"Working for You" Workplace Obesity Intervention



Status:Enrolling by invitation
Conditions:Obesity Weight Loss
Therapuetic Areas:Endocrinology
Healthy:No
Age Range:18 - Any
Updated:3/30/2019
Start Date:September 2016
End Date:December 2019

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Worksite Interventions to Reduce Obesity and Diabetes Risk in Low SES Populations

The purpose of this study is to test a workplace intervention program targeted at low SES
workers. Working in partnership with BJC HealthCare, we will test an innovative multi-level
intervention that includes an interactive obesity treatment program (iOTA) using SMS text
messaging. The iOTA intervention will be embedded in a newly described Healthy Workplace
Participatory Program, which incorporates employee participation in decision making to
produce changes in the workplace environment that are acceptable, effective, and sustainable.
These nested interventions will be tested a large delayed-start group-randomized trial. This
study will rigorously test readily scalable interventions that can be translated to other
work settings to reduce obesity and diabetes risk among low SES workers, a group at high risk
for these disorders. This pragmatic clinical trial will advance the long-term goal of
enabling employers and employees to reduce obesity and obesity-associated illnesses including
diabetes.

Specific Aim: Test a multi-level worksite weight loss intervention to help workers attain and
maintain healthy weight. Investigators propose a new group-level participatory wellness
program engaging all employees within intervention work groups. The proposed workplace
participatory program will assist work groups to adapt and deploy interventions that change
their work environments to support healthy eating and physical activity. Nested within this
group-level intervention for all workers, obese (BMI>30) workers will be offered
participation in an individual-level interactive obesity treatment approach (iOTA)
intervention based on assessment of individual behavior risks, collaborative goal-setting
with a health coach, and use of an interactive text system to provide ongoing support and
self-monitoring of behavior change goals. Investigators will test these interventions in a
delayed-start group randomized trial in 22 work groups (total workers = 990, obese workers =
308).

Specific Aim A: Implement and test a healthy workplace participatory program (HWPP) to
promote healthy eating and healthy physical activity among all workers through changes in the
work environment. Hypothesis: Workers in intervention groups will show improvements in
healthy eating and activity compared to workers in control groups.

Specific Aim B: Implement and test an innovative Individual Obesity Treatment Approach (iOTA)
in conjunction with changes in work environment. Hypothesis: Obese workers offered the iOTA
intervention will lose weight over 24 month follow-up when compared to obese control group
workers.

Inclusion Criteria:

- All participants must be a member of a chosen work group

- Speak English

- At least 18 years of age

- Sub-group (iOTA Intervention): BMI >=30, cell phone with text messaging capability

Exclusion Criteria:

- Sub-group (iOTA Intervention): pregnant or nursing, weight-loss surgery in past 12
mths, currently receiving chemotherapy or radiation treatments
We found this trial at
1
site
660 S Euclid Ave
Saint Louis, Missouri 63110
(314) 362-5000
Washington University School of Medicine Washington University Physicians is the clinical practice of the School...
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mi
from
Saint Louis, MO
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