AzTrials
AzTrials

OverweightHF2NCT02348853

Healthy Families Healthy Forces Study

A study testing Healthy Weight for Living (HWL) and Current Best Practice (CBP) in people with Overweight and Obesity, run by Tufts University at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

U.S. Army Medical Research \& Materiel Command Telemedicine and Advanced Technology Research Center (TATRC) is sponsoring the HF2 (Healthy Families, Healthy Forces) Study. This is a randomized trial comparing two different interventions for sustainable weight loss. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Overweight, Obesity
What is being tested?
Healthy Weight for Living (HWL) and Current Best Practice (CBP)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
308 participants
Where
1 siteUnited States
Study dates
Jan 2015to Dec 2018
Phase
Interventional
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
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Adult dependent of active duty (AD) military personnel: an individual who is at least 18 years and have a military identification(ID) card indicating they are a dependent.
  • This includes AD military sponsor's children at least 18 years of age (by birth or adoption), spouse, partner, parents, and parent-in-laws)
  • At the time of enrollment, willing to be randomized to one of the intervention groups and complete outcome assessments, at least 18 years old at time of provision of informed consent
  • BMI at screening greater than or equal to 25.0 kg/m2
  • English speaking
  • AD military personnel: AD military personnel do not have to meet any criteria other than having an adult partner enrolled in the weight loss program.

Who cannot join

  • Adult dependent of AD military personnel: BMI <25
  • Pregnant
  • Expecting to become pregnant within duration of the study, or lactating
  • Prior weight loss surgery
  • Concurrent participation in another weight loss program or research study
  • Non-English speaking
Show all 27Show fewer
  • Currently undergoing divorce proceedings
  • Very active individuals (> 2 hours/day vigorous activity)
  • Individuals who have lost > 10 lb in the past 6 months
  • Individuals with thyroid disease who have had changes in medications within the past 3 months
  • Individuals with Type 1 diabetes and individuals with Type 2 diabetes who started using insulin in childhood (before 18 years)
  • Those with stomach or intestinal resection, including gastric bypass or other weight loss surgery that influences food intake or absorption of food
  • Those with eating disorder such as anorexia, bulimia or binge-eating disorder currently or within the past 5 years
  • Those with diagnosis of celiac disease, inflammatory bowel disease or any condition that influences ability to absorb food
  • Those with current moderate to severe depression that prevents individual engaging in work or usual activities
  • Those with recent unstable heart disease, myocardial infarction
  • Active cancer
  • Taking medication for severe kidney disease
  • Chronic obstructive pulmonary disease
  • Immunologic disorders
  • AIDS
  • Schizophrenia
  • Psychosis or bipolar disorder
  • Individuals who drink >3 drinks daily or >20 drinks/week
  • Individuals with other diseases or taking other medications that impact ability to comply with the intervention core goal of achieving weight loss of 1-2 lb per week through some combination of changing types and amounts of consumed foods and exercise
  • Excluded medications include steroids except topical preparations.
  • AD military personnel: Those not currently living with the dependent due to separation and/or divorce proceedings will be excluded.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Tufts University Human Nutrition Research Center on Aging

    Boston, Massachusetts, 02111

Other trials in United States

About this study

Official title: Intervention for Sustainable Weight Loss in Military Families

U.S. Army Medical Research \& Materiel Command Telemedicine and Advanced Technology Research Center (TATRC) is sponsoring the HF2 (Healthy Families, Healthy Forces) Study. This is a randomized trial comparing two different interventions for sustainable weight loss. Specifically, the investigators will compare a "current best practice (CBP)" intervention that includes standard dietary advice with a new, "Healthy Weight for Living (HWL)" intervention that includes recommendations to eat a diet rich in protein, dietary fiber, low glycemic index carbohydrates and low calorie foods. The objective of this study is to compare the CBP and HWL interventions when delivered to adult dependents of active duty (AD) military personnel and measure weight loss effects in both the adult dependents and the AD military personnel they live with.

Read the detailed description

This is a randomized trial comparing two different interventions for sustainable weight loss. Specifically researchers will compare a current best practice (CBP) intervention that includes standard dietary advice with a new Healthy Weight for Living (HWL) intervention that includes recommendations to eat a diet rich in protein, dietary fiber and low glycemic index carbohydrates. The population will be adult dependents of Active Duty (AD) military personnel or retired military personnel (direct intervention participants) and the AD or retired military personnel they live with (indirect intervention participants). The primary outcome will be weight change from baseline to 1 year in the adult dependents. The objective of this study is to compare the CBP and HWL interventions when delivered to adult dependents of AD or retired military personnel and measure weight loss effects in both the adult dependents and the AD or retired military personnel they live with. The working hypothesis is that that the HWL intervention will result in significantly greater weight loss over 1 year than the CBP intervention in an intent-to-treat analysis in adult dependents, and that the greater weight loss in HWL will be associated with greater management of hunger and greater adherence to the goal of reducing energy intake. Weight change up until the 18-24 month period will be measured as a secondary outcome in a cohort of participants who will reach the 18-24 month milestone in the study on or prior to December, 2018. A per protocol analysis will also be applied for comparison of the two weight loss arms. (In addition, weight change will be measured in the participants' AD or retired military personnel partner to test the hypothesis that there is a ripple effect of benefits from the interventions associated with effects in the primary recipients.) The original study plan was to examine weight change over 2 years but due to slower recruiting than anticipated the hypotheses were revised to allow for 1 year to be the primary outcome, with secondary outcomes in the subgroup followed until 18-24 months.

