Obesity PreventionOPT-XNCT06785064
Optimizing an Extended Care Intervention to Promote Weight Loss Maintenance
A study testing Reduced Food Variety (RFV), Home-based Resistance Training (HBRT) and Buddy Training and Support (BTS) in people with Obesity Prevention and Weight Change, run by University of Alabama at Birmingham at 1 site in United States.
Trial summary
The purpose of this study is to find out what combination of components, if any, offers the best support for keeping weight off after someone loses weight. Long term weight loss maintenance is a challenge for many people who lose weight. Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Obesity Prevention, Weight Change, Weight Loss
- What is being tested?
- Reduced Food Variety (RFV), Home-based Resistance Training (HBRT) and Buddy Training and Support (BTS)
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 544 participants
- Where
- 1 siteUnited States
- Study dates
- 2 Dec 2025to 28 Feb 2029
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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
- Age >18 years
- Body mass index (BMI) >30 kg/m2
- Has regular access to internet (to access Zoom videoconferencing platform)
- If indicated during screening, willing to obtain medical clearance for exercise from their healthcare provider prior to enrollment
Who cannot join
- Current or recent (past 6 months) use of prescription weight loss medications
- Weight loss >10 pounds in past 6 months (other than postpartum)
- Pregnancy or anticipating pregnancy
- Another household member already participating in the study
- Participation in another randomized research project
- Uncontrolled hypertension (blood pressure >160/100 mm Hg at screening)
Show all 12Show fewer
- Any of the following other medical conditions: myocardial infarction or cerebrovascular accident within the last 6 months; unstable angina within the past 6 months; NYHA Class III or IV congestive heart failure; type 1 diabetes; and chronic lung diseases that limit physical activity
- Unable to identify potential buddy (i.e., adult friend or family member) for extended care intervention phase
- Residing >50 miles from the university (to attend assessment visits)
- Planning to relocate out of the area in the next 18 months
- Does not have internet access
- Unwilling or unable to do any of the following: give informed consent; read/understand English; accept random assignment
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
United States1 site, 1 recruiting
- Recruiting
University of Alabama at Birmingham
Birmingham, Alabama, 35205
Gareth Dutton, PhD, 205-934-6876, gdutton@uabmc.edu
Amy Dobelstein, 205-975-1059, adobelst@uabmc.edu
About this study
Official title: OPT-X: OPTimizing an EXtended Care Intervention to Promote Weight Loss Maintenance
The purpose of this study is to find out what combination of components, if any, offers the best support for keeping weight off after someone loses weight. Long term weight loss maintenance is a challenge for many people who lose weight. There are many strategies, or components, people may use to avoid regain, but investigators do not know if there is a best, or optimal, combination of such components that can be done without adding a lot of cost or other burdens for people.
- The primary goal of this clinical trial is to identify the optimal package that maximizes weight loss maintenance.
- The study also wants to understand the reasons why these components may work and if certain components help specific sub-groups of people.
Read more
Participants will engage in a 16-week Phase 1 Weight Loss Program. Participants who lose 5% or more of their weight during that program will continue to Phase 2 Extended Care and be randomly assigned to 0, 1, 2, 3, or all of four methods of weight loss maintenance. They will use their assigned package for 12 months. Researchers will compare 16 different possible combinations of components and learn which of the 16 packages offers the best support for keeping weight off.
The four components participants could be assigned to in Phase 2 are:
- Reduced Food Variety: Limiting the variety of foods participants eat by having them choose a few high-calorie, low nutrient foods to eat regularly
- Home-based Resistance Training: Engaging in exercises that build strength from the comfort of the participant's own home
- Buddy Training and Support: Having a friend or "buddy" get trained to support the participant
- Acceptance and Commitment (ACT) Workshops: Having participants learn skills to handle tough thoughts and feelings about weight control in a healthy way
Participants will have their weight measured and complete surveys 4 times if they complete both Phase 1 and Phase 2. During Phase 1, participants will attend weekly group sessions and be in touch with a study staff member investigators call a Wellness Coach. During Phase 2, participants will stay in touch with their Wellness Coach, use their assigned package, and answer questions about their experience periodically.
