Overweight and ObesityPhase 2/3NCT04520256
Rapid Evaluation of Innovative Intervention Components to Maximize the Health Benefits of Behavioral Obesity Treatment Delivered Online: An Application of Multiphase Optimization Strategy
A Phase 2/3 study testing Online Behavioral Weight Loss Program, Virtual Reality for Behavioral Weight Loss Skills Training and Tailored Interactive Video Feedback in people with Overweight and Obesity, run by The Miriam Hospital at 1 site in United States.
Trial summary
When delivered online, behavioral obesity treatments have the potential to reach large numbers of individuals with overweight/obesity and produce significant improvements in health and wellbeing. Read more about this study
- Who is it for?
- Ages 18 to 70 years
- Conditions the study is for
- Overweight and Obesity
- What is being tested?
- Online Behavioral Weight Loss Program, Virtual Reality for Behavioral Weight Loss Skills Training and Tailored Interactive Video Feedback
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 384 participants
- Where
- 1 siteUnited States
- Study dates
- 22 Sep 2020to 18 May 2023
- Phase
- Phase 2/3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 70 years
- All sexes
- No healthy volunteers
- Adult, Older adult
- English language fluent and literate at the 6th grade level
- Body mass index (BMI) between 25 and 50 kg/m-squared
- Able to walk 2 city blocks without stopping
- Not currently participating in another weight loss program
- Not currently taking weight loss medication
- Has not lost ≥5% of body weight in the 6 months prior to enrolling
- Has not been pregnant within the 6 months prior to enrolling
- Does not plan to become pregnant within 12 months of enrolling
- Denies having a heart condition, chest pain during periods of activity or rest, or loss of consciousness in the 12 months prior to enrolling
- Denies any medical condition that would affect the safety of participating in unsupervised physical activity
- Denies any condition that would result in inability to follow the study protocol, including terminal illness, substance abuse, eating disorder (not including Binge Eating Disorder) and untreated major psychiatric illness
Trial locations and contacts
1 site in 1 country.
United States1 site
Miriam Hospital Weight Control and Diabetes Resarch Center
Providence, Rhode Island, 02903
About this study
When delivered online, behavioral obesity treatments have the potential to reach large numbers of individuals with overweight/obesity and produce significant improvements in health and wellbeing. In order to maximize the public health benefit of disseminating these treatments online, this study will use the Multiphase Optimization Strategy (MOST) framework to most quickly and efficiently determine which, if any, of 5 innovative intervention components, alone or in combination, increases the proportion of patients achieving a ≥5% weight loss, and mean weight loss, after a 12-month online behavioral obesity treatment.
Read the detailed description
Decades of research have demonstrated that behavioral obesity treatments can produce clinically significant weight losses that improve health and disease risk/severity. However, these treatments have not been disseminated widely due to high costs and lack of qualified providers. The investigators therefore aim to develop and test a fully automated online obesity treatment that would produce clinically significant weight losses (i.e., ≥ 5 % of initial body weight) when delivered online. In order to maximize the public health impact of online obesity treatment, and advance the science of online behavioral intervention in general, it is imperative to evaluate innovative behavioral intervention components with the potential to optimize weight loss outcomes. Because digital health technology evolves rapidly, this research will use the Multiphase Optimization Strategy (MOST) framework to most quickly and efficiently determine which, if any, of 5 innovative intervention components, alone or in combination, increases the proportion of patients achieving a ≥5% weight loss, and mean weight loss, of the online Rx Weight loss (RxWL) program at 12- months. The 5 intervention components to be tested are: (a) Web-based virtual reality intervention for training in basic behavioral weight loss skills; tailored interactive intervention targeting (b) structured physical activity and (c) dysregulated eating; (d) a platform for social interaction including opportunities for friendly competition, and (e) interactive video feedback with content tailored to the unique needs of each participant and a focus on dietary skills. A sample of 384 individuals with BMI ≥ 25 will be randomized to receive RxWL and 0-5 of the experimental intervention components in a full factorial experiment. This design will allow the investigators to determine which intervention components maximize weight loss and whether there are favorable combinations of components. In addition, by evaluating the effects of each component on proximal outcomes (i.e., mediators) it will be possible learn not only which components are (or are not) effective but also why or how they exert their effects. This project advances the science of behavioral obesity treatment, and will directly impact the care of patients receiving RxWL.
- Conditions
- Overweight and Obesity
- Being tested
- Online Behavioral Weight Loss Program, Virtual Reality for Behavioral Weight Loss Skills Training, Tailored Interactive Video Feedback, Tailored Intervention for Structured Physical Activity, Skills Training for Dysregulated Eating
- Keywords
- Diet, Physical activity, Online
- Medical subject headings
- Overweight, Obesity, Motor Activity
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Online Behavioral Weight Loss ProgramBehavioural
A self-guided, online program that helps participants reduce energy intake and gradually increase physical activity.
