Weight Change, BodyNCT05126706
Digital Lifestyle Management for Weight Loss Control After Thyroidectomy in Thyroid Cancer Patients
A study testing Digital lifestyle management in people with Weight Change, Body, run by Seoul National University Hospital at 1 site in South Korea.
Trial summary
Thyroid hormones play an important role in the regulation of the body's metabolism. But the relationship between thyroid hormone status and the basal metabolism rate is not absolute. Read more about this study
- Who is it for?
- Ages 19 to 70 years
- Conditions the study is for
- Weight Change, Body
- What is being tested?
- Digital lifestyle management
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 80 participants
- Where
- 1 siteSouth Korea
- Study dates
- 12 Nov 2021to 30 Aug 2024
- 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 19 to 70 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Target: Among the patients who have undergone thyroidectomy, patients who are interested in weight management and can use the Noom app by themselves or with the help of neighbors.
- The patient has 23 or more BMI at the time of enrollment.
- In The Situational Motivation Scale (SIMS), a total of five stages of synchronization level of 68 or higher, which is the top 40% of the 112 points (1st stage: pre-consumption stage; stage 2: deliberation stage; stage 3: preparation stage; stage 4: action stage)
- The patient agreed about participating in this study.
Who cannot join
- The patient was diagnosed with chronic diseases (hepatic disease, kidney disease, diabetes, etc.).
- In the case where there is no member who can support among family members,
- The patient who is not a smartphone or has difficulty using digital technology.
- When it is difficult to lose weight (pregnancy and pregnancy preparation, breastfeeding, and less than 12 months after childbirth)
- If the patient has a history of psychiatric illness (eating disorder, depression, etc.).
- If the patient is taking diet-related drugs or health supplements, or treatments.
- If there is a restriction on physical activity (not allowed to exercise for more than 30 minutes a day).
Trial locations and contacts
1 site in 1 country.
South Korea1 site, 1 recruiting
- Recruiting
Seoul National University Hospital
Seoul, 110-744
Kyu Eun Lee, Ph.D, kyu.eun.lee.md@gmail.com
Kyu Eun Lee, MD, Ph.D
About this study
Official title: Validating Efficacy for Digital Lifestyle Management for Weight Loss Control After Thyroidectomy in Thyroid Cancer Patients
Thyroid hormones play an important role in the regulation of the body's metabolism. But the relationship between thyroid hormone status and the basal metabolism rate is not absolute. Because thyroid hormone function is not the only factor of control the metabolism and it can be influenced by various factors such as physical activity and diet.
Weight change after thyroidectomy is one of the concerns for thyroid cancer patients. The evidence on the bodyweight changes following thyroidectomy has not been established well. Being overweight and obese can increase the risk of developing many potential health problems, such as heart disease, diabetes, high blood pressure, and malignant disease.
Read more
Recently, digital health care technology has been developed and applied for medical purposes in many clinical practices. Digital Lifestyle Management is one of the strategies that can be helpful for the obese to control their body weight by lifestyle modification. It provides comprehensive, multifactorial, intensive interventions which are delivered via the digital health care mobile service Noom application.
The aim of this study is to evaluate the efficacy of digital lifestyle management on body weight and quality of life after total thyroidectomy in thyroid cancer patients by using the digital health care Noom application.
Read the detailed description
The present study is a prospective randomized control trial. A total of 80 patients who underwent total thyroidectomy for thyroid cancer is included. Fifty-four patients are randomly assigned to the digital lifestyle management group and the other 26 patients are assigned to the non-digital lifestyle management group.
In the experimental group (digital lifestyle management group), the patients will use this application for the first 4 months with Noom applications with 1:1 personalized coaching intervention, and then, use this app by self-help program without coaching intervention. The digital lifestyle management program will record the patient's meals, exercise, steps taken, reading articles, and give feedback to each patient. In order to monitor the psychological state and quality of life of the patients, online questionnaires will be provided.
In the control group (non-digital lifestyle management group), the patients will get the conventional postoperative care protocol without using the Noom application. To investigate the weight change and quality of life, variables are collected at baseline, 4 months, and 6 months after surgery.
