OverweightADPB-EMPWNCT01644708
Empowerment and Overweight - a Prospective Observational Study
An observational study of Overweight and Obesity, run by Azienda Per I Servizi Sanitari N. 2 Isontina at 1 site in Italy.
Trial summary
Overweight and obesity put an heavy burden over people's health. Many methods are reported in medical literature but none of them proved to be effective in maintaining the results achieved over time. Motivational change remains a fundamental step towards the maintenance of a new lifestyle. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Overweight, Obesity, Power, Personal
- What is being tested?
- Self empowerment
- Type of treatment
- Lifestyle or therapy programme
- How many people
- 80 participants
- Where
- 1 siteItaly
- Study dates
- Jan 2012to Mar 2013
- Phase
- Observational
- Are there results?
- None posted in the registry
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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: All adult persons with BMI equal or above 25
Who may be able to join
- The study will include all adults, with a Body Mass Index (BMI) above 25, entering the new "therapy groups" of the project, named "Diamo Peso al Benessere" ("Let's Give Weight to Well-Being"), (Local Health Unit 4 Medio Friuli, Mental Health Department). Before being included in the therapy groups, persons will undergo three individual in-depth interviews with an empowerment consultant, with:
- Verification of the motivation (Importance of the problem + Self-esteem, Likert scales 0 -10)
- Request to underwrite the "therapy contract"
- Final meeting for inclusion in the group and acquisition of informed consent.
Who cannot join
- minors will be excluded and
- those who must shed weight in a short time because of planned surgery,
- those who suffer from severe health problems (severe stroke outcomes, heart or kidney failure, neoplasia)
- those who want to lose weight only for esthetic reasons,
- those who cannot guarantee regular weekly attendance for the treatment,
- those who also use other means for losing weight (weight-loss surgery, psychoanalysis, or other nutritional regimens).
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Th Efficacy of Individual Empowerment on Overweight and Obese Patients - a Prospective Observational Study.
Overweight and obesity put an heavy burden over people's health. Many methods are reported in medical literature but none of them proved to be effective in maintaining the results achieved over time. Motivational change remains a fundamental step towards the maintenance of a new lifestyle. Strengthening personal capabilities and self-esteem seem to be key strategies in motivating persons for change and facilitating a capacity of coping.
The aim of this study is to observe the effects of an individual empowerment program on the health of a group of overweight/obese persons.
Read the detailed description
With this observational, uncontrolled prospective study we aim to observe any clinical modifications (concerning weight and other health indicators) achieved by a group of overweight and obese persons who underwent a therapy treatment by means of "self-empowerment".
The study will include all adults, with a Body Mass Index (BMI) above 25, entering the new "therapy groups" of the project, named "Diamo Peso al Benessere" ("Let's Give Weight to Well-Being") an NGO located within the Local Health Unit 4 Medio Friuli, Mental Health Department.
The added value of the strategy proposed by this association is relevant because it is mainly directed to the the improvement of the capacity building of each obese participant instead of focusing only to the food intake. General practice trainees will be dedicated to the evaluation and monitoring of the health status of a group of obese patients included into self-empowerment groups will be assessed for the following year. Major health indicators will be assessed: Body weight, height, waist circumference, brachial blood pressure (two measurements), non-invasive oxymetry.
Some questionnaires will be utilized: Antonovsky's sense of coherence scale, 10-point Likert scale about empowerment, Likert scale about perceived health, Berlin test, Hamilton rating scale for depression.
Blood tests will also be observed. Statistical Analysis A descriptive analysis of all the parameters collected, both the baseline data and those from the 6 and 12- month follow-ups.
For continuous variables (age, weight, BMI…) indicators will be calculated such as the mean, standard deviation, minimum, median and maximum values. The categorical data will be presented by means of frequency tables (n, %).
The changes in the parameters and in the distribution of categorical variables pertaining to the main and secondary outcomes will be assessed by comparing the baseline data collected and those from the 6 and 12-month follow-ups. McNemar's test will be used on the categorical variables, with a level of significance for the p-value fixed at < 0.05. This will allow to record any differences in the distributions of the main factors of interest. T-tests will be used for paired data for assessing changes in the categorical variables.
- Conditions
- Overweight, Obesity, Power, Personal
- Being tested
- Self empowerment
- Keywords
- Obesity, Overweight, Individual empowerment, Physical parameters, Self esteem
- Medical subject headings
- Overweight, Obesity
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Self empowermentBehavioural
Also called self-empowerment, self-esteem
- Group meeting, introducing the method and the assessment tools
- Self-empowerment,
- Handing over the "journal",
- Questionnaire about emotional states and motivations for losing weight and for change.