Virtual Reality for Behavioral Weight Loss Skills TrainingBehavioural
This program allows participants to practice behavioral weight loss skills using an online virtual reality system accessed via a Web browser.
Tailored Interactive Video FeedbackBehavioural
Video-recorded messages are used to provide periodic feedback on progress with weight loss, dietary change, and physical activity. Additional videos provide dietary skills training.
Tailored Intervention for Structured Physical ActivityBehavioural
Periodic self-assessment is used to guide selection of a physical activity goal. Home-based instructional videos are provided to help meet the selected goal.
Skills Training for Dysregulated EatingBehavioural
Periodic self-assessment is used to guide selection of skills training modules designed to counter common causes of dysregulated eating (e.g., boredom, stress).
Platform for Social Support & Friendly CompetitionBehavioural
An online platform is provided for participants to connect with each other, support each other, and compete on achievement of behavioral and weight loss milestones.
| Study group | Role | What they receive |
|---|---|---|
| Core Program Only | Experimental | Not described Receives: Behavioral: Online Behavioral Weight Loss Program |
| Social Support | Experimental | Not described Receives: Behavioral: Online Behavioral Weight Loss Program; Behavioral: Platform for Social Support & Friendly Competition |
| Dysregulated Eating | Experimental | Not described Receives: Behavioral: Online Behavioral Weight Loss Program; Behavioral: Skills Training for Dysregulated Eating |
| Social Support, Dysregulated Eating | Experimental | Not described Receives: Behavioral: Online Behavioral Weight Loss Program; Behavioral: Skills Training for Dysregulated Eating; Behavioral: Platform for Social Support & Friendly Competition |
| Exercise | Experimental | Not described Receives: Behavioral: Online Behavioral Weight Loss Program; Behavioral: Tailored Intervention for Structured Physical Activity |
| Social Support, Exercise | Experimental | Not described Receives: Behavioral: Online Behavioral Weight Loss Program; Behavioral: Tailored Intervention for Structured Physical Activity; Behavioral: Platform for Social Support & Friendly Competition |
| Dysregulated Eating, Exercise | Experimental | Not described Receives: Behavioral: Online Behavioral Weight Loss Program; Behavioral: Tailored Intervention for Structured Physical Activity; Behavioral: Skills Training for Dysregulated Eating |
| Social Support, Dysregulated Eating, Exercise | Experimental | Not described Receives: Behavioral: Online Behavioral Weight Loss Program; Behavioral: Tailored Intervention for Structured Physical Activity; Behavioral: Skills Training for Dysregulated Eating; Behavioral: Platform for Social Support & Friendly Competition |
| Feedback | Experimental | Not described Receives: Behavioral: Online Behavioral Weight Loss Program; Behavioral: Tailored Interactive Video Feedback |
| Social Support, Feedback | Experimental | Not described Receives: Behavioral: Online Behavioral Weight Loss Program; Behavioral: Tailored Interactive Video Feedback; Behavioral: Platform for Social Support & Friendly Competition |
| Dysregulated Eating, Feedback | Experimental | Not described Receives: Behavioral: Online Behavioral Weight Loss Program; Behavioral: Tailored Interactive Video Feedback; Behavioral: Skills Training for Dysregulated Eating |
| Social Support, Dysregulated Eating, Feedback | Experimental | Not described Receives: Behavioral: Online Behavioral Weight Loss Program; Behavioral: Tailored Interactive Video Feedback; Behavioral: Skills Training for Dysregulated Eating; Behavioral: Platform for Social Support & Friendly Competition |
| Exercise, Feedback | Experimental | Not described Receives: Behavioral: Online Behavioral Weight Loss Program; Behavioral: Tailored Interactive Video Feedback |
| Social Support, Exercise, Feedback | Experimental | Not described Receives: Behavioral: Online Behavioral Weight Loss Program; Behavioral: Tailored Interactive Video Feedback; Behavioral: Tailored Intervention for Structured Physical Activity; Behavioral: Platform for Social Support & Friendly Competition |
| Dysregulated Eating, Exercise, Feedback | Experimental | Not described Receives: Behavioral: Online Behavioral Weight Loss Program; Behavioral: Tailored Interactive Video Feedback; Behavioral: Tailored Intervention for Structured Physical Activity; Behavioral: Skills Training for Dysregulated Eating |
| Social Support, Dysregulated Eating, Exercise, Feedback | Experimental | Not described Receives: Behavioral: Online Behavioral Weight Loss Program; Behavioral: Tailored Interactive Video Feedback; Behavioral: Tailored Intervention for Structured Physical Activity; Behavioral: Skills Training for Dysregulated Eating; Behavioral: Platform for Social Support & Friendly Competition |
| VR | Experimental | Not described Receives: Behavioral: Online Behavioral Weight Loss Program; Behavioral: Virtual Reality for Behavioral Weight Loss Skills Training |