- Being tested
- Reduced Food Variety (RFV), Home-based Resistance Training (HBRT), Buddy Training and Support (BTS), Acceptance and Commitment (ACT) Workshops
- Keywords
- weight loss maintenance, weight loss, weight change, health behavior, reduced food variety, ACT workshop, buddy support, home-based resistance training, weight training
- Medical subject headings
- Body Weight Changes, Weight Loss, Health Behavior
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Reduced Food Variety (RFV)Behavioural
Participants engaged in reduced food variety (RFV) will be asked to choose a few high-calorie, low nutrient main meals and snacks to eat regularly. At the beginning of each month, they will choose one main meal (entrée) to eat at least 2 times a week and one snack food to eat at least 4 times a week within the month. They will have the option to keep or change their main meal and snack options from month to month.
Home-based Resistance Training (HBRT)Behavioural
Also called Strength Training, Resistance Training, Weight Lifting, Lifting Weights
Participants assigned to receive home-based resistance training (also called strength training or lifting weights) will be asked to engage in at-home exercises that strengthen muscles at least 2 days each week (≤45 minutes per home session) and track their progress. They will be asked to attend 6, 1-hour group-based skills training workshops (in-person and/or remotely via Zoom) during the first two months of Phase 2 to learn these skills. They will receive exercise plans and equipment (sets of dumbbells, a rack to hold the dumbbells, and an exercise mat) needed to complete exercises.
Buddy Training and Support (BTS)Behavioural
Also called Buddy Support
Participants assigned to buddy training and support will be asked to identify an eligible friend or family member who is over 18 years old that can be their "buddy". Study staff will contact the buddy to be sure they are eligible, willing, and have all the details they need. The participant's buddy will be asked to attend up to 6 training sessions with the study staff, so they can learn the best ways to support the participant during the program. After the buddy completes training, they will be asked to check in with the participant 1-2 times each week about their progress.
Acceptance and Commitment (ACT) WorkshopsBehavioural
Also called ACT Workshop
Participants assigned to receive Acceptance and Commitment (ACT) Workshops will be asked to attend 6, 1-hour group-based skills training workshops (in-person and/or remotely via Zoom) during the first three months of Phase 2. These workshops will help them develop skills to handle tough thoughts about weight control, keep their values in mind, and be mindful of their decisions and the impact of their decisions related to weight control. They will also be asked to apply ACT skills regularly during the rest of Phase 2.
| Study group | Role | What they receive |
|---|---|---|
| Package 1: No WLM Components | No intervention | Participants will receive education and support for weight loss maintenance only. |
| Package 2: One WLM Component - BTS | Active comparator | Participants will receive education and support for weight loss maintenance and Buddy Training and Support. Receives: Behavioral: Buddy Training and Support (BTS) |
| Package 3: One WLM Component - HBRT | Active comparator | Participants will receive education and support for weight loss maintenance and Home-based Resistance Training Receives: Behavioral: Home-based Resistance Training (HBRT) |
| Package 4: Two WLM Components - HBRT+BTS | Active comparator | Participants will receive education and support for weight loss maintenance as well as Home-based Resistance Training and Buddy Training and Support. Receives: Behavioral: Home-based Resistance Training (HBRT); Behavioral: Buddy Training and Support (BTS) |
| Package 5: One WLM Component - ACT | Active comparator | Participants will receive education and support for weight loss maintenance as well as Acceptance and Commitment (ACT) Workshops. Receives: Behavioral: Acceptance and Commitment (ACT) Workshops |
