N/A
Completed N=251
Financial vs. Non-Financial Rewards for Weight Loss and Weight Maintenance
Source: ClinicalTrials.gov NCT02957539 ↗Enrolled (actual)
251
Serious AEs
0.0%
Results posted
Mar 2023
Primary outcomePrimary: Weight Change From Baseline to Week 32 — -1.8; -6.3; -6.8 pounds — p=<0.025
Summary
Three of every four Veterans are overweight or obese, and weight loss is associated with reduced morbidity and mortality. The VA MOVE! program for weight loss is moderately effective but only reaches a small percentage of overweight Veterans. This proposed study will test whether a patient incentive program that gives Veterans non-financial incentives, such as Seattle Mariners baseball tickets, for losing one pound per week over 16 weeks is effective. An effective patient-incentive program could help more Veterans lose weight without requiring a substantial increase in VA staff.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Weight Change From Baseline to Week 32 |
-1.8; -6.3; -6.8 | <0.025 sig |
| SECONDARY Self Efficacy |
-1.4; .1; -.3 | — |
| SECONDARY Intrinsic Motivation |
-.6; -.1; 0 | — |
| SECONDARY PHQ-8 Depression Score |
.8; -.3; 1.1 | — |
| SECONDARY Weight Change From Baseline |
-5.4; -3; -9 | — |
Eligibility Criteria
Inclusion Criteria
- Veteran
- BMI>=30 at enrollment
- weigh less than 390lbs
- Active patient in primary care or women's clinic (1+ visit in last year)
- Access to a text capable phone in the Veteran's household or active email address
- live in Seattle area the entire year
- access to the internet
Exclusion Criteria
- behavioral flag
- serious mental illness or anti-psychotic medication
- eating disorder and/or sexual trauma
- MOVE! participation in past 4 months
- pregnant or planning to become pregnant
- prisoner/employee/student
- inability to independently stand
- inability to read
- insulin dependent
- impaired decision making
- no access to a cell phone or phone that can receive text messages
- inability to remove socks & shoes
- >5% of body weight lost in last 6 months (clinical data and self-report)
- unable to pass cognitive screening
Data sourced from ClinicalTrials.gov (NCT02957539). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.