| Social Support, VR | Experimental | Not described Receives: Behavioral: Online Behavioral Weight Loss Program; Behavioral: Virtual Reality for Behavioral Weight Loss Skills Training; Behavioral: Platform for Social Support & Friendly Competition |
| Dysregulated Eating, VR | Experimental | Not described Receives: Behavioral: Online Behavioral Weight Loss Program; Behavioral: Virtual Reality for Behavioral Weight Loss Skills Training; Behavioral: Skills Training for Dysregulated Eating |
| Social Support, Dysregulated Eating, VR | Experimental | Not described Receives: Behavioral: Online Behavioral Weight Loss Program; Behavioral: Virtual Reality for Behavioral Weight Loss Skills Training; Behavioral: Skills Training for Dysregulated Eating; Behavioral: Platform for Social Support & Friendly Competition |
| Exercise, VR | Experimental | Not described Receives: Behavioral: Online Behavioral Weight Loss Program; Behavioral: Virtual Reality for Behavioral Weight Loss Skills Training; Behavioral: Tailored Intervention for Structured Physical Activity |
| Social Support, Exercise, VR | Experimental | Not described Receives: Behavioral: Online Behavioral Weight Loss Program; Behavioral: Virtual Reality for Behavioral Weight Loss Skills Training; Behavioral: Tailored Intervention for Structured Physical Activity; Behavioral: Platform for Social Support & Friendly Competition |
| Dysregulated Eating, Exercise, VR | Experimental | Not described Receives: Behavioral: Online Behavioral Weight Loss Program; Behavioral: Virtual Reality for Behavioral Weight Loss Skills Training; Behavioral: Tailored Intervention for Structured Physical Activity; Behavioral: Skills Training for Dysregulated Eating |
| Social Support, Dysregulated Eating, Exercise, VR | Experimental | Not described Receives: Behavioral: Online Behavioral Weight Loss Program; Behavioral: Virtual Reality for Behavioral Weight Loss Skills Training; Behavioral: Tailored Intervention for Structured Physical Activity; Behavioral: Skills Training for Dysregulated Eating; Behavioral: Platform for Social Support & Friendly Competition |
| Feedback, VR | Experimental | Not described Receives: Behavioral: Online Behavioral Weight Loss Program; Behavioral: Virtual Reality for Behavioral Weight Loss Skills Training; Behavioral: Tailored Interactive Video Feedback |
| Social Support, Feedback, VR | Experimental | Not described Receives: Behavioral: Online Behavioral Weight Loss Program; Behavioral: Virtual Reality for Behavioral Weight Loss Skills Training; Behavioral: Tailored Interactive Video Feedback; Behavioral: Platform for Social Support & Friendly Competition |
| Dysregulated Eating, Feedback, VR | Experimental | Not described Receives: Behavioral: Online Behavioral Weight Loss Program; Behavioral: Virtual Reality for Behavioral Weight Loss Skills Training; Behavioral: Tailored Interactive Video Feedback; Behavioral: Skills Training for Dysregulated Eating |
| Social Support, Dysregulated Eating, Feedback, VR | Experimental | Not described Receives: Behavioral: Online Behavioral Weight Loss Program; Behavioral: Virtual Reality for Behavioral Weight Loss Skills Training; Behavioral: Tailored Interactive Video Feedback; Behavioral: Skills Training for Dysregulated Eating; Behavioral: Platform for Social Support & Friendly Competition |
| Exercise, Feedback, VR | Experimental | Not described Receives: Behavioral: Online Behavioral Weight Loss Program; Behavioral: Virtual Reality for Behavioral Weight Loss Skills Training; Behavioral: Tailored Interactive Video Feedback; Behavioral: Tailored Intervention for Structured Physical Activity |
| Social Support, Exercise, Feedback, VR | Experimental | Not described Receives: Behavioral: Online Behavioral Weight Loss Program; Behavioral: Virtual Reality for Behavioral Weight Loss Skills Training; Behavioral: Tailored Interactive Video Feedback; Behavioral: Tailored Intervention for Structured Physical Activity; Behavioral: Platform for Social Support & Friendly Competition |
| Dysregulated Eating, Exercise, Feedback, VR | Experimental | Not described Receives: Behavioral: Online Behavioral Weight Loss Program; Behavioral: Virtual Reality for Behavioral Weight Loss Skills Training; Behavioral: Tailored Interactive Video Feedback; Behavioral: Tailored Intervention for Structured Physical Activity; Behavioral: Skills Training for Dysregulated Eating |
| Social Support, Dysregulated Eating, Exercise, Feedback, VR | Experimental | Not described Receives: Behavioral: Online Behavioral Weight Loss Program; Behavioral: Virtual Reality for Behavioral Weight Loss Skills Training; Behavioral: Tailored Interactive Video Feedback; Behavioral: Tailored Intervention for Structured Physical Activity; Behavioral: Skills Training for Dysregulated Eating; Behavioral: Platform for Social Support & Friendly Competition |
What is being measured
The primary outcome is the main question the study is designed to answer.