| Package 6: Two WLM Components - BTS+ACT | Active comparator | Participants will receive education and support for weight loss maintenance as well as Buddy Training and Support and ACT Workshops. Receives: Behavioral: Buddy Training and Support (BTS); Behavioral: Acceptance and Commitment (ACT) Workshops |
| Package 7: Two WLM Components - HBRT+ACT | Active comparator | Participants will receive education and support for weight loss maintenance as well as Home-based Resistance Training and ACT Workshops. Receives: Behavioral: Home-based Resistance Training (HBRT); Behavioral: Acceptance and Commitment (ACT) Workshops |
| Package 8: Three WLM Components - HBRT+BTS+ACT | Active comparator | Participants will receive education and support for weight loss maintenance as well as Home-based Resistance Training, Buddy Training and Support, and ACT Workshops. Receives: Behavioral: Home-based Resistance Training (HBRT); Behavioral: Buddy Training and Support (BTS); Behavioral: Acceptance and Commitment (ACT) Workshops |
| Package 9: One WLM Component - RFV | Active comparator | Participants will receive education and support for weight loss maintenance as well as Reduced Food Variety. Receives: Behavioral: Reduced Food Variety (RFV) |
| Package 10: Two WLM Components - RFV+BTS | Active comparator | Participants will receive education and support for weight loss maintenance as well as Reduced Food Variety and Buddy Training and Support Receives: Behavioral: Reduced Food Variety (RFV); Behavioral: Buddy Training and Support (BTS) |
| Package 11: Two WLM Components - RFV+HBRT | Active comparator | Participants will receive education and support for weight loss maintenance as well as Reduced Food Variety and Home-based Resistance Training. Receives: Behavioral: Reduced Food Variety (RFV); Behavioral: Home-based Resistance Training (HBRT) |
| Package 12: Three WLM Components - RFV+HBRT+BTS | Active comparator | Participants will receive education and support for weight loss maintenance as well as Reduced Food Variety, Home-based Resistance Training, and Buddy Training and Support. Receives: Behavioral: Reduced Food Variety (RFV); Behavioral: Home-based Resistance Training (HBRT); Behavioral: Buddy Training and Support (BTS) |
| Package 13: Two WLM Components - RFV+ACT | Active comparator | Participants will receive education and support for weight loss maintenance as well as Reduced Food Variety and ACT Workshops. Receives: Behavioral: Reduced Food Variety (RFV); Behavioral: Acceptance and Commitment (ACT) Workshops |
| Package 14: Three WLM Components - RFV+BTS+ACT | Active comparator | Participants will receive education and support for weight loss maintenance as well as Reduced Food Variety, Buddy Training and Support, and ACT Workshops. Receives: Behavioral: Reduced Food Variety (RFV); Behavioral: Buddy Training and Support (BTS); Behavioral: Acceptance and Commitment (ACT) Workshops |
| Package 15: Three WLM Components - RFV+HBRT+ACT | Active comparator | Participants will receive education and support for weight loss maintenance as well as Reduced Food Variety, Home-based Resistance Training, and ACT Workshops. Receives: Behavioral: Reduced Food Variety (RFV); Behavioral: Home-based Resistance Training (HBRT); Behavioral: Acceptance and Commitment (ACT) Workshops |
| Package 16: Four WLM Components: RFV+HBRT+BTS+ACT | Experimental | Participants will receive education and support for weight loss maintenance as well as Reduced Food Variety, Home-based Resistance Training, Buddy Training and Support, and ACT Workshops. Receives: Behavioral: Reduced Food Variety (RFV); Behavioral: Home-based Resistance Training (HBRT); Behavioral: Buddy Training and Support (BTS); Behavioral: Acceptance and Commitment (ACT) Workshops |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in weight from time of randomization to 12 months
The primary outcome of the study is the change in weight measurement from the time of randomization (after Phase 1 initial weight loss/the beginning of Phase 2) until the follow up visit 12 months later. Participants' body weight will be measured to the nearest 0.1 kg at each point using a calibrated electronic scale. The change between these two measures will be calculated.