The group meetings, lasting one hour and a half, will take place every week, always on the same day and at the same time, for one year. During each meeting the participant "weighs himself" and he notes his weight down in his journal.
| Study group | Role | What they receive |
|---|---|---|
| Overweight, obese adult patients | Patients following a self empowerment group will be included in the study Receives: Behavioral: Self empowerment |
What is being measured
The primary outcome is the main question the study is designed to answer.
Decreasing body weight
A persistent reduction of body weight is expected after 6 and 12 months
Measured: 6,12 months
Secondary outcomes (6)
Improved blood pressure control
Measured: 6 and 12 months
decreasing glycemic levels
Measured: 6 and 12 months
decreasing total cholesterol values
Measured: 6 and 12 months
decreasing triglyceride values
Measured: 6 and 12 months
improvements in the creatinine levels
Measured: 6 and 12 months
stabilization and improvement of mood and temper (reduction in benzodiazepines and antidepressants)
Measured: 6 and 12 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Jul 2012 (estimated)
- Study startJan 2012
- Primary completionMar 2013
- Study completionMar 2013
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for OverweightStudies 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
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 80 participants (actual)
Sponsor and investigators
- Lead sponsor
- Azienda Per I Servizi Sanitari N. 2 Isontina
- Sponsor type
- University, hospital or other
- Collaborators
- Azienda per i servizi Sanitari 4 Medio Friuli, Dipartimento di Salute Mentale, Udine, Associazione Diamo Peso al Benessere, Università degli Studi di Udine, Facoltà di Medicina e Chirurgia, Clinica Psichiatrica, Centro Regionale di Formazione per l'Area delle Cure Primarie
- Responsible party
- Principal investigator, Pierluigi Struzzo, MD, Azienda Per I Servizi Sanitari N. 2 Isontina
- Investigators
- Pierluigi Struzzo, MD, Principal investigator, Regional Centre for the Training in Primary CareMario Novello, MD, Study director, Azienda per i Servizi Sanitari Medio FriuliAnita Cacitti, dr, Study chair, Azienda per i Servizi Sanitari Medio Friuli
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01644708
- Sponsor's protocol ID
- CeformedDSM1
- Acronym
- ADPB-EMPW
- Status last verified
- Jun 2013
- First submitted
- 17 Jul 2012
- Last updated
- 10 Jun 2013
- Results posted
- No
- Data monitoring committee
- No
Publications
Struzzo P, Fumato R, Tillati S, Cacitti A, Gangi F, Stefani A, Torcutti A, Crapesi L, Tubaro G, Balestrieri M. Individual empowerment in overweight and obese patients: a study protocol. BMJ Open. 2013 May 14;3(5):e002669. doi: 10.1136/bmjopen-2013-002669.
PubMed 23676799
Study at a glance
From the registry record, last updated by the sponsor on 10 Jun 2013. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Th Efficacy of Individual Empowerment on Overweight and Obese Patients - a Prospective Observational Study.
- ClinicalTrials.gov ID
- NCT01644708
- Acronym / sponsor ID
- ADPB-EMPW / CeformedDSM1
- Conditions
- Overweight, Obesity, Power, Personal
- Keywords
- Obesity, Overweight, Individual empowerment, Physical parameters, Self esteem
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 80 participants (actual)
- Lead sponsor
- Azienda Per I Servizi Sanitari N. 2 IsontinaUniversity, hospital or other
- Collaborators
- Azienda per i servizi Sanitari 4 Medio Friuli, Dipartimento di Salute Mentale, Udine, Associazione Diamo Peso al Benessere, Università degli Studi di Udine, Facoltà di Medicina e Chirurgia, Clinica Psichiatrica, Centro Regionale di Formazione per l'Area delle Cure Primarie
- Study start
- Jan 2012
- Primary completion
- Mar 2013 (actual)
- Study completion
- Mar 2013 (actual)
- First posted
- 19 Jul 2012 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Overweight and obesity put an heavy burden over people's health. Many methods are reported in medical literature but none of them proved to be effective in maintaining the results achieved over time. Motivational change remains a fundamental step towards the maintenance of a new lifestyle. Strengthening personal capabilities and self-esteem seem to be key strategies in motivating persons for change and facilitating a capacity of coping.
The aim of this study is to observe the effects of an individual empowerment program on the health of a group of overweight/obese persons.
Detailed description
With this observational, uncontrolled prospective study we aim to observe any clinical modifications (concerning weight and other health indicators) achieved by a group of overweight and obese persons who underwent a therapy treatment by means of "self-empowerment".