Weight Change (Percent of Initial Body Weight) From Baseline to Month 12, Main Effect of Time
Weight was measured at the research center by the research team, or measured by the participant at home and sent to the research team with with documentation of the value reported (e.g., a photograph from a home scale showing the weight).
A change between two time points is reported. The value of this outcome was calculated using: [(baseline weight - month 12 weight) ÷ baseline weight] × 100. Estimated mean change was obtained from a linear mixed models analysis of variance. Data from all randomized participants were included in the model (ITT analysis).
Measured: From Baseline to Month 12
Weight Change (Percent of Initial Body Weight) From Baseline to Month 12, Time by Intervention Component Interaction
Weight was measured at the research center by the research team, or measured by the participant at home and sent to the research team with with documentation of the value reported (e.g., a photograph from a home scale showing the weight).
A change between two time points is reported. The value of this outcome was calculated using: [(baseline weight - month 12 weight) ÷ baseline weight] × 100. Estimated mean change was obtained from a linear mixed models analysis of variance. Data from all randomized participants were included in the model (ITT analysis).
This outcome measure is reported as an additional effect beyond that of Outcome Measure 1 (each intervention component has it's own weight loss effect that is above and beyond the weight change calculated in the Outcome Measure 1 analyses).
Measured: From Baseline to Month 12
Proportion of Participants With Weight Loss ≥ 5% at Month 12, Main Effect of Time
Weight was measured at the research center by the research team, or measured by the participant at home and sent to the research team with with documentation of the value reported (e.g., a photograph from a home scale showing the weight).
Weight loss was calculated using: [(baseline weight - month 12 weight) ÷ baseline weight] × 100.
The estimated proportion of participants achieving a weight loss of ≥ 5% of their Baseline body weight was obtained from a generalized linear mixed models analysis of variance to account for missing data. All randomized participants were utilized in the model (ITT analysis).
Measured: Month 12
Proportion of Participants With Weight Loss ≥ 5% at Month 12, Time by Intervention Component Interaction
Weight was measured at the research center by the research team, or measured by the participant at home and sent to the research team with with documentation of the value reported (e.g., a photograph from a home scale showing the weight).
Weight loss was calculated using: [(baseline weight - month 12 weight) ÷ baseline weight] × 100.
Estimated proportions of participants with weight loss of ≥ 5% of initial body weight at Month 12 were obtained from a generalized linear mixed models analysis of variance to account for missing data. All randomized participants were utilized in the model (ITT analysis).
Measured: Month 12
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Aug 2020
- Study start22 Sep 2020
- Primary completion18 May 2023
- Study completion18 May 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Overweight and ObesityStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2/3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Factorial
- Masking
- Double blind
- Who is masked
- Investigator, Outcomes assessor
- Enrolment
- 384 participants (actual)
Sponsor and investigators
- Lead sponsor
- The Miriam Hospital
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04520256
- Sponsor's protocol ID
- R01DK117857
- Other IDs
- R01DK117857
- Status last verified
- Mar 2024
- First submitted
- 12 Aug 2020
- Last updated
- 15 Jan 2025
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Publications
Thomas JG, Goldstein CM, Bond DS, Lillis J, Hekler E, Goldstein SP, Butryn ML, Cao Z, Wing RR. Evaluation of Five Novel Intervention Components in Online Obesity Treatment: Outcomes of a Randomized Factorial Experiment. Obesity (Silver Spring). 2025 Nov;33(11):2128-2138. doi: 10.1002/oby.70039. Epub 2025 Sep 18.
PubMed 40968617
Study at a glance
From the registry record, last updated by the sponsor on 15 Jan 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Rapid Evaluation of Innovative Intervention Components to Maximize the Health Benefits of Behavioral Obesity Treatment Delivered Online: An Application of Multiphase Optimization Strategy
- ClinicalTrials.gov ID
- NCT04520256
- Acronym / sponsor ID
- R01DK117857
- Conditions
- Overweight and Obesity
- Keywords
- Diet, Physical activity, Online
- Phase
- Phase 2/3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 384 participants (actual)
- Lead sponsor
- The Miriam HospitalUniversity, hospital or other
- Study start
- 22 Sep 2020 (actual)
- Primary completion
- 18 May 2023 (actual)
- Study completion
- 18 May 2023 (actual)
- First posted
- 20 Aug 2020 (actual)
- Results
- Posted 15 Jan 2025
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
When delivered online, behavioral obesity treatments have the potential to reach large numbers of individuals with overweight/obesity and produce significant improvements in health and wellbeing. In order to maximize the public health benefit of disseminating these treatments online, this study will use the Multiphase Optimization Strategy (MOST) framework to most quickly and efficiently determine which, if any, of 5 innovative intervention components, alone or in combination, increases the proportion of patients achieving a ≥5% weight loss, and mean weight loss, after a 12-month online behavioral obesity treatment.