- Conditions
- Weight Change, Body
- Being tested
- Digital lifestyle management
- Keywords
- Digital lifestyle management, Thyroid cancer, Total thyroidectomy, Obesity
- Medical subject headings
- Body Weight Changes, Thyroid Neoplasms, Obesity
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Digital lifestyle managementBehavioural
Digital lifestyle management for Weight Loss Control after Thyroidectomy
| Study group | Role | What they receive |
|---|---|---|
| Digital lifestyle management group | Experimental | In the experimental group (digital lifestyle management group), 54 patients are randomly assigned to the digital lifestyle management group. The patients use this application for the first 4 months with Noom applications with 1:1 personalized coaching intervention, and then, use this app by self-help program without coaching intervention. In order to monitor the psychological state of the patients, all the patients are given daily assessment online questionnaires and additional questionnaires to evaluate the quality of life at the baseline, 4 months, and 6 months after surgery. To assess the nutritional status of the patients, we collect blood laboratory data, bioimpedance analysis for each visit. Receives: Behavioral: Digital lifestyle management |
| Non-digital lifestyle management group | No intervention | In the control group (Non-digital lifestyle management group), 26 patients are randomly assigned to the control group (Non-digital lifestyle management group). The patients follow conventional postoperative care protocol after total thyroidectomy for thyroid cancer without using Noom application. All patients are given questionnaires to evaluate the quality of life at the baseline, 4 months, and 6 months after surgery. To assess the nutritional status of the patients, we collect blood laboratory data, bioimpedance analysis for each visit. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Weight change
Change from baseline weight at 4 months and 6 months after surgery
Measured: baseline, 4 months, 6 months
Secondary outcomes (22)
Changes of results about questionnaires for quality of life (Korean Obesity Quality of Life (KOQOL))
Change from baseline results of questionnaires at 4 months and 6 months after surgery
# Korean Obesity Quality of Life (KOQOL)
- Range: 4-60
- Higher scores: impaired QOL
Measured: baseline, 4 months, 6 months
Changes of results about questionnaires for quality of life (World Health Organization Quality of Life - Brief Form (WHOQOL-Bref))
Change from baseline results of questionnaires at 4 months and 6 months after surgery
# World Health Organization Quality of Life - Brief Form (WHOQOL-Bref)
- Range: 0-100
- Higher scores: higher QOL
Measured: baseline, 4 months, 6 months
Changes of results about questionnaires for quality of life (Pittsburgh Sleep Quality Index (PSQI))
Change from baseline results of questionnaires at 4 months and 6 months after surgery
# Pittsburgh Sleep Quality Index (PSQI)
- Range: 0-21
- Lower scores: a healthier sleep quality
Measured: baseline, 4 months, 6 months
Changes of results about questionnaires for quality of life (Korean-Beck Depression Inventory-II (K-BDI-II))
Change from baseline results of questionnaires at 4 months and 6 months after surgery
# Korean-Beck Depression Inventory-II (K-BDI-II)
- Range: 0-63
- Higher scores: Depression
Measured: baseline, 4 months, 6 months
Changes of results about questionnaires for quality of life (State-Trait Anxiety Inventory (STAI))
Change from baseline results of questionnaires at 4 months and 6 months after surgery
# State-Trait Anxiety Inventory (STAI)
- Range: 20-80
- Higher scores: anxiety
Measured: baseline, 4 months, 6 months
Changes of results about questionnaires for quality of life (Rosenberg Self-Esteem Scale (RSES))
Change from baseline results of questionnaires at 4 months and 6 months after surgery
# Rosenberg Self-Esteem Scale (RSES)
- Range: 0-30
- Higher scores: lower self-esteem
Measured: baseline, 4 months, 6 months
Changes of results about questionnaires for quality of life (Body Shape Questionnaire (BSQ-8C) )
Change from baseline results of questionnaires at 4 months and 6 months after surgery
# Body Shape Questionnaire (BSQ-8C)
- Range: 8-48
- Higher values: body dissatisfaction
Measured: baseline, 4 months, 6 months
Changes of results about questionnaires for quality of life (Dutch Eating Behaviour Questionnaire (DEBQ))
Change from baseline results of questionnaires at 4 months and 6 months after surgery
# Dutch Eating Behaviour Questionnaire (DEBQ)
- Range: 33-165
- Higher scores: the eating behavior
Measured: baseline, 4 months, 6 months
Changes of waist circumstance
Waist circumstance difference
Measured: baseline, 4 months, 6 months
Changes of hip circumstance
Hip circumstance difference
Measured: baseline, 4 months, 6 months
Changes of body fat percent
Body fat percent difference
Measured: baseline, 4 months, 6 months
Changes of lean body mass
Lean body mass difference
Measured: baseline, 4 months, 6 months
Changes of total cholesterol level
Biological index
Measured: baseline, 4 months, 6 months
Changes of HDL cholesterol level
Biological index
Measured: baseline, 4 months, 6 months
Changes of LDL cholesterol level
Biological index
Measured: baseline, 4 months, 6 months
Changes of triglyceride level
Biological index
Measured: baseline, 4 months, 6 months
Changes of aspartate aminotransferase (AST) level
Biological index
Measured: baseline, 4 months, 6 months
Changes of alanine aminotransferase (ALT) level
Biological index
Measured: baseline, 4 months, 6 months
Changes of gamma-glutamyl transferase (GGT) level
Biological index
Measured: baseline, 4 months, 6 months
Changes of free T3 level
Biological index
Measured: baseline, 4 months, 6 months
Changes of free T4 level
Biological index
Measured: baseline, 4 months, 6 months
Changes of TSH level
Biological index
Measured: baseline, 4 months, 6 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Nov 2021
- Study start12 Nov 2021
- Primary completion30 Aug 2024 (estimated)
- Study completion30 Aug 2024 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Weight Change, BodyStudies of the same condition, open and under way.