Measured: 12 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Jan 2025
- Study start2 Dec 2025
- Primary completion30 Nov 2028 (estimated)
- Study completion28 Feb 2029 (estimated)
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 Obesity PreventionStudies of the same condition, open and under way.
- More trials run by University of Alabama at BirminghamThe 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
- Treatment
- Allocation
- Randomised
- Intervention model
- Factorial
- Model description
- Investigators used the multiphase optimization strategy (MOST) as the ideal approach for the proposed study as, with the four proposed intervention components, identifying an optimal intervention through a single randomized controlled trial (RCT) with multiple arms or through multiple RCTs would be methodologically inefficient and resource-intensive. Given this, investigators rely on the eloquent and rigorous MOST-based optimization design, which leverages factorial experimentation to identify an optimal set of intervention component(s). In a factorial experiment, the goal is not to compare individual experimental conditions (in this case, 16 conditions), but to use combinations of conditions to estimate the main and interaction effects of the intervention components. Thus, numerous intervention components can be evaluated simultaneously while utilizing the entire randomized sample.
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 544 participants (estimated)
Sponsor and investigators
- Lead sponsor
- University of Alabama at Birmingham
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Gareth R. Dutton PhD, University of Alabama at Birmingham
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06785064
- Sponsor's protocol ID
- IRB-300013598
- Other IDs
- R01DK139059
- Acronym
- OPT-X
- Status last verified
- Jan 2026
- First submitted
- 15 Jan 2025
- Last updated
- 7 Jan 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Dutton GR, Kinsey AW, Tanner RM, Krantz O, Dobelstein A, Dong C, Baidwan N, Mehta T, Butryn ML, Raynor HA, Spring B. Optimizing an extended care intervention to promote weight loss maintenance: Protocol for the OPT-X multiphase optimization strategy factorial trial. Contemp Clin Trials. 2026 Aug 27;170:108448. doi: 10.1016/j.cct.2026.108448. Online ahead of print.
PubMed 42660284
Study at a glance
From the registry record, last updated by the sponsor on 7 Jan 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- OPT-X: OPTimizing an EXtended Care Intervention to Promote Weight Loss Maintenance
- ClinicalTrials.gov ID
- NCT06785064
- Acronym / sponsor ID
- OPT-X / IRB-300013598
- Keywords
- weight loss maintenance, weight loss, weight change, health behavior, reduced food variety, ACT workshop, buddy support, home-based resistance training
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 544 participants (estimated)
- Lead sponsor
- University of Alabama at BirminghamUniversity, hospital or other
- Collaborators
- National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
- Study start
- 2 Dec 2025 (actual)
- Primary completion
- 30 Nov 2028 (estimated)
- Study completion
- 28 Feb 2029 (estimated)
- First posted
- 20 Jan 2025 (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.
The purpose of this study is to find out what combination of components, if any, offers the best support for keeping weight off after someone loses weight. Long term weight loss maintenance is a challenge for many people who lose weight. There are many strategies, or components, people may use to avoid regain, but investigators do not know if there is a best, or optimal, combination of such components that can be done without adding a lot of cost or other burdens for people.
- The primary goal of this clinical trial is to identify the optimal package that maximizes weight loss maintenance.
- The study also wants to understand the reasons why these components may work and if certain components help specific sub-groups of people.
Participants will engage in a 16-week Phase 1 Weight Loss Program. Participants who lose 5% or more of their weight during that program will continue to Phase 2 Extended Care and be randomly assigned to 0, 1, 2, 3, or all of four methods of weight loss maintenance. They will use their assigned package for 12 months. Researchers will compare 16 different possible combinations of components and learn which of the 16 packages offers the best support for keeping weight off.