Detailed description
Decades of research have demonstrated that behavioral obesity treatments can produce clinically significant weight losses that improve health and disease risk/severity. However, these treatments have not been disseminated widely due to high costs and lack of qualified providers. The investigators therefore aim to develop and test a fully automated online obesity treatment that would produce clinically significant weight losses (i.e., ≥ 5 % of initial body weight) when delivered online. In order to maximize the public health impact of online obesity treatment, and advance the science of online behavioral intervention in general, it is imperative to evaluate innovative behavioral intervention components with the potential to optimize weight loss outcomes. Because digital health technology evolves rapidly, this research will use the Multiphase Optimization Strategy (MOST) framework to most quickly and efficiently determine which, if any, of 5 innovative intervention components, alone or in combination, increases the proportion of patients achieving a ≥5% weight loss, and mean weight loss, of the online Rx Weight loss (RxWL) program at 12- months. The 5 intervention components to be tested are: (a) Web-based virtual reality intervention for training in basic behavioral weight loss skills; tailored interactive intervention targeting (b) structured physical activity and (c) dysregulated eating; (d) a platform for social interaction including opportunities for friendly competition, and (e) interactive video feedback with content tailored to the unique needs of each participant and a focus on dietary skills. A sample of 384 individuals with BMI ≥ 25 will be randomized to receive RxWL and 0-5 of the experimental intervention components in a full factorial experiment. This design will allow the investigators to determine which intervention components maximize weight loss and whether there are favorable combinations of components. In addition, by evaluating the effects of each component on proximal outcomes (i.e., mediators) it will be possible learn not only which components are (or are not) effective but also why or how they exert their effects. This project advances the science of behavioral obesity treatment, and will directly impact the care of patients receiving RxWL.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Factorial
- Masking
- Double blind (investigator, outcomes assessor)
- Number of arms
- 32
| Arm | Type | Receives |
|---|---|---|
| Core Program Only | Experimental | Behavioral: Online Behavioral Weight Loss Program |
| Social Support | Experimental | Behavioral: Online Behavioral Weight Loss Program, Behavioral: Platform for Social Support & Friendly Competition |
| Dysregulated Eating | Experimental | Behavioral: Online Behavioral Weight Loss Program, Behavioral: Skills Training for Dysregulated Eating |
| Social Support, Dysregulated Eating | Experimental | Behavioral: Online Behavioral Weight Loss Program, Behavioral: Skills Training for Dysregulated Eating, Behavioral: Platform for Social Support & Friendly Competition |
| Exercise | Experimental | Behavioral: Online Behavioral Weight Loss Program, Behavioral: Tailored Intervention for Structured Physical Activity |
| Social Support, Exercise | Experimental | Behavioral: Online Behavioral Weight Loss Program, Behavioral: Tailored Intervention for Structured Physical Activity, Behavioral: Platform for Social Support & Friendly Competition |
| Dysregulated Eating, Exercise | Experimental | Behavioral: Online Behavioral Weight Loss Program, Behavioral: Tailored Intervention for Structured Physical Activity, Behavioral: Skills Training for Dysregulated Eating |
| Social Support, Dysregulated Eating, Exercise | Experimental | Behavioral: Online Behavioral Weight Loss Program, Behavioral: Tailored Intervention for Structured Physical Activity, Behavioral: Skills Training for Dysregulated Eating, Behavioral: Platform for Social Support & Friendly Competition |
| Feedback | Experimental | Behavioral: Online Behavioral Weight Loss Program, Behavioral: Tailored Interactive Video Feedback |
| Social Support, Feedback | Experimental | Behavioral: Online Behavioral Weight Loss Program, Behavioral: Tailored Interactive Video Feedback, Behavioral: Platform for Social Support & Friendly Competition |
| Dysregulated Eating, Feedback | Experimental | Behavioral: Online Behavioral Weight Loss Program, Behavioral: Tailored Interactive Video Feedback, Behavioral: Skills Training for Dysregulated Eating |
| Social Support, Dysregulated Eating, Feedback | Experimental | Behavioral: Online Behavioral Weight Loss Program, Behavioral: Tailored Interactive Video Feedback, Behavioral: Skills Training for Dysregulated Eating, Behavioral: Platform for Social Support & Friendly Competition |
| Exercise, Feedback | Experimental | Behavioral: Online Behavioral Weight Loss Program, Behavioral: Tailored Interactive Video Feedback |
