POWERS forID: Personalized Online Weight and Exercise Response System for Individuals with Intellectual Disability: study protocol for a randomized controlled trial
Abstract Background Intellectual disability (ID) is characterized by limitations in intellectual functioning and adaptive behavior. Adults with ID exhibit higher rates of obesity and poorer health status compared to the general population. Continuity of care and barriers to health-related activities...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2017-10-01
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| Series: | Trials |
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| Online Access: | http://link.springer.com/article/10.1186/s13063-017-2239-2 |
| _version_ | 1818420537250021376 |
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| author | William H. Neumeier Nichole Guerra Mohanraj Thirumalai Betty Geer David Ervin James H. Rimmer |
| author_facet | William H. Neumeier Nichole Guerra Mohanraj Thirumalai Betty Geer David Ervin James H. Rimmer |
| author_sort | William H. Neumeier |
| collection | DOAJ |
| description | Abstract Background Intellectual disability (ID) is characterized by limitations in intellectual functioning and adaptive behavior. Adults with ID exhibit higher rates of obesity and poorer health status compared to the general population. Continuity of care and barriers to health-related activities may contribute to the poorer health status observed in this population. To address this problem, a tailored weight management online health information and communication technology platform, known as POWERSforID, was developed and is being tested to determine if this delivery mechanism can improve weight maintenance/weight loss in adults with ID. Methods Obese adults with mild-to-moderate ID (n = 70) are randomized to the POWERS forID intervention or control group for a 24-week trial. Each group undergoes an assessment that includes body weight, waist circumference, and percent body fat at baseline and at weeks 6, 12, and 24. Physical activity barriers, healthy eating barriers, food frequency, and psychosocial wellbeing are measured at baseline and at weeks 12 and 24. Blood lipids are assessed at baseline and 24 weeks. Participants randomized to POWERS forID receive access to the POWERS forID website and calls from a health coach (weekly during weeks 1–12, biweekly during weeks 13–24). The health coach employs motivational interviewing techniques adapted for individuals with ID to promote behavior change. Participants randomized to the control group receive standard clinical weight-loss care. Differences in weight, waist circumference, blood lipids, percent body fat, and psychosocial self-report will be assessed. Barriers and facilitators of implementation as well as perception of study outcomes will be conducted via qualitative analysis. Discussion POWERS forID is a novel information and communication technology platform designed to address health needs for adults with ID. This article describes the development and components of POWERS forID. The overall aim is to assess usability and feasibility of POWERS forID for promoting weight loss for obese adults with ID over the course of a 24-week randomized control trial. Trial registration Clinicaltrials.gov, NCT03139760 . Registered on XXX |
| first_indexed | 2024-12-14T12:56:02Z |
| format | Article |
| id | doaj.art-35a3428115964c6eb0d7e74b8ba0cd42 |
| institution | Directory Open Access Journal |
| issn | 1745-6215 |
| language | English |
| last_indexed | 2024-12-14T12:56:02Z |
| publishDate | 2017-10-01 |
| publisher | BMC |
| record_format | Article |
| series | Trials |
| spelling | doaj.art-35a3428115964c6eb0d7e74b8ba0cd422022-12-21T23:00:33ZengBMCTrials1745-62152017-10-0118111110.1186/s13063-017-2239-2POWERS forID: Personalized Online Weight and Exercise Response System for Individuals with Intellectual Disability: study protocol for a randomized controlled trialWilliam H. Neumeier0Nichole Guerra1Mohanraj Thirumalai2Betty Geer3David Ervin4James H. Rimmer5University of Alabama at Birmingham/Lakeshore Foundation Research CollaborativeThe Resource ExchangeUniversity of Alabama at Birmingham/Lakeshore Foundation Research CollaborativeThe Resource ExchangeThe Resource ExchangeUniversity of Alabama at Birmingham/Lakeshore Foundation Research CollaborativeAbstract Background Intellectual disability (ID) is characterized by limitations in intellectual functioning and adaptive behavior. Adults with ID exhibit higher rates of obesity and poorer health status compared to the general population. Continuity of care and barriers to health-related activities may contribute to the poorer health status observed in this population. To address this problem, a tailored weight management online health information and communication technology platform, known as POWERSforID, was developed and is being tested to determine if this delivery mechanism can improve weight maintenance/weight loss in adults with ID. Methods Obese adults with mild-to-moderate ID (n = 70) are randomized to the POWERS forID intervention or control group for a 24-week trial. Each group undergoes an assessment that includes body weight, waist circumference, and percent body fat at baseline and at weeks 6, 12, and 24. Physical activity barriers, healthy eating barriers, food frequency, and psychosocial wellbeing are measured at baseline and at weeks 12 and 24. Blood lipids are assessed at baseline and 24 weeks. Participants randomized to POWERS forID receive access to the POWERS forID website and calls from a health coach (weekly during weeks 1–12, biweekly during weeks 13–24). The health coach employs motivational interviewing techniques adapted for individuals with ID to promote behavior change. Participants randomized to the control group receive standard clinical weight-loss care. Differences in weight, waist circumference, blood lipids, percent body fat, and psychosocial self-report will be assessed. Barriers and facilitators of implementation as well as perception of study outcomes will be conducted via qualitative analysis. Discussion POWERS forID is a novel information and communication technology platform designed to address health needs for adults with ID. This article describes the development and components of POWERS forID. The overall aim is to assess usability and feasibility of POWERS forID for promoting weight loss for obese adults with ID over the course of a 24-week randomized control trial. Trial registration Clinicaltrials.gov, NCT03139760 . Registered on XXXhttp://link.springer.com/article/10.1186/s13063-017-2239-2Weight lossIntellectual disabilityTelehealthMotivational interviewing |
| spellingShingle | William H. Neumeier Nichole Guerra Mohanraj Thirumalai Betty Geer David Ervin James H. Rimmer POWERS forID: Personalized Online Weight and Exercise Response System for Individuals with Intellectual Disability: study protocol for a randomized controlled trial Trials Weight loss Intellectual disability Telehealth Motivational interviewing |
| title | POWERS forID: Personalized Online Weight and Exercise Response System for Individuals with Intellectual Disability: study protocol for a randomized controlled trial |
| title_full | POWERS forID: Personalized Online Weight and Exercise Response System for Individuals with Intellectual Disability: study protocol for a randomized controlled trial |
| title_fullStr | POWERS forID: Personalized Online Weight and Exercise Response System for Individuals with Intellectual Disability: study protocol for a randomized controlled trial |
| title_full_unstemmed | POWERS forID: Personalized Online Weight and Exercise Response System for Individuals with Intellectual Disability: study protocol for a randomized controlled trial |
| title_short | POWERS forID: Personalized Online Weight and Exercise Response System for Individuals with Intellectual Disability: study protocol for a randomized controlled trial |
| title_sort | powers forid personalized online weight and exercise response system for individuals with intellectual disability study protocol for a randomized controlled trial |
| topic | Weight loss Intellectual disability Telehealth Motivational interviewing |
| url | http://link.springer.com/article/10.1186/s13063-017-2239-2 |
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