The study will include all adults, with a Body Mass Index (BMI) above 25, entering the new "therapy groups" of the project, named "Diamo Peso al Benessere" ("Let's Give Weight to Well-Being") an NGO located within the Local Health Unit 4 Medio Friuli, Mental Health Department.
The added value of the strategy proposed by this association is relevant because it is mainly directed to the the improvement of the capacity building of each obese participant instead of focusing only to the food intake. General practice trainees will be dedicated to the evaluation and monitoring of the health status of a group of obese patients included into self-empowerment groups will be assessed for the following year. Major health indicators will be assessed: Body weight, height, waist circumference, brachial blood pressure (two measurements), non-invasive oxymetry.
Some questionnaires will be utilized: Antonovsky's sense of coherence scale, 10-point Likert scale about empowerment, Likert scale about perceived health, Berlin test, Hamilton rating scale for depression.
Blood tests will also be observed. Statistical Analysis A descriptive analysis of all the parameters collected, both the baseline data and those from the 6 and 12- month follow-ups.
For continuous variables (age, weight, BMI…) indicators will be calculated such as the mean, standard deviation, minimum, median and maximum values. The categorical data will be presented by means of frequency tables (n, %).
The changes in the parameters and in the distribution of categorical variables pertaining to the main and secondary outcomes will be assessed by comparing the baseline data collected and those from the 6 and 12-month follow-ups. McNemar's test will be used on the categorical variables, with a level of significance for the p-value fixed at < 0.05. This will allow to record any differences in the distributions of the main factors of interest. T-tests will be used for paired data for assessing changes in the categorical variables.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Overweight, obese adult patients | – | Behavioral: Self empowermentPatients following a self empowerment group will be included in the study |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- All adult persons with BMI equal or above 25
Key inclusion criteria (4 listed)
- The study will include all adults, with a Body Mass Index (BMI) above 25, entering the new "therapy groups" of the project, named "Diamo Peso al Benessere" ("Let's Give Weight to Well-Being"), (Local Health Unit 4 Medio Friuli, Mental Health Department). Before being included in the therapy groups, persons will undergo three individual in-depth interviews with an empowerment consultant, with:
- Verification of the motivation (Importance of the problem + Self-esteem, Likert scales 0 -10)
- Request to underwrite the "therapy contract"
- Final meeting for inclusion in the group and acquisition of informed consent.
Key exclusion criteria (6 listed)
- minors will be excluded and
- those who must shed weight in a short time because of planned surgery,
- those who suffer from severe health problems (severe stroke outcomes, heart or kidney failure, neoplasia)
- those who want to lose weight only for esthetic reasons,
- those who cannot guarantee regular weekly attendance for the treatment,
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 |
|---|---|---|
| Self empowermentAlso: self-empowerment, self-esteem1. Group meeting, introducing the method and the assessment tools 1. Self-empowerment, 2. Handing over the "journal", 3. Questionnaire about emotional states and motivations for losing weight and for change. The group meetings, lasting one hour and a half, will take place every week, always on the same day and at the same time, for one year. During each meeting the participant "weighs himself" and he notes his weight down in his journal. | Behavioural | Overweight, obese adult patients |
Primary outcome
Decreasing body weight
Time frame: 6,12 months
A persistent reduction of body weight is expected after 6 and 12 months
6 secondary outcomes
Improved blood pressure control
Time frame: 6 and 12 months
decreasing glycemic levels
Time frame: 6 and 12 months
decreasing total cholesterol values
Time frame: 6 and 12 months
decreasing triglyceride values
Time frame: 6 and 12 months
improvements in the creatinine levels
Time frame: 6 and 12 months
stabilization and improvement of mood and temper (reduction in benzodiazepines and antidepressants)
Time frame: 6 and 12 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Jun 2013.
- Derived from this study: PubMed 23676799Struzzo P, Fumato R, Tillati S, Cacitti A, Gangi F, Stefani A, Torcutti A, Crapesi L, Tubaro G, Balestrieri M. Individual empowerment in overweight and obese patients: a study protocol. BMJ Open. 2013 May 14;3(5):e002669. doi: 10.1136/bmjopen-2013-002669.
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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.
Pierluigi Struzzo, MD principal investigator
Regional Centre for the Training in Primary Care
Mario Novello, MD study director
Azienda per i Servizi Sanitari Medio Friuli
Anita Cacitti, dr study chair
Azienda per i Servizi Sanitari Medio Friuli
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Overweight and Obesity, run by Azienda Per I Servizi Sanitari N. 2 Isontina at 1 site in Italy.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 6 exclusion criteria. 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 10 Jun 2013. 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 Italy. 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.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Decreasing body weight (time frame: 6,12 months). 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 NCT01644708, 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 10 Jun 2013.