| Social Support, Exercise, Feedback | Experimental | Behavioral: Online Behavioral Weight Loss Program, Behavioral: Tailored Interactive Video Feedback, Behavioral: Tailored Intervention for Structured Physical Activity, Behavioral: Platform for Social Support & Friendly Competition |
| Dysregulated Eating, Exercise, Feedback | Experimental | Behavioral: Online Behavioral Weight Loss Program, Behavioral: Tailored Interactive Video Feedback, Behavioral: Tailored Intervention for Structured Physical Activity, Behavioral: Skills Training for Dysregulated Eating |
| Social Support, Dysregulated Eating, Exercise, Feedback | Experimental | Behavioral: Online Behavioral Weight Loss Program, Behavioral: Tailored Interactive Video Feedback, Behavioral: Tailored Intervention for Structured Physical Activity, Behavioral: Skills Training for Dysregulated Eating, Behavioral: Platform for Social Support & Friendly Competition |
| VR | Experimental | Behavioral: Online Behavioral Weight Loss Program, Behavioral: Virtual Reality for Behavioral Weight Loss Skills Training |
| Social Support, VR | Experimental | Behavioral: Online Behavioral Weight Loss Program, Behavioral: Virtual Reality for Behavioral Weight Loss Skills Training, Behavioral: Platform for Social Support & Friendly Competition |
| Dysregulated Eating, VR | Experimental | Behavioral: Online Behavioral Weight Loss Program, Behavioral: Virtual Reality for Behavioral Weight Loss Skills Training, Behavioral: Skills Training for Dysregulated Eating |
| Social Support, Dysregulated Eating, VR | Experimental | Behavioral: Online Behavioral Weight Loss Program, Behavioral: Virtual Reality for Behavioral Weight Loss Skills Training, Behavioral: Skills Training for Dysregulated Eating, Behavioral: Platform for Social Support & Friendly Competition |
| Exercise, VR | Experimental | Behavioral: Online Behavioral Weight Loss Program, Behavioral: Virtual Reality for Behavioral Weight Loss Skills Training, Behavioral: Tailored Intervention for Structured Physical Activity |
| Social Support, Exercise, VR | Experimental | Behavioral: Online Behavioral Weight Loss Program, Behavioral: Virtual Reality for Behavioral Weight Loss Skills Training, Behavioral: Tailored Intervention for Structured Physical Activity, Behavioral: Platform for Social Support & Friendly Competition |
| Dysregulated Eating, Exercise, VR | Experimental | Behavioral: Online Behavioral Weight Loss Program, Behavioral: Virtual Reality for Behavioral Weight Loss Skills Training, Behavioral: Tailored Intervention for Structured Physical Activity, Behavioral: Skills Training for Dysregulated Eating |
| Social Support, Dysregulated Eating, Exercise, VR | Experimental | Behavioral: Online Behavioral Weight Loss Program, Behavioral: Virtual Reality for Behavioral Weight Loss Skills Training, Behavioral: Tailored Intervention for Structured Physical Activity, Behavioral: Skills Training for Dysregulated Eating, Behavioral: Platform for Social Support & Friendly Competition |
| Feedback, VR | Experimental | Behavioral: Online Behavioral Weight Loss Program, Behavioral: Virtual Reality for Behavioral Weight Loss Skills Training, Behavioral: Tailored Interactive Video Feedback |
| Social Support, Feedback, VR | Experimental | Behavioral: Online Behavioral Weight Loss Program, Behavioral: Virtual Reality for Behavioral Weight Loss Skills Training, Behavioral: Tailored Interactive Video Feedback, Behavioral: Platform for Social Support & Friendly Competition |
| Dysregulated Eating, Feedback, VR | Experimental | Behavioral: Online Behavioral Weight Loss Program, Behavioral: Virtual Reality for Behavioral Weight Loss Skills Training, Behavioral: Tailored Interactive Video Feedback, Behavioral: Skills Training for Dysregulated Eating |
| Social Support, Dysregulated Eating, Feedback, VR | Experimental | Behavioral: Online Behavioral Weight Loss Program, Behavioral: Virtual Reality for Behavioral Weight Loss Skills Training, Behavioral: Tailored Interactive Video Feedback, Behavioral: Skills Training for Dysregulated Eating, Behavioral: Platform for Social Support & Friendly Competition |
| Exercise, Feedback, VR | Experimental | Behavioral: Online Behavioral Weight Loss Program, Behavioral: Virtual Reality for Behavioral Weight Loss Skills Training, Behavioral: Tailored Interactive Video Feedback, Behavioral: Tailored Intervention for Structured Physical Activity |
| Social Support, Exercise, Feedback, VR | Experimental | Behavioral: Online Behavioral Weight Loss Program, Behavioral: Virtual Reality for Behavioral Weight Loss Skills Training, Behavioral: Tailored Interactive Video Feedback, Behavioral: Tailored Intervention for Structured Physical Activity, Behavioral: Platform for Social Support & Friendly Competition |
| Dysregulated Eating, Exercise, Feedback, VR | Experimental | Behavioral: Online Behavioral Weight Loss Program, Behavioral: Virtual Reality for Behavioral Weight Loss Skills Training, Behavioral: Tailored Interactive Video Feedback, Behavioral: Tailored Intervention for Structured Physical Activity, Behavioral: Skills Training for Dysregulated Eating |