The researchers plan to test our central hypothesis and accomplish the study objectives with the following technical objectives:

  1. Conduct a randomized trial comparing the HWL intervention to the CBP intervention over 1 year in adult dependents of AD or retired military personnel. The primary outcome will be weight change from baseline to 1 year. The working hypothesis is that randomization to the HWL intervention will result in significantly greater weight loss over 1 year than randomization to the CBP intervention, and that greater weight loss in the HWL intervention will be associated with greater adherence to the goals of reducing energy intake and hunger.
  2. Compare the change in weight loss of participants in the HWL intervention to the CBP intervention over the 18-24 month timepoints in the subgroup of participants who will reach the 18-24 month milestone on or prior to December, 2018. The working hypothesis is that randomization to the HWL intervention will result in significantly improved weight loss retention compared to randomization to the CBP intervention.
  3. Examine the effects of the interventions delivered to adult dependents of AD or retired military personnel on the weight of AD or retired military personnel themselves. The working hypothesis, based on preliminary data, is that there will be a "ripple" effect of program benefits from intervention participants to the AD or retired military personnel they live with; specifically, overweight and obese AD or retired military personnel will lose more weight if their partner is randomized to the HWL intervention compared to the CBP intervention, because the weight loss of AD or retired military personnel indirectly exposed to the intervention will be proportional to the weight loss of their adult dependent who is directly exposed.
  4. Compare the effects of the two interventions on changes in cardiometabolic risk factors. The working hypothesis is that there will be significantly greater improvements between baseline and 1 year in key cardiometabolic risk factors in adult dependents enrolled in the HWL intervention compared to the CBP intervention, and differences between groups will be predicted by differences in weight loss. For a select subgroup of participants who reach the 18-24 month timepoint on or prior to December 2018, the working hypothesis is that there will be significantly greater improvements in between baseline and 2 years in key cardiometabolic risk factors in adult dependents enrolled in the HWL compared to the CBP intervention.
Conditions
Overweight, Obesity
Being tested
Healthy Weight for Living (HWL), Current Best Practice (CBP)
Medical subject headings
Overweight, Obesity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Healthy Weight for Living (HWL)Behavioural

  • Current Best Practice (CBP)Behavioural

Study groups in NCT02348853
Study groupRoleWhat they receive
Healthy Weight For Living (HWL)ExperimentalHWL is a behavioral intervention designed to effectively facilitate hunger suppression with several concurrent approaches. Hunger suppression is a core behavioral goal of the intervention, and strategies will be used to support that goal, for example increasing meal frequency and encouraging the use of highly satiating low-energy foods to reduce hunger acutely. A unique combination of healthy dietary goals will be recommended that support hunger suppression and/or maintenance of satiety: high total dietary fiber, moderately high protein, moderately low glycemic load (GL) and low energy density.
Receives: Behavioral: Healthy Weight for Living (HWL)
Current Best Practice (CBP)ExperimentalThis intervention is an adapted version of Group Lifestyle Balance which is a validated weight loss program for community groups and military populations that is an official adaptation of the gold standard Diabetes Prevention Program Lifestyle Balance intensive research intervention. It has both training programs for interventionists and program material available on the web and is also slightly modified from the Diabetes Prevention Program study to take into account changing national nutrition recommendations.
Receives: Behavioral: Current Best Practice (CBP)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Weight change in adult dependents of active duty military

    weight change from baseline to 12 months

    Measured: Baseline to 12 months

Secondary outcomes (17)
  1. change in systolic and diastolic blood pressure (mmHg)

    Measured: baseline to 6 months, 12 months, 24 months and 12 months - 18/24 months

  2. change in total cholesterol (mg/dL)

    Measured: baseline to 6 months, 12 months, 24 months and 12 months - 18/24 months

  3. change in HDL cholesterol (mg/dL)

    Measured: baseline to 6 months, 12 months, 24 months and 12 months - 18/24 months

  4. change in LDL cholesterol (mg/dL)

    Measured: baseline to 6 months, 12 months, 24 months and 12 months - 18/24 months

  5. change in triacylglycerol (mg/dL)

    Measured: baseline to 6 months, 12 months, 24 months and 12 months - 18/24 months

  6. change in serum glucose (mg/dL)

    Measured: baseline to 6 months, 12 months, 24 months and 12 months - 18/24 months

  7. change in serum insulin (μIU/mL)

    Measured: baseline to 6 months, 12 months, 24 months and 12 months - 18/24 months

  8. change in homeostasis model assessment-estimated insulin resistance (HOMA-IR)

