6 month addiction model based weight loss intervention in the form of an iPhone app coupled with personalized coaching.

6 month addiction model based weight loss intervention in the form of an iPhone app.

In-Clinic Multi-disciplinary monthly weight management program. Curriculum adapted from the KidsNFitness Program and administered by an MD, RD, Psychologist and Health Educator over 90 minute sessions

Pediatric Obesity

Mobile Technology

Addiction

6 month app intervention: Problem Food Withdrawal, Snacking Elimination and Food Amount Reduction
Daily Weigh In
App based reminders
Follow Up: Face-to-face clinic visits at 3,6,12 and 18 months.

6 month addiction based intervention: Problem Food Withdrawal, Snacking Elimination and Food Amount Reduction.
Daily Weighing
Daily Text messages from Coach
Weekly 15 minute phone meetings with Coach
Follow Up: Face-to-face clinic visits at 3,6,12 and 18 months post consent

Coaching

6 month in-clinic, evidence-based, multi-disciplinary intervention
90 minute sessions, in clinic that occur every month for 6 months
Follow Up: Face-to-face clinic visits Monthly x 6 months followed by face-to-face visit at12 and 18 months.

Clinic: Modified KidsNFitness

Children's Hospital of Los Angeles

An Addiction-Based Mobile Health Weight Loss Intervention With Coaching

An Addiction Model Based Mobile Health Weight Loss Intervention With Coaching in Adolescents With Overweight and Obesity: Multi-Site Randomized Controlled Trial

Mean change in zBMI and excess BMI percent over the 95th percentile (%BMIp95)

Real life economic analysis of the intervention arms compared to each other and in in-clinic intervention

Evaluate effect of YFAS-c score as a co-variate of program success

Evaluate effect executive function as a co-variate of program success

Evaluate effect ARI score as a co-variate of program success

Evaluate effect of FCQ score as a co-variate of program success

Alaina P. Vidmar, MD

Assistant Professor Department of Pediatric Endocrinology

Children's Hospital Los Angeles

Cedars-Sinai Medical Center

University of California, Los Angeles

Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center

The proposed multi-site randomized control trial (RCT) will test the effectiveness of an addiction-based weight loss intervention, embodied as a smartphone app with telephone coaching compared 1) an addiction-based weight loss intervention alone and 2) an in-clinic weight management intervention based on a traffic-light based approach in a larger sample of economically, racially and ethnically diverse adolescents (ages 14-18).

Blocked randomization will be utilized, to ensure the groups are balanced in terms of number of subjects and the distribution of potential confounding variables. Blocked randomization will be used to ensure the number of eligible subjects assigned to each group is equally distributed. Block size will be blinded from the primary investigator performing the study.

Community screening project targets women of color and/or low income women over 21 years of age in economically and ethnically diverse greater Los Angeles community. Women will be risk stratified based on ASCVD risk calculation and if labeled high risk will be referred to physician services. In 1 year, women will have their ASCVD re-risk stratify to see if seeing a physician/ health care provider reduced overall ASCVD risk scores.

Heart Health Screening and Prevention

A finger stick draws approximately four drops of blood. The total cholesterol (TC), High Density Lipoprotein Cholesterol (HDL-C), Triglycerides, Low Density Cholesterol (LDL-C), and Glucose tests are done.

Fingerstick cholesterol test

This Risk Estimator enables estimation of 10-year and lifetime risks for atherosclerotic cardiovascular disease (ASCVD), defined as coronary death or nonfatal myocardial infarction, or fatal or nonfatal stroke, based on the Pooled Cohort Equations and lifetime risk prediction tools. The Risk Estimator is intended for use in those without ASCVD with a LDL-cholesterol <190 mg/dL.
The information required to estimate ASCVD risk includes age, sex, race, total cholesterol, HDL cholesterol, systolic blood pressure, blood pressure lowering medication use, diabetes status, and smoking status.

Atherosclerosis Cardiovascular Disease Risk assessment

Blood pressure measurement

Cedars-Sinai Women's Heart Center

Beauty From Within Community Screening Project

Comparing ASCVD Risk Score calculated during initial visit and a score calculated in one year.

Noel Bairey Merz

Director

Patients that qualify for the intervention will receive the Samsung Gear virtual reality experiences and will participate in a brief survey about their opinions and preferences once the experiences are completed.

Age and sex matched control participants will be asked to answer a series of satisfaction questions after the study recruitment period is over. These individuals will have been inpatients during the same time as the intervention participants.

Chronic Pain

Intervention arm will be exposed to a series of virtual reality experiences using the Samsung Gear hardware one time during their inpatient stay at Cedars-Sinai.

Samsung Gear

Virtual Reality in Inpatients

The Feasibility, Usability, Acceptability, and Clinical Utility of a Virtual Reality Intervention in the Inpatient Setting

Patients involved in the intervention will be asked a series of qualitative questions asking about their overall experience of the virtual reality intervention as well as the different virtual experiences and how they might change them.

cedrela/pretilost

An Addiction-Based Mobile Health Weight Loss Intervention With Coaching

Beauty From Within Community Screening Project

Virtual Reality in Inpatients

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