| Social Support, Dysregulated Eating, Exercise, Feedback, VR | Experimental | Behavioral: Online Behavioral Weight Loss Program, Behavioral: Virtual Reality for Behavioral Weight Loss Skills Training, Behavioral: Tailored Interactive Video Feedback, Behavioral: Tailored Intervention for Structured Physical Activity, Behavioral: Skills Training for Dysregulated Eating, Behavioral: Platform for Social Support & Friendly Competition |
Who may qualify
- Ages
- 18 to 70 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Online Behavioral Weight Loss ProgramA self-guided, online program that helps participants reduce energy intake and gradually increase physical activity. | Behavioural | Core Program Only, Dysregulated Eating, Dysregulated Eating, Exercise, Dysregulated Eating, Exercise, Feedback, Dysregulated Eating, Exercise, Feedback, VR, Dysregulated Eating, Exercise, VR, Dysregulated Eating, Feedback, Dysregulated Eating, Feedback, VR, Dysregulated Eating, VR, Exercise, Exercise, Feedback, Exercise, Feedback, VR, Exercise, VR, Feedback, Feedback, VR, Social Support, Social Support, Dysregulated Eating, Social Support, Dysregulated Eating, Exercise, Social Support, Dysregulated Eating, Exercise, Feedback, Social Support, Dysregulated Eating, Exercise, Feedback, VR, Social Support, Dysregulated Eating, Exercise, VR, Social Support, Dysregulated Eating, Feedback, Social Support, Dysregulated Eating, Feedback, VR, Social Support, Dysregulated Eating, VR, Social Support, Exercise, Social Support, Exercise, Feedback, Social Support, Exercise, Feedback, VR, Social Support, Exercise, VR, Social Support, Feedback, Social Support, Feedback, VR, Social Support, VR, VR |
| Virtual Reality for Behavioral Weight Loss Skills TrainingThis program allows participants to practice behavioral weight loss skills using an online virtual reality system accessed via a Web browser. | Behavioural | Dysregulated Eating, Exercise, Feedback, VR, Dysregulated Eating, Exercise, VR, Dysregulated Eating, Feedback, VR, Dysregulated Eating, VR, Exercise, Feedback, VR, Exercise, VR, Feedback, VR, Social Support, Dysregulated Eating, Exercise, Feedback, VR, Social Support, Dysregulated Eating, Exercise, VR, Social Support, Dysregulated Eating, Feedback, VR, Social Support, Dysregulated Eating, VR, Social Support, Exercise, Feedback, VR, Social Support, Exercise, VR, Social Support, Feedback, VR, Social Support, VR, VR |
| Tailored Interactive Video FeedbackVideo-recorded messages are used to provide periodic feedback on progress with weight loss, dietary change, and physical activity. Additional videos provide dietary skills training. | Behavioural | Dysregulated Eating, Exercise, Feedback, Dysregulated Eating, Exercise, Feedback, VR, Dysregulated Eating, Feedback, Dysregulated Eating, Feedback, VR, Exercise, Feedback, Exercise, Feedback, VR, Feedback, Feedback, VR, Social Support, Dysregulated Eating, Exercise, Feedback, Social Support, Dysregulated Eating, Exercise, Feedback, VR, Social Support, Dysregulated Eating, Feedback, Social Support, Dysregulated Eating, Feedback, VR, Social Support, Exercise, Feedback, Social Support, Exercise, Feedback, VR, Social Support, Feedback, Social Support, Feedback, VR |
| Tailored Intervention for Structured Physical ActivityPeriodic self-assessment is used to guide selection of a physical activity goal. Home-based instructional videos are provided to help meet the selected goal. | Behavioural | Dysregulated Eating, Exercise, Dysregulated Eating, Exercise, Feedback, Dysregulated Eating, Exercise, Feedback, VR, Dysregulated Eating, Exercise, VR, Exercise, Exercise, Feedback, VR, Exercise, VR, Social Support, Dysregulated Eating, Exercise, Social Support, Dysregulated Eating, Exercise, Feedback, Social Support, Dysregulated Eating, Exercise, Feedback, VR, Social Support, Dysregulated Eating, Exercise, VR, Social Support, Exercise, Social Support, Exercise, Feedback, Social Support, Exercise, Feedback, VR, Social Support, Exercise, VR |
| Skills Training for Dysregulated EatingPeriodic self-assessment is used to guide selection of skills training modules designed to counter common causes of dysregulated eating (e.g., boredom, stress). | Behavioural | Dysregulated Eating, Dysregulated Eating, Exercise, Dysregulated Eating, Exercise, Feedback, Dysregulated Eating, Exercise, Feedback, VR, Dysregulated Eating, Exercise, VR, Dysregulated Eating, Feedback, Dysregulated Eating, Feedback, VR, Dysregulated Eating, VR, Social Support, Dysregulated Eating, Social Support, Dysregulated Eating, Exercise, Social Support, Dysregulated Eating, Exercise, Feedback, Social Support, Dysregulated Eating, Exercise, Feedback, VR, Social Support, Dysregulated Eating, Exercise, VR, Social Support, Dysregulated Eating, Feedback, Social Support, Dysregulated Eating, Feedback, VR, Social Support, Dysregulated Eating, VR |