- More trials run by Seoul National University HospitalThe sponsor's other registered studies.
- 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
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 80 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Seoul National University Hospital
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Kyu Eun Lee, Seoul National University Hospital
- Investigators
- Kyu Eun Lee, Principal investigator, Seoul National University Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05126706
- Sponsor's protocol ID
- 2105-192-1224
- Status last verified
- Nov 2021
- First submitted
- 26 Sep 2021
- Last updated
- 19 Nov 2021
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 19 Nov 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Validating Efficacy for Digital Lifestyle Management for Weight Loss Control After Thyroidectomy in Thyroid Cancer Patients
- ClinicalTrials.gov ID
- NCT05126706
- Acronym / sponsor ID
- 2105-192-1224
- Conditions
- Weight Change, Body
- Keywords
- Digital lifestyle management, Thyroid cancer, Total thyroidectomy, Obesity
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 80 participants (estimated)
- Lead sponsor
- Seoul National University HospitalUniversity, hospital or other
- Study start
- 12 Nov 2021 (actual)
- Primary completion
- 30 Aug 2024 (estimated)
- Study completion
- 30 Aug 2024 (estimated)
- First posted
- 19 Nov 2021 (actual)
- 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.
Thyroid hormones play an important role in the regulation of the body's metabolism. But the relationship between thyroid hormone status and the basal metabolism rate is not absolute. Because thyroid hormone function is not the only factor of control the metabolism and it can be influenced by various factors such as physical activity and diet.
Weight change after thyroidectomy is one of the concerns for thyroid cancer patients. The evidence on the bodyweight changes following thyroidectomy has not been established well. Being overweight and obese can increase the risk of developing many potential health problems, such as heart disease, diabetes, high blood pressure, and malignant disease.
Recently, digital health care technology has been developed and applied for medical purposes in many clinical practices. Digital Lifestyle Management is one of the strategies that can be helpful for the obese to control their body weight by lifestyle modification. It provides comprehensive, multifactorial, intensive interventions which are delivered via the digital health care mobile service Noom application.
The aim of this study is to evaluate the efficacy of digital lifestyle management on body weight and quality of life after total thyroidectomy in thyroid cancer patients by using the digital health care Noom application.
Detailed description
The present study is a prospective randomized control trial. A total of 80 patients who underwent total thyroidectomy for thyroid cancer is included. Fifty-four patients are randomly assigned to the digital lifestyle management group and the other 26 patients are assigned to the non-digital lifestyle management group.
In the experimental group (digital lifestyle management group), the patients will use this application for the first 4 months with Noom applications with 1:1 personalized coaching intervention, and then, use this app by self-help program without coaching intervention. The digital lifestyle management program will record the patient's meals, exercise, steps taken, reading articles, and give feedback to each patient. In order to monitor the psychological state and quality of life of the patients, online questionnaires will be provided.
In the control group (non-digital lifestyle management group), the patients will get the conventional postoperative care protocol without using the Noom application. To investigate the weight change and quality of life, variables are collected at baseline, 4 months, and 6 months after surgery.
Study design
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Digital lifestyle management group | Experimental | Behavioral: Digital lifestyle managementIn the experimental group (digital lifestyle management group), 54 patients are randomly assigned to the digital lifestyle management group. The patients use this application for the first 4 months with Noom applications with 1:1 personalized coaching intervention, and then, use this app by self-help program without coaching intervention. In order to monitor the psychological state of the patients, all the patients are given daily assessment online questionnaires and additional questionnaires to evaluate the quality of life at the baseline, 4 months, and 6 months after surgery. To assess the nutritional status of the patients, we collect blood laboratory data, bioimpedance analysis for each visit. |
| Non-digital lifestyle management group | No intervention | –In the control group (Non-digital lifestyle management group), 26 patients are randomly assigned to the control group (Non-digital lifestyle management group). The patients follow conventional postoperative care protocol after total thyroidectomy for thyroid cancer without using Noom application. All patients are given questionnaires to evaluate the quality of life at the baseline, 4 months, and 6 months after surgery. To assess the nutritional status of the patients, we collect blood laboratory data, bioimpedance analysis for each visit. |
Who may qualify
- Ages
- 19 to 70 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Target: Among the patients who have undergone thyroidectomy, patients who are interested in weight management and can use the Noom app by themselves or with the help of neighbors.
