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Weight Loss Maintenance in Adults
ISRCTN ISRCTN35774128
ClinicalTrials.gov identifier
Public title Weight Loss Maintenance in Adults
Scientific title A randomised controlled trial of a 12-month multi-component intervention versus a less intensive version on study participants' maintenance of weight loss
Acronym WILMA
Serial number at source HTA 08/44/04
Study hypothesis Does a 12-month multi-component intervention or a less intensive version of it enable study participants' to maintain weight lost (prior to study entry) three years from randomisation?
Lay summary
Ethics approval Not provided at time of registration
Study design Three-arm individually randomised controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Obesity/public health/behaviour change
Participants - inclusion criteria 1. Obese adults aged 18 - 70 years, either sex
2. Current or previous body mass index (BMI) of 30 or above
3. Lost at least 5% body weight (by pharmacological, lifestyle and/or behavioural methods) during the last 12 months
4. Independent verification of weight loss
Participants - exclusion criteria 1. Unable to comply with study protocol, e.g., due to mental health problems, terminal illness or competence in English
2. Pregnant women
Anticipated start date 01/04/2010
Anticipated end date 31/03/2015
Status of trial Ongoing
Patient information material Not available in web format, please use the contact details below to request a patient information sheet
Target number of participants 950
Interventions 1. Intense intervention - six one-to-one motivational interviewing (MI) sessions plus four group sessions and 11 brief MI phone calls
2. Less intense intervention - two one-to-one MI sessions plus four group sessions and two brief MI phone calls

The total duration of treatrment is 12 months in both intervention arms and the total duration of follow up is 3 years from randomisation for all study participants.
Primary outcome measure(s) BMI at 3 years from randomisation
Secondary outcome measure(s) 1. Waist circumference, measured at baseline, post intervention, 12 months and 24 months after the end of the intervention
2. Waist to hip ratio, measured at baseline, post intervention, 12 months and 24 months after the end of the intervention
3. Body fat distribution, measured at baseline, post intervention, 12 months and 24 months after the end of the intervention
4. Self report physical activity, collected at baseline, 6 months (during intervention), post-intervention, 12 month follow-up after end of intervention and 24 months after the end of the intervention
5. Proportion maintaining weight loss, measured post-intervention and at 12 and 24 months after intervention
6. Self report dietary intake, collected at baseline, 6 months (during intervention), post-intervention, 12 month follow-up after end of intervention and 24 months after the end of the intervention
7. Health related quality of life, collected at baseline, 6 months (during intervention), post-intervention, 12 month follow-up after end of intervention and 24 months after the end of the intervention
8. Health resource usage, collected at baseline, 6 months (during intervention), post-intervention, 12 month follow-up after end of intervention and 24 months after the end of the intervention
9. Binge eating, measured post-intervention and at 12 and 24 months after intervention
10. Psychological well being and duration of participation and drop out from intervention, measured post-intervention and at 12 and 24 months after intervention
Sources of funding NIHR Health Technology Assessment Programme - HTA (UK)
Trial website http://www.cf.ac.uk/medic/subsites/sewtu/
Publications
Contact name Dr  Sharon  Simpson
  Address Department of Primary Care and Public Health
Cardiff University School of Medicine
7th floor Neuadd Meirionnydd
Heath Park
  City/town Cardiff
  Zip/Postcode CF14 4YS
  Country United Kingdom
  Tel +44 (0)29 2068 7181
  Email SimpsonSA@cf.ac.uk
Sponsor Cardiff University (UK)
  Address Research and Commercial Division
7th Floor, 30 - 36 Newport Road
  City/town Cardiff
  Zip/Postcode CF24 0DE
  Country United Kingdom
  Email davieskp2@cardiff.ac.uk
  Sponsor website: http://www.cardiff.ac.uk/
Date applied 11/01/2010
Last edited 12/01/2010
Date ISRCTN assigned 12/01/2010
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