ArticleContemporary clinical trials2024
Addressing rural health disparities by optimizing "high-touch" intervention components in digital obesity treatment: The iREACH Rural study.
Article in Contemporary clinical trials, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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The trial behind it
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Who cites it
2 citing papers in PubMed.
- Pilot of a Micro-Randomized Factorial Trial of Self-Monitoring Feedback in a Behavioral Weight Loss Intervention.Obesity science & practice · 2026Article
- Exploring Expert Perspectives on Self-Monitoring Feedback Personalization, Content, Modality and Frequency: A Delphi Study.Obesity science & practice · 2025Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundRural residents are more impacted by obesity and related comorbidities than their urban counterparts. Digital weight management interventions may produce meaningful weight loss among rural residents.
objectivesThe iREACH Rural Study aims to identify "high-touch" component(s) that contribute to meaningful weight loss (≥1.5 kg) at 6-months, over and above what the 24-week core online program produces. Three treatment components are assessed: group video sessions (yes/no); self-monitoring feedback (counselor-crafted/pre-scripted, modular); and individual coaching calls (yes/no).
designThe iREACH Rural Study is a factorial experiment (n = 616).
methodsParticipants receive up to 3 "high-touch" components (weekly synchronous facilitated group video sessions, weekly counselor-crafted self-monitoring feedback, and individual coaching calls) to determine which contribute meaningfully to 6-month weight loss. Participants complete assessments at baseline, 2 months, 6 months, and 12 months. Weight loss at 6 months (primary outcome) and 12 months (secondary outcome) is measured by Bluetooth-enabled scales. The study seeks to identify the weight loss approach for underserved rural residents which optimizes weight change outcomes and also examines costs associated with delivering different treatment constellations. SUMMARY: The iREACH Rural Study is the first of its kind to isolate digital weight loss intervention components to determine which meaningfully contribute to long-term weight loss among rural residing individuals. The results may be used to refine digital weight loss programs by enhancing their effectiveness to allow broad dissemination.
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