- The patient has 23 or more BMI at the time of enrollment.
- In The Situational Motivation Scale (SIMS), a total of five stages of synchronization level of 68 or higher, which is the top 40% of the 112 points (1st stage: pre-consumption stage; stage 2: deliberation stage; stage 3: preparation stage; stage 4: action stage)
- The patient agreed about participating in this study.
Key exclusion criteria (7 listed)
- The patient was diagnosed with chronic diseases (hepatic disease, kidney disease, diabetes, etc.).
- In the case where there is no member who can support among family members,
- The patient who is not a smartphone or has difficulty using digital technology.
- When it is difficult to lose weight (pregnancy and pregnancy preparation, breastfeeding, and less than 12 months after childbirth)
- If the patient has a history of psychiatric illness (eating disorder, depression, etc.).
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 |
|---|---|---|
| Digital lifestyle managementDigital lifestyle management for Weight Loss Control after Thyroidectomy | Behavioural | Digital lifestyle management group |
Primary outcome
Weight change
Time frame: baseline, 4 months, 6 months
Change from baseline weight at 4 months and 6 months after surgery
22 secondary outcomes
Changes of results about questionnaires for quality of life (Korean Obesity Quality of Life (KOQOL))
Time frame: baseline, 4 months, 6 months
Changes of results about questionnaires for quality of life (World Health Organization Quality of Life - Brief Form (WHOQOL-Bref))
Time frame: baseline, 4 months, 6 months
Changes of results about questionnaires for quality of life (Pittsburgh Sleep Quality Index (PSQI))
Time frame: baseline, 4 months, 6 months
Changes of results about questionnaires for quality of life (Korean-Beck Depression Inventory-II (K-BDI-II))
Time frame: baseline, 4 months, 6 months
Changes of results about questionnaires for quality of life (State-Trait Anxiety Inventory (STAI))
Time frame: baseline, 4 months, 6 months
Changes of results about questionnaires for quality of life (Rosenberg Self-Esteem Scale (RSES))
Time frame: baseline, 4 months, 6 months
Changes of results about questionnaires for quality of life (Body Shape Questionnaire (BSQ-8C) )
Time frame: baseline, 4 months, 6 months
Changes of results about questionnaires for quality of life (Dutch Eating Behaviour Questionnaire (DEBQ))
Time frame: baseline, 4 months, 6 months
Changes of waist circumstance
Time frame: baseline, 4 months, 6 months
Changes of hip circumstance
Time frame: baseline, 4 months, 6 months
Changes of body fat percent
Time frame: baseline, 4 months, 6 months
Changes of lean body mass
Time frame: baseline, 4 months, 6 months
Changes of total cholesterol level
Time frame: baseline, 4 months, 6 months
Changes of HDL cholesterol level
Time frame: baseline, 4 months, 6 months
Changes of LDL cholesterol level
Time frame: baseline, 4 months, 6 months
Changes of triglyceride level
Time frame: baseline, 4 months, 6 months
Changes of aspartate aminotransferase (AST) level
Time frame: baseline, 4 months, 6 months
Changes of alanine aminotransferase (ALT) level
Time frame: baseline, 4 months, 6 months
Changes of gamma-glutamyl transferase (GGT) level
Time frame: baseline, 4 months, 6 months
Changes of free T3 level
Time frame: baseline, 4 months, 6 months
Changes of free T4 level
Time frame: baseline, 4 months, 6 months
Changes of TSH level
Time frame: baseline, 4 months, 6 months
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Nov 2021.
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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.
Kyu Eun Lee principal investigator
Seoul National University Hospital
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Digital lifestyle management in people with Weight Change, Body, run by Seoul National University Hospital at 1 site in South Korea.
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 7 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: status not confirmed, as of the sponsor's last update on 19 Nov 2021. 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 South Korea. 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?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Kyu Eun Lee (+821092738292, kyueunlee@snu.ac.kr), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Weight change (time frame: baseline, 4 months, 6 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 19 Nov 2021.