

Dixie County

Cross City, Florida, 32628, United States

Location

Putnam County

East Palatka, Florida, 32131, United States

Location

Suwannee County

Live Oak, Florida, 32064, United States

Location

Baker County

Macclenny, Florida, 32063, United States

Location

Lafayette County

Mayo, Florida, 32066, United States

Location

Bradford County

Starke, Florida, 32091, United States

Location

Related Publications (3)

  • Perri MG, Limacher MC, von Castel-Roberts K, Daniels MJ, Durning PE, Janicke DM, Bobroff LB, Radcliff TA, Milsom VA, Kim C, Martin AD. Comparative effectiveness of three doses of weight-loss counseling: two-year findings from the rural LITE trial. Obesity (Silver Spring). 2014 Nov;22(11):2293-300. doi: 10.1002/oby.20832.

    PMID: 25376396BACKGROUND
  • Radcliff TA, Cote MJ, Whittington MD, Daniels MJ, Bobroff LB, Janicke DM, Perri MG. Cost-Effectiveness of Three Doses of a Behavioral Intervention to Prevent or Delay Type 2 Diabetes in Rural Areas. J Acad Nutr Diet. 2020 Jul;120(7):1163-1171. doi: 10.1016/j.jand.2019.10.025. Epub 2019 Dec 30.

  • Bauman V, Ariel-Donges AH, Gordon EL, Daniels MJ, Xu D, Ross KM, Limacher MC, Perri MG. Effect of dose of behavioral weight loss treatment on glycemic control in adults with prediabetes. BMJ Open Diabetes Res Care. 2019 May 28;7(1):e000653. doi: 10.1136/bmjdrc-2019-000653. eCollection 2019.

MeSH Terms

Conditions

ObesityMotor Activity

Condition Hierarchy (Ancestors)

OverweightOvernutritionNutrition DisordersNutritional and Metabolic DiseasesBody WeightSigns and SymptomsPathological Conditions, Signs and SymptomsBehavior

Study Officials

  • Michael G. Perri, Ph.D.

    University of Florida

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 29, 2009

First Posted

June 3, 2009

Study Start

June 1, 2008

Primary Completion

April 1, 2013

Study Completion

June 1, 2014

Last Updated

April 5, 2018

Record last verified: 2018-04

Locations