The four components participants could be assigned to in Phase 2 are:
- Reduced Food Variety: Limiting the variety of foods participants eat by having them choose a few high-calorie, low nutrient foods to eat regularly
- Home-based Resistance Training: Engaging in exercises that build strength from the comfort of the participant's own home
- Buddy Training and Support: Having a friend or "buddy" get trained to support the participant
- Acceptance and Commitment (ACT) Workshops: Having participants learn skills to handle tough thoughts and feelings about weight control in a healthy way
Participants will have their weight measured and complete surveys 4 times if they complete both Phase 1 and Phase 2. During Phase 1, participants will attend weekly group sessions and be in touch with a study staff member investigators call a Wellness Coach. During Phase 2, participants will stay in touch with their Wellness Coach, use their assigned package, and answer questions about their experience periodically.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Factorial
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 16
- Model description
- Investigators used the multiphase optimization strategy (MOST) as the ideal approach for the proposed study as, with the four proposed intervention components, identifying an optimal intervention through a single randomized controlled trial (RCT) with multiple arms or through multiple RCTs would be methodologically inefficient and resource-intensive. Given this, investigators rely on the eloquent and rigorous MOST-based optimization design, which leverages factorial experimentation to identify an optimal set of intervention component(s). In a factorial experiment, the goal is not to compare individual experimental conditions (in this case, 16 conditions), but to use combinations of conditions to estimate the main and interaction effects of the intervention components. Thus, numerous intervention components can be evaluated simultaneously while utilizing the entire randomized sample.
| Arm | Type | Receives |
|---|---|---|
| Package 1: No WLM Components | No intervention | –Participants will receive education and support for weight loss maintenance only. |
| Package 2: One WLM Component - BTS | Active comparator | Behavioral: Buddy Training and Support (BTS)Participants will receive education and support for weight loss maintenance and Buddy Training and Support. |
| Package 3: One WLM Component - HBRT | Active comparator | Behavioral: Home-based Resistance Training (HBRT)Participants will receive education and support for weight loss maintenance and Home-based Resistance Training |
| Package 4: Two WLM Components - HBRT+BTS | Active comparator | Behavioral: Home-based Resistance Training (HBRT), Behavioral: Buddy Training and Support (BTS)Participants will receive education and support for weight loss maintenance as well as Home-based Resistance Training and Buddy Training and Support. |
| Package 5: One WLM Component - ACT | Active comparator | Behavioral: Acceptance and Commitment (ACT) WorkshopsParticipants will receive education and support for weight loss maintenance as well as Acceptance and Commitment (ACT) Workshops. |
| Package 6: Two WLM Components - BTS+ACT | Active comparator | Behavioral: Buddy Training and Support (BTS), Behavioral: Acceptance and Commitment (ACT) WorkshopsParticipants will receive education and support for weight loss maintenance as well as Buddy Training and Support and ACT Workshops. |
| Package 7: Two WLM Components - HBRT+ACT | Active comparator | Behavioral: Home-based Resistance Training (HBRT), Behavioral: Acceptance and Commitment (ACT) WorkshopsParticipants will receive education and support for weight loss maintenance as well as Home-based Resistance Training and ACT Workshops. |
| Package 8: Three WLM Components - HBRT+BTS+ACT | Active comparator | Behavioral: Home-based Resistance Training (HBRT), Behavioral: Buddy Training and Support (BTS), Behavioral: Acceptance and Commitment (ACT) WorkshopsParticipants will receive education and support for weight loss maintenance as well as Home-based Resistance Training, Buddy Training and Support, and ACT Workshops. |
| Package 9: One WLM Component - RFV | Active comparator | Behavioral: Reduced Food Variety (RFV)Participants will receive education and support for weight loss maintenance as well as Reduced Food Variety. |
