Perry Foley|Dori Steinberg|Erica Levine|Sandy Askew|Bryan C. Batch|Elaine Puleo|Laura P. Svetkey|Hayden B. Bosworth|Abigail DeVries|Heather Miranda|Gary G. Bennett
Track: A randomized controlled trial of a digital health obesity treatment intervention for medically vulnerable primary care patients
Duke Institute for Health Innovation|Duke Institute for Health Innovation|Duke Institute for Health Innovation|Duke Institute for Health Innovation|Duke Medical Center|Duke University|Duke University Hospital|University of Massachusetts Amherst|Duke Medical Center|Duke University|Duke University Hospital|Piedmont HealthCare|Piedmont HealthCare|Duke Institute for Health Innovation|Duke University
obesity continues disproportionately affect medically vulnerable populations digital health interventions may effective delivering obesity treatment lowresource primary care settingstrack 12month randomized controlled trial digital health weight loss intervention community health center system participants 351 obese men women aged 21 65years obesityrelated comorbidity track participants randomized usual primary care 12month intervention consisting algorithmgenerated tailored behavior change goals selfmonitoring via mobile technologies daily selfweighing using networkconnected scale skills training materials 18 counseling phone calls track coach primary care provider counseling participants followed 12months study visits baseline 6 12months anthropometric data blood pressure fasting lipids glucose hba1c selfadministered surveys collected followup data collected medical record 24monthsparticipants 68 female average 507years old mean bmi 359kgm2 participants mainly black 54 white 33 125 hispanic participants mostly employed lowincome 20 sample hypertension diabetes hyperlipidemia almost 27 participants currently smoke almost 20 score clinical threshold depressiontrack utilizes innovative digital health approach reduce obesity chronic disease risk among medically vulnerable adults primary care setting baseline characteristics reflect socioeconomically disadvantaged highrisk patient population need evidencebased obesity treatment