Protocol summary

Study aim
Determining the effectiveness of teaching adaptive coping strategies along with diet on weight loss and waist circumference in obese women
Design
A clinical trial with a control group, with parallel groups, without blinding, randomized with blocks of size 2 based on 2 variables of age and body mass index, on 64 patients. Block randomization will be used for randomization.
Settings and conduct
Place of study: Nutrition Clinic of Ghaem Hospital, Mashhad; Population: Obese women with a BMI of 25-40 who meet the inclusion criteria; Blinding: Blinding is not done in this study.
Participants/Inclusion and exclusion criteria
Inclusion criteria: women aged 18 to 45 years old living in Mashhad; BMI equal to 25-40 kg/m2; Having a regular menstrual cycle. Exclusion criteria: use of medications to control blood sugar or lipids; pregnancy or planning to become pregnant in the next 6 months; breastfeeding; participating in a competitive sport; Abnormal concentration of thyroid hormone, use of psychiatric drugs, psychiatric disorders
Intervention groups
Intervention group: a group that we teach adaptive coping strategies in 6 one-hour sessions along with diet and meal plan. We also teach about changing bad eating habits and behaviors and replacing them with good ones. Control group: the group to which we only give diet and food plan.
Main outcome variables
Waist circumference, hip circumference, BMI, body fat percentage

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20230821059209N1
Registration date: 2024-03-16, 1402/12/26
Registration timing: prospective

Last update: 2024-03-16, 1402/12/26
Update count: 0
Registration date
2024-03-16, 1402/12/26
Registrant information
Name
sara Alizadehmoqaddam
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 51 3842 2917
Email address
saraalizadehmoqaddam@gmail.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2024-04-08, 1403/01/20
Expected recruitment end date
2024-05-09, 1403/02/20
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Comparing the effectiveness of teaching adaptive coping strategies in combination with diet and diet alone on the success rate in reducing weight and waist circumference in obese women​
Public title
The effectiveness of teaching adaptive coping strategies along with diet on weight loss
Purpose
Education/Guidance
Inclusion/Exclusion criteria
Inclusion criteria:
Women aged 18 to 45 years living in Mashhad BMI equal to 25-40 Kg/m2 having regular menstrual cycles able to do moderate exercise willing to make lifestyle changes to maintain weight loss
Exclusion criteria:
Use of medications to control blood sugar or lipids pregnancy or planning to become pregnant in the next 6 months breastfeeding cancer or chemotherapy/radiotherapy participation in a competitive sport abnormal thyroid hormone concentration using psychiatric medication psychiatric disorders Medications that can affect body weight and/or energy expenditure depression smoking cardiovascular disease liver disease kidney disease Polycystic ovary syndrome (PCOS) respiratory disease and chronic obstructive pulmonary disease (COPD)
Age
From 18 years old to 45 years old
Gender
Female
Phase
N/A
Groups that have been masked
No information
Sample size
Target sample size: 64
Randomization (investigator's opinion)
Randomized
Randomization description
Due to the fact that this study is only conducted on women, it is not necessary to establish gender equality in the two intervention and control groups, but to maintain the equality of people in terms of age and BMI, we use the block randomization method. For this purpose, it is necessary to use 4 blocks in the following order. When 4 women signed the informed consent to participate in the study, according to their age and BMI, they will be placed in one of the following 4 categories, then each one will be randomly and secretly assigned to one of the two intervention or control groups: BMI ≥ 25 & Age <49; BMI<25 & Age <49; BMI ≥ 25 & Age≥49; BMI<25 & Age≥49. In this way, we have tried not to have a significant difference in the number of people in the two groups in terms of BMI and Age, and in this way, the effect of these two important confounding variables on the outcome will be moderated.
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics Committee of Mashhad University of Medical Sciences
Street address
No. 380; Jahanara 14; Dr. Beheshti St
City
Mashhad
Province
Razavi Khorasan
Postal code
4011111
Approval date
2023-09-05, 1402/06/14
Ethics committee reference number
IR.MUMS.MEDICAL.REC.1402.282

Health conditions studied

1

Description of health condition studied
Obesity
ICD-10 code
E66.0
ICD-10 code description
Obesity due to excess calories

Primary outcomes

1

Description
Body Mass Index (BMI)
Timepoint
At the beginning of the weight loss program as a base, after 8 weeks and after 16 weeks
Method of measurement
Body mass index calculation formula

2

Description
Waist
Timepoint
At the beginning of the weight loss program as a base, after 8 weeks and after 16 weeks
Method of measurement
Tape measure