| Package 10: Two WLM Components - RFV+BTS | Active comparator | Behavioral: Reduced Food Variety (RFV), Behavioral: Buddy Training and Support (BTS)Participants will receive education and support for weight loss maintenance as well as Reduced Food Variety and Buddy Training and Support |
| Package 11: Two WLM Components - RFV+HBRT | Active comparator | Behavioral: Reduced Food Variety (RFV), Behavioral: Home-based Resistance Training (HBRT)Participants will receive education and support for weight loss maintenance as well as Reduced Food Variety and Home-based Resistance Training. |
| Package 12: Three WLM Components - RFV+HBRT+BTS | Active comparator | Behavioral: Reduced Food Variety (RFV), Behavioral: Home-based Resistance Training (HBRT), Behavioral: Buddy Training and Support (BTS)Participants will receive education and support for weight loss maintenance as well as Reduced Food Variety, Home-based Resistance Training, and Buddy Training and Support. |
| Package 13: Two WLM Components - RFV+ACT | Active comparator | Behavioral: Reduced Food Variety (RFV), Behavioral: Acceptance and Commitment (ACT) WorkshopsParticipants will receive education and support for weight loss maintenance as well as Reduced Food Variety and ACT Workshops. |
| Package 14: Three WLM Components - RFV+BTS+ACT | Active comparator | Behavioral: Reduced Food Variety (RFV), Behavioral: Buddy Training and Support (BTS), Behavioral: Acceptance and Commitment (ACT) WorkshopsParticipants will receive education and support for weight loss maintenance as well as Reduced Food Variety, Buddy Training and Support, and ACT Workshops. |
| Package 15: Three WLM Components - RFV+HBRT+ACT | Active comparator | Behavioral: Reduced Food Variety (RFV), Behavioral: Home-based Resistance Training (HBRT), Behavioral: Acceptance and Commitment (ACT) WorkshopsParticipants will receive education and support for weight loss maintenance as well as Reduced Food Variety, Home-based Resistance Training, and ACT Workshops. |
| Package 16: Four WLM Components: RFV+HBRT+BTS+ACT | Experimental | Behavioral: Reduced Food Variety (RFV), Behavioral: Home-based Resistance Training (HBRT), Behavioral: Buddy Training and Support (BTS), Behavioral: Acceptance and Commitment (ACT) WorkshopsParticipants will receive education and support for weight loss maintenance as well as Reduced Food Variety, Home-based Resistance Training, Buddy Training and Support, and ACT Workshops. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Age >18 years
- Body mass index (BMI) >30 kg/m2
- Has regular access to internet (to access Zoom videoconferencing platform)
- If indicated during screening, willing to obtain medical clearance for exercise from their healthcare provider prior to enrollment
Key exclusion criteria (12 listed)
- Current or recent (past 6 months) use of prescription weight loss medications
- Weight loss >10 pounds in past 6 months (other than postpartum)
- Pregnancy or anticipating pregnancy
- Another household member already participating in the study
- Participation in another randomized research project
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 |
|---|---|---|
| Reduced Food Variety (RFV)Participants engaged in reduced food variety (RFV) will be asked to choose a few high-calorie, low nutrient main meals and snacks to eat regularly. At the beginning of each month, they will choose one main meal (entrée) to eat at least 2 times a week and one snack food to eat at least 4 times a week within the month. They will have the option to keep or change their main meal and snack options from month to month. | Behavioural | Package 10: Two WLM Components - RFV+BTS, Package 11: Two WLM Components - RFV+HBRT, Package 12: Three WLM Components - RFV+HBRT+BTS, Package 13: Two WLM Components - RFV+ACT, Package 14: Three WLM Components - RFV+BTS+ACT, Package 15: Three WLM Components - RFV+HBRT+ACT, Package 16: Four WLM Components: RFV+HBRT+BTS+ACT, Package 9: One WLM Component - RFV |