| Platform for Social Support & Friendly CompetitionAn online platform is provided for participants to connect with each other, support each other, and compete on achievement of behavioral and weight loss milestones. | Behavioural | Social Support, Social Support, Dysregulated Eating, Social Support, Dysregulated Eating, Exercise, Social Support, Dysregulated Eating, Exercise, Feedback, Social Support, Dysregulated Eating, Exercise, Feedback, VR, Social Support, Dysregulated Eating, Exercise, VR, Social Support, Dysregulated Eating, Feedback, Social Support, Dysregulated Eating, Feedback, VR, Social Support, Dysregulated Eating, VR, Social Support, Exercise, Social Support, Exercise, Feedback, Social Support, Exercise, Feedback, VR, Social Support, Exercise, VR, Social Support, Feedback, Social Support, Feedback, VR, Social Support, VR |
Primary outcome
Weight Change (Percent of Initial Body Weight) From Baseline to Month 12, Main Effect of Time
Time frame: From Baseline to Month 12
Weight was measured at the research center by the research team, or measured by the participant at home and sent to the research team with with documentation of the value reported (e.g., a photograph from a home scale showing the weight). A change between two time points is reported. The value of this outcome was calculated using: [(baseline weight - month 12 weight) ÷ baseline weight] × 100. Estimated mean change was obtained from a linear mixed models analysis of variance. Data from all randomized participants were included in the model (ITT analysis).
Weight Change (Percent of Initial Body Weight) From Baseline to Month 12, Time by Intervention Component Interaction
Time frame: From Baseline to Month 12
Weight was measured at the research center by the research team, or measured by the participant at home and sent to the research team with with documentation of the value reported (e.g., a photograph from a home scale showing the weight). A change between two time points is reported. The value of this outcome was calculated using: [(baseline weight - month 12 weight) ÷ baseline weight] × 100. Estimated mean change was obtained from a linear mixed models analysis of variance. Data from all randomized participants were included in the model (ITT analysis). This outcome measure is reported as an additional effect beyond that of Outcome Measure 1 (each intervention component has it's own weight loss effect that is above and beyond the weight change calculated in the Outcome Measure 1 analyses).
Proportion of Participants With Weight Loss ≥ 5% at Month 12, Main Effect of Time
Time frame: Month 12
Weight was measured at the research center by the research team, or measured by the participant at home and sent to the research team with with documentation of the value reported (e.g., a photograph from a home scale showing the weight). Weight loss was calculated using: [(baseline weight - month 12 weight) ÷ baseline weight] × 100. The estimated proportion of participants achieving a weight loss of ≥ 5% of their Baseline body weight was obtained from a generalized linear mixed models analysis of variance to account for missing data. All randomized participants were utilized in the model (ITT analysis).
Proportion of Participants With Weight Loss ≥ 5% at Month 12, Time by Intervention Component Interaction
Time frame: Month 12
Weight was measured at the research center by the research team, or measured by the participant at home and sent to the research team with with documentation of the value reported (e.g., a photograph from a home scale showing the weight). Weight loss was calculated using: [(baseline weight - month 12 weight) ÷ baseline weight] × 100. Estimated proportions of participants with weight loss of ≥ 5% of initial body weight at Month 12 were obtained from a generalized linear mixed models analysis of variance to account for missing data. All randomized participants were utilized in the model (ITT analysis).
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Jan 2025.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 40968617Thomas JG, Goldstein CM, Bond DS, Lillis J, Hekler E, Goldstein SP, Butryn ML, Cao Z, Wing RR. Evaluation of Five Novel Intervention Components in Online Obesity Treatment: Outcomes of a Randomized Factorial Experiment. Obesity (Silver Spring). 2025 Nov;33(11):2128-2138. doi: 10.1002/oby.70039. Epub 2025 Sep 18.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2/3 study testing Online Behavioral Weight Loss Program, Virtual Reality for Behavioral Weight Loss Skills Training and Tailored Interactive Video Feedback in people with Overweight and Obesity, run by The Miriam Hospital at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 15 Jan 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this combined phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 15 Jan 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Weight Change (Percent of Initial Body Weight) From Baseline to Month 12, Main Effect of Time (time frame: From Baseline to Month 12). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04520256, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Jan 2025.