Browsing by Author "Raymond, Jennifer K"
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- ItemAn addiction-based mobile health weight loss intervention: protocol of a randomized controlled trial.(0000-00-00) Vidmar, Alaina P; Salvy, Sarah J; Pretlow, Robert; Mittelman, Steven D; Wee, Choo Phei; Fink, Cassandra; Steven Fox, D; Raymond, Jennifer KBACKGROUND The notion of obesity as an addictive process is controversial However studies show that between 5 9 and 30 7 of adolescents with obesity report food or eating addiction Few weight management interventions have tested techniques based on addiction medicine principles METHODS This multi center randomized control trial RCT is designed to test the effectiveness of a mobile health mHealth weight loss intervention based on addiction principles such as withdrawal and tolerance in a sample of 180 adolescents ages 14 18 recruited from four pediatric weight management clinics in Southern California Akin to a Multiphase Optimization Strategy MOST design evaluating multicomponent behavioral interventions we will compare the combination of an app phone coaching App Coach to app alone App and in clinic multi disciplinary Clinic intervention arms The primary outcome is mean change in zBMI and BMIp95 over 18 months We hypothesize that youth who receive App Coach will have a greater reduction in body weight over the 18 month study period at a lower cost than standard of care models Secondary outcomes include adherence to treatment regimen intervention satisfaction effect of the intervention on metabolic factors and activity level We will also explore potential moderators of intervention effectiveness such as addictive eating habits self regulation and executive functioning CONCLUSIONS New and creative approaches are needed to address pediatric obesity If successful this RCT may provide an innovative and cost effective mHealth approach based on addiction methods for weight loss among adolescents with overweight and obesity
- ItemCoYoT1 Clinic: Home Telemedicine Increases Young Adult Engagement in Diabetes Care.(0000-00-00) Reid, Mark W; Krishnan, Subramanian; Berget, Cari; Cain, Cindy; Thomas, John Fred; Klingensmith, Georgeanna J; Raymond, Jennifer KBACKGROUND Young adults with type 1 diabetes T1D experience poor glycemic control disengagement in care and are often lost to the medical system well into their adult years Diabetes providers need a new approach to working with the population The goal of this study was to determine whether an innovative shared telemedicine appointment care model CoYoT1 Clinic pronounced as coyote Colorado Young Adults with T1D for young adults with T1D improves care engagement satisfaction and adherence to American Diabetes Association ADA guidelines regarding appointment frequency SUBJECTS AND METHODS CoYoT1 Clinic was designed to meet the diabetes care needs of young adults 18 25 years of age with T1D through home telemedicine Visits occurred every 3 months over the 1 year study three times by home telemedicine and one time in person Outcomes were compared to patients receiving treatment as usual control RESULTS Compared with controls CoYoT1 patients attended significantly more clinic visits P Under 0 0001 and increased their number of clinic visits from the year before the intervention Seventy four percent of CoYoT1 patients were seen four times over the 12 month study period meeting ADA guidelines but none in the control group met the ADA recommendation CoYoT1 patients used diabetes technologies more frequently and reported greater satisfaction with care compared with controls CONCLUSIONS Delivering diabetes care by home telemedicine increases young adults adherence to ADA guidelines and usage of diabetes technologies and improves retention in care when compared to controls Home telemedicine may keep young adults engaged in their diabetes care during this challenging transition period