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ObesityWeight lossDigital healthBehavioralBehavioral

What this study is

The long-term objective of SMARTLife Utah is to increase the reach of existing digital EBIs for obesity among patients of Community Health Centers (CHCs). SMARTLife Utah will be conducted in up to 11 Community Health Center (CHC) systems, consisting of 38 primary care clinics. SMARTLife Utah is a hybrid Type III effectiveness-implementation design, utilizing a pragmatic, multilevel, three-phase Sequential Multiple Assignment Randomized Trial (SMART). SMARTLife Utah leverages ubiquitous health information technology(HIT)/telehealth for both the implementation strategies and Evidence-Based Intervention (EBI) delivery in order to address barriers for engaging in EBIs.

Implementation strategies target two different levels to increase the reach of EBIs:

1. a clinic-level HIT implementation strategy that includes enhanced system supports at the point of care; and 2. patient-level implementation strategies that provide repeated opportunities to enroll in EBIs, as well as motivation/practical problem-solving to facilitate enrollment.

What's being tested

  • Ask-Advise-Connect (AAC)

    Intervention · BEHAVIORAL

    A Health Information Technology (HIT) intervention that consists of an Electronic Health Record (EHR)-based point of care assessment of height/weight for BMI (ASK). If BMI ≥ 30, clinic staff are prompted to ADVISE via a standardized script and automatically CONNECT interested patients to the Evidence-Based Interventions (EBIs) through electronic referral.

  • Text Messaging (TM)

    Intervention · BEHAVIORAL

    Bidirectional text messages, which include a simple response that directly connects individuals to the EBI in a variety of ways (phone, website, or callback from EBI).

  • Connect Only (CO)

    Intervention · BEHAVIORAL

    No patient level implementation strategy.

  • TM-Continued (TM-Cont)

    Intervention · BEHAVIORAL

    Bidirectional text messages, which include a simple one-touch response that directly connects individuals to the EBI in a variety of ways (phone, website, or callback from EBI). No additional patient-level implementation strategy.

  • Continued TM plus Motivation And Problem Solving (TM+MAPS)

    Intervention · BEHAVIORAL

    Text messages plus telephone health coach calls. MAPS is an empirically validated behavioral approach that has been demonstrated to facilitate change, including enrollment with EBIs.

Study details

Sponsor
University of Utah
Conditions
Obesity
Enrolling
5,354 people
Starts
2026-07-01
Est. completion
2029-04
Design
Open-label, randomized, sequential groups
Record
View on ClinicalTrials.gov ↗