Improving Diet Quality of People Living With Obesity by Building Effective Dietetic Service Delivery Using Technology in a Primary Health Care Setting: Protocol for a Randomized Controlled Trial (Preprint) Article Swipe
Deborah Kerr
,
Clare E. Collins
,
Andrea Begley
,
Barbara Mullan
,
Satvinder S. Dhaliwal
,
Claire Elizabeth Pulker
,
Fengqing Zhu
,
Marie Fialkowsk
,
Richard L. Prince
,
Richard Norman
,
Anthony P James
,
Paul Aveyard
,
H. L. Mitchell
,
Jacquie Garton‐Smith
,
Megan E. Rollo
,
Chloé Maxwell‐Smith
,
Amira Hassan
,
Hayley Breare
,
Lucy M. Butcher
,
Christina Pollard
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.2196/preprints.64735
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.2196/preprints.64735
BACKGROUND Almost a third of Australian adults are living with obesity, yet most cannot access medical nutrition therapy from dietitians, that is, the health professionals trained in dietary weight management services. Across the health system, primary care doctors readily identify people who may benefit from weight management services, but there are limited referral options in the community. Dietitians are trained to provide evidence-informed dietary treatment of overweight and obesity but are underutilized and underresourced. The chat2 (Connecting Health and Technology 2) trial will test combining new technologies for dietary assessment with behavior change techniques to improve outcomes for people living with obesity. OBJECTIVE This study aimed to compare the effectiveness of a 1-year digital dietary intervention, with standard care on body weight reduction and improved diet quality, in adults living with obesity delivered by dietitians in a primary care setting. METHODS This randomized controlled trial will compare a 1-year, digitally tailored, feedback dietary intervention with a control group in 430 adults living with obesity (BMI≥30 to ≤45 kg/m2). Participants will be recruited by letters sent to individuals randomly selected from the electoral roll and supplemented by hospital site posters, newsletters, and unaddressed mailbox delivery postcards sent to residential street points. The primary outcome is change in body weight, measured face-to-face at a baseline, 6 months, and 12 months. A 4-day, image-based dietary assessment tool (mobile Food Record) will be used to measure diet quality score. Secondary outcomes include diet quality score; dual-energy absorptiometry body composition; and total cholesterol, triglyceride, low-density lipoprotein, high-density lipoprotein, glycated hemoglobin, and fasting glucose levels. The intervention group will receive 8 video counseling sessions with a trained dietitian delivered over 12 months to support dietary behavior change and relapse prevention. The trial is unblinded. Both groups will receive feedback on their clinical chemistry and dual-energy absorptiometry scans at each time point. RESULTS Participant recruitment commenced in July 2023 and ended in August 2024. Data analysis will commence in 2025, with the anticipated publication of results in 2026. CONCLUSIONS If found to be effective, the results of this randomized controlled trial will support the delivery of effective, evidence-based weight management advice using new technologies. Improving community access to high-quality dietetic services will ensure more effective use of the dietetic workforce to improve outcomes for people living with obesity. CLINICALTRIAL Australian New Zealand Clinical Trials Registry ACTRN12622000803796; https://anzctr.org.au/Trial/Registration/TrialReview.aspx?id=383838 INTERNATIONAL REGISTERED REPORT DERR1-10.2196/64735
Related Topics
Concepts
Medicine
Randomized controlled trial
Overweight
Body mass index
Weight loss
Weight management
Physical therapy
Glycated hemoglobin
Obesity
Gerontology
Family medicine
Internal medicine
Diabetes mellitus
Type 2 diabetes
Endocrinology
Metadata
- Type
- preprint
- Language
- en
- Landing Page
- https://doi.org/10.2196/preprints.64735
- https://s3.ca-central-1.amazonaws.com/assets.jmir.org/assets/preprints/preprint-64735-submitted.pdf
- OA Status
- gold
- References
- 51
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4401196992
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4401196992Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.2196/preprints.64735Digital Object Identifier
- Title
-
Improving Diet Quality of People Living With Obesity by Building Effective Dietetic Service Delivery Using Technology in a Primary Health Care Setting: Protocol for a Randomized Controlled Trial (Preprint)Work title
- Type
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preprintOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-07-25Full publication date if available
- Authors
-
Deborah Kerr, Clare E. Collins, Andrea Begley, Barbara Mullan, Satvinder S. Dhaliwal, Claire Elizabeth Pulker, Fengqing Zhu, Marie Fialkowsk, Richard L. Prince, Richard Norman, Anthony P James, Paul Aveyard, H. L. Mitchell, Jacquie Garton‐Smith, Megan E. Rollo, Chloé Maxwell‐Smith, Amira Hassan, Hayley Breare, Lucy M. Butcher, Christina PollardList of authors in order
- Landing page
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https://doi.org/10.2196/preprints.64735Publisher landing page
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https://s3.ca-central-1.amazonaws.com/assets.jmir.org/assets/preprints/preprint-64735-submitted.pdfDirect link to full text PDF
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://s3.ca-central-1.amazonaws.com/assets.jmir.org/assets/preprints/preprint-64735-submitted.pdfDirect OA link when available
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Medicine, Randomized controlled trial, Overweight, Body mass index, Weight loss, Weight management, Physical therapy, Glycated hemoglobin, Obesity, Gerontology, Family medicine, Internal medicine, Diabetes mellitus, Type 2 diabetes, EndocrinologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
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51Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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