Secondary outcomes

empty

Intervention groups

1

Description
intervention group: participation in adaptive coping strategies training classes along with nutrition visits and receiving diet. Our intervention is 1/5 month, including 6 psychological counseling group sessions, which are held every week with the presence of a nutritionist and a psychologist, and each session takes about 1 hour. Adaptive coping strategies are part of cognitive behavioral therapy training, which focuses on recognizing wrong habits and behaviors and helps people identify these behaviors and replace them with appropriate behavior with the help of their therapist.
Category
Behavior

2

Description
Control group: they only receive nutrition and diet visits
Category
Other

Recruitment centers

1

Recruitment center
Name of recruitment center
Nutrition Clinic; Ghaem Hospital; Mashhad University of Medical Sciences
Full name of responsible person
Sara Alizadehmoqaddam
Street address
Qaim Sub specialty Clinic; Ahmedabad Street; Dr. Shariati Square
City
Mashhad
Province
Razavi Khorasan
Postal code
9711111
Phone
+98 992 592 8330
Email
Saraalizadehmoqaddam@gmail.com

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Mashhad University of Medical Sciences
Full name of responsible person
Dr .Maryam Khosravi
Street address
Faculty of Medicine; Eastern Door of Mashhad University of Medical Sciences; Azadi Square; Mashhad
City
Mashhad
Province
Razavi Khorasan
Postal code
9133736351
Phone
+98 915 187 4846
Email
KhosraviM@mums.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Mashhad University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Mashhad University of Medical Sciences
Full name of responsible person
Maryam khosravi
Position
Associate Professor
Latest degree
Ph.D.
Other areas of specialty/work
Nutrition
Street address
Faculty of Medicine; Eastern Door of Mashhad University of Medical Sciences; Azadi Square; Mashhad
City
Mashhad
Province
Razavi Khorasan
Postal code
9133736351
Phone
+98 915 187 4846
Email
KhosraviM@mums.ac.ir

Person responsible for scientific inquiries

Contact
Name of organization / entity
Mashhad University of Medical Sciences
Full name of responsible person
Maryam Khosravi
Position
Associate professor
Latest degree
Ph.D.
Other areas of specialty/work
Nutrition
Street address
Faculty of Medicine; Eastern Door of Mashhad University of Medical Sciences; Azadi Square; Mashhad
City
Mashhad
Province
Razavi Khorasan
Postal code
9133736351
Phone
+98 915 187 4846
Email
Saraalizadehmoqaddam@gmail.com

Person responsible for updating data

Contact
Name of organization / entity
Mashhad University of Medical Sciences
Full name of responsible person
Maryam Khosravi
Position
Associate professor
Latest degree
Ph.D.
Other areas of specialty/work
Nutrition
Street address
Mashhad, Azadi Square, Eastern Door, Mashhad University of Medical Sciences, Faculty of Medicine
City
Mashhad
Province
Razavi Khorasan
Postal code
9133736351
Phone
+98 51 3800 2367
Email
KhosraviM@mums.ac.ir

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Yes - There is a plan to make this available
Study Protocol
Yes - There is a plan to make this available
Statistical Analysis Plan
Undecided - It is not yet known if there will be a plan to make this available
Informed Consent Form
Yes - There is a plan to make this available
Clinical Study Report
Undecided - It is not yet known if there will be a plan to make this available
Analytic Code
Undecided - It is not yet known if there will be a plan to make this available
Data Dictionary
Yes - There is a plan to make this available
Title and more details about the data/document
Data including anthropometric indices and body composition analysis are considered in this study. To release the data in a de-identified form, the data of individuals will be based on ID so that individuals are de-identified when analyzing the data.
When the data will become available and for how long
The access period starts 4 months after the publication of the results
To whom data/document is available
Nutritionists and researchers
Under which criteria data/document could be used
To access the data and documents, he must obtain permission from the researchers of this project, and to access the data of this study, the individual must give a written commitment that he will only use the data for research purposes and will not disclose the personal information of people in any way.
From where data/document is obtainable
Sara Alizadeh Moghaddam with email address saraalizadehmoqaddam@gmail.com
What processes are involved for a request to access data/document
Permission must first be obtained from the data owner or the relevant licensor to access data and documents. Conditions and restrictions may accompany access to data and documents. For example, access to data and documents may require a non-disclosure agreement to be signed or a guarantee that the data and documents will only be used for research purposes. It takes 4 months to obtain permission and access to data.
Comments
To access the data and documents, he must obtain permission from the researchers of this project, and to access the data of this study, the individual must give a written commitment that he will only use the data for research purposes and will not disclose the personal information of people in any way. It takes about 3 months for permission and approval from the researchers, and after that, the person can access the data.
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