| Home-based Resistance Training (HBRT)Also: Strength Training, Resistance Training, Weight Lifting, Lifting WeightsParticipants assigned to receive home-based resistance training (also called strength training or lifting weights) will be asked to engage in at-home exercises that strengthen muscles at least 2 days each week (≤45 minutes per home session) and track their progress. They will be asked to attend 6, 1-hour group-based skills training workshops (in-person and/or remotely via Zoom) during the first two months of Phase 2 to learn these skills. They will receive exercise plans and equipment (sets of dumbbells, a rack to hold the dumbbells, and an exercise mat) needed to complete exercises. | Behavioural | Package 11: Two WLM Components - RFV+HBRT, Package 12: Three WLM Components - RFV+HBRT+BTS, Package 15: Three WLM Components - RFV+HBRT+ACT, Package 16: Four WLM Components: RFV+HBRT+BTS+ACT, Package 3: One WLM Component - HBRT, Package 4: Two WLM Components - HBRT+BTS, Package 7: Two WLM Components - HBRT+ACT, Package 8: Three WLM Components - HBRT+BTS+ACT |
| Buddy Training and Support (BTS)Also: Buddy SupportParticipants assigned to buddy training and support will be asked to identify an eligible friend or family member who is over 18 years old that can be their "buddy". Study staff will contact the buddy to be sure they are eligible, willing, and have all the details they need. The participant's buddy will be asked to attend up to 6 training sessions with the study staff, so they can learn the best ways to support the participant during the program. After the buddy completes training, they will be asked to check in with the participant 1-2 times each week about their progress. | Behavioural | Package 10: Two WLM Components - RFV+BTS, Package 12: Three WLM Components - RFV+HBRT+BTS, Package 14: Three WLM Components - RFV+BTS+ACT, Package 16: Four WLM Components: RFV+HBRT+BTS+ACT, Package 2: One WLM Component - BTS, Package 4: Two WLM Components - HBRT+BTS, Package 6: Two WLM Components - BTS+ACT, Package 8: Three WLM Components - HBRT+BTS+ACT |
| Acceptance and Commitment (ACT) WorkshopsAlso: ACT WorkshopParticipants assigned to receive Acceptance and Commitment (ACT) Workshops will be asked to attend 6, 1-hour group-based skills training workshops (in-person and/or remotely via Zoom) during the first three months of Phase 2. These workshops will help them develop skills to handle tough thoughts about weight control, keep their values in mind, and be mindful of their decisions and the impact of their decisions related to weight control. They will also be asked to apply ACT skills regularly during the rest of Phase 2. | Behavioural | Package 13: Two WLM Components - RFV+ACT, Package 14: Three WLM Components - RFV+BTS+ACT, Package 15: Three WLM Components - RFV+HBRT+ACT, Package 16: Four WLM Components: RFV+HBRT+BTS+ACT, Package 5: One WLM Component - ACT, Package 6: Two WLM Components - BTS+ACT, Package 7: Two WLM Components - HBRT+ACT, Package 8: Three WLM Components - HBRT+BTS+ACT |
Primary outcome
Change in weight from time of randomization to 12 months
Time frame: 12 months
The primary outcome of the study is the change in weight measurement from the time of randomization (after Phase 1 initial weight loss/the beginning of Phase 2) until the follow up visit 12 months later. Participants' body weight will be measured to the nearest 0.1 kg at each point using a calibrated electronic scale. The change between these two measures will be calculated.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 Jan 2026.
- Derived from this study: PubMed 42660284Dutton GR, Kinsey AW, Tanner RM, Krantz O, Dobelstein A, Dong C, Baidwan N, Mehta T, Butryn ML, Raynor HA, Spring B. Optimizing an extended care intervention to promote weight loss maintenance: Protocol for the OPT-X multiphase optimization strategy factorial trial. Contemp Clin Trials. 2026 Aug 27;170:108448. doi: 10.1016/j.cct.2026.108448. Online ahead of print.
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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.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Reduced Food Variety (RFV), Home-based Resistance Training (HBRT) and Buddy Training and Support (BTS) in people with Obesity Prevention and Weight Change, run by University of Alabama at Birmingham 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 4 inclusion and 12 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: looking for participants now, as of the sponsor's last update on 7 Jan 2026. 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Gareth Dutton (205-934-6876, gdutton@uabmc.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change in weight from time of randomization to 12 months (time frame: 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 NCT06785064, 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 7 Jan 2026; AzTrials last refreshed its copy on 6 Nov 2026.