    Measured: baseline to 6 months, 12 months, 24 months and 12 months - 18/24 months

  9. change in C-reactive protein (CRP)

    Measured: baseline to 6 months, 12 months, 24 months and 12 months - 18/24 months

  10. change in HbA1c

    Measured: baseline to 6 months, 12 months, 24 months and 12 months - 18/24 months

  11. emotional eating as measured by the Three Factor Eating Questionnaire - r18 (TFEQ-r18)

    TFEQ-r18 measures the cognitive and behavioral aspects of eating and has three subscales: cognitive restraint (CR), uncontrolled eating (UE), and emotional eating (EE). The score range for EE is 3 - 12, and higher scores indicate greater emotional eating. The EE subscale has 3 items, each on a 4-point Likert scale (1 - 4). The items are summed up for each subscale, and the total CR, UE, and EE scores are considered separately.

    Measured: baseline to 6 months, 12 months, 24 months and 12 months - 18/24 months

  12. food cravings as measured by the Food Craving Questionnaire (FCQ)

    Food Cravings Questionnaire - State (FCQ-S) measures situational food cravings. It has 15 items, each of which is on a 5-point Likert scale (1 - 5), and the score range is 15 - 75. Higher scores indicate situational food cravings of greater intensity. Scores on all items are summed up for a total score.

    Food Cravings Questionnaire - Trait (FCQ-T) measures frequency and intensity of food cravings. It has 39 items, each of which is on a 6-point Likert scale (1 - 6), and the score range is 39 - 234. Higher scores indicate more frequent and intense food cravings. Scores on all items are summed up for a total score.

    Measured: baseline to 6 months, 12 months, 24 months and 12 months - 18/24 months

  13. dietary intake as measured by 24-hour recalls and supermarket receipts

    Measured: baseline to 6 months, 12 months, and 18/24 months

  14. uncontrolled eating as measured by the Three Factor Eating Questionnaire - r18 (TFEQ-r18)

    TFEQ-r18 measures the cognitive and behavioral aspects of eating and has three subscales: cognitive restraint (CR), uncontrolled eating (UE), and emotional eating (EE). The score range for UE is 9 - 36, and higher scores indicate greater uncontrolled eating. The UE subscale has 9 items, each on a 4-point Likert scale (1 - 4). The items are summed up for each subscale, and the total CR, UE, and EE scores are considered separately.

    Measured: baseline to 6 months, 12 months, 24 months and 12 months - 18/24 months

  15. cognitive restraint as measured by the Three Factor Eating Questionnaire - r18 (TFEQ-r18)

    TFEQ-r18 measures the cognitive and behavioral aspects of eating and has three subscales: cognitive restraint (CR), uncontrolled eating (UE), and emotional eating (EE). The score range for CR is 6 - 24, and higher scores indicate greater cognitive restraint. The CR subscale has 6 items, each on a 4-point Likert scale (1 - 4). The items are summed up for each subscale, and the total CR, UE, and EE scores are considered separately.

    Measured: baseline to 6 months, 12 months, 24 months and 12 months - 18/24 months

  16. Weight change in adult dependents of active duty military, 18-24 months

    Weight change up until the 18-24 month period will be measured in a cohort of participants who will reach the 18-24 month milestone in the study on or prior to December, 2018

    Measured: baseline to 18 months, 24 months

  17. weight change in active duty military

    Measured: baseline to 6 months, 12 months, 24 months and 12 months - 18/24 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Jan 2015 (estimated)
  2. Study startJan 2015
  3. Primary completionDec 2018
  4. Study completionDec 2018

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
308 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02348853
Sponsor's protocol ID
13035001
Acronym
HF2
Status last verified
Aug 2020
First submitted
13 Jan 2015
Last updated
5 Aug 2020
Results posted
No
Data monitoring committee
Yes

Publications

  • Das SK, Bukhari AS, Taetzsch AG, Ernst AK, Rogers GT, Gilhooly CH, Hatch-McChesney A, Blanchard CM, Livingston KA, Silver RE, Martin E, McGraw SM, Chin MK, Vail TA, Lutz LJ, Montain SJ, Pittas AG, Lichtenstein AH, Allison DB, Dickinson S, Chen X, Saltzman E, Young AJ, Roberts SB. Randomized trial of a novel lifestyle intervention compared with the Diabetes Prevention Program for weight loss in adult dependents of military service members. Am J Clin Nutr. 2021 Oct 4;114(4):1546-1559. doi: 10.1093/ajcn/nqab259.

    PubMed 34375387

Questions about this trial

What is this clinical trial studying?

A study testing Healthy Weight for Living (HWL) and Current Best Practice (CBP) in people with Overweight and Obesity, run by Tufts University at 1 site in United States.

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 6 inclusion and 27 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 5 Aug 2020. 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 United States. 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?

Weight change in adult dependents of active duty military (time frame: Baseline to 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 NCT02348853, 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 5 Aug 2020.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in
Healthy Families Healthy Forces Study (NCT02348853) | AzTrials