Trial Outcomes & Findings for Healthy Me: A Program for Older Women (NCT NCT03843190)

NCT ID: NCT03843190

Last Updated: 2026-05-20

Results Overview

Percent of body weight change over 6 months

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

116 participants

Primary outcome timeframe

Baseline to 6 months

Results posted on

2026-05-20

Participant Flow

Participants from the feasibility period were not considered enrolled.

Participant milestones

Participant milestones
Measure
Take Off Pounds Sensibly (TOPS)
This group will receive TOPS intervention at the start of the study. Take of Pounds Sensibly (TOPS): Dietitian-facilitated classes
Waitlist Control
This group will be the control group for 6 months. Then at the completion of the study they will receive the vouchers to participate in TOPS chapters in the community. Waitlist Control: At end of study, offered peer-led classes to attend.
Overall Study
STARTED
58
58
Overall Study
COMPLETED
41
41
Overall Study
NOT COMPLETED
17
17

Reasons for withdrawal

Reasons for withdrawal
Measure
Take Off Pounds Sensibly (TOPS)
This group will receive TOPS intervention at the start of the study. Take of Pounds Sensibly (TOPS): Dietitian-facilitated classes
Waitlist Control
This group will be the control group for 6 months. Then at the completion of the study they will receive the vouchers to participate in TOPS chapters in the community. Waitlist Control: At end of study, offered peer-led classes to attend.
Overall Study
Lost to Follow-up
4
6
Overall Study
Withdrawal by Subject
13
11

Baseline Characteristics

Healthy Me: A Program for Older Women

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Take Off Pounds Sensibly (TOPS)
n=58 Participants
This group will receive TOPS intervention at the start of the study. Take of Pounds Sensibly (TOPS): Dietitian-facilitated classes
Waitlist Control
n=58 Participants
This group will be the control group for 6 months. Then at the completion of the study they will receive the vouchers to participate in TOPS chapters in the community. Waitlist Control: At end of study, offered peer-led classes to attend.
Total
n=116 Participants
Total of all reporting groups
Age, Continuous
65.78 years
STANDARD_DEVIATION 7.34 • n=30 Participants
67.79 years
STANDARD_DEVIATION 6.83 • n=30 Participants
66.78 years
STANDARD_DEVIATION 7.13 • n=60 Participants
Sex: Female, Male
Female
58 Participants
n=30 Participants
58 Participants
n=30 Participants
116 Participants
n=60 Participants
Sex: Female, Male
Male
0 Participants
n=30 Participants
0 Participants
n=30 Participants
0 Participants
n=60 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=30 Participants
1 Participants
n=30 Participants
1 Participants
n=60 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
58 Participants
n=30 Participants
56 Participants
n=30 Participants
114 Participants
n=60 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=30 Participants
1 Participants
n=30 Participants
1 Participants
n=60 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=30 Participants
0 Participants
n=30 Participants
0 Participants
n=60 Participants
Race (NIH/OMB)
Asian
0 Participants
n=30 Participants
0 Participants
n=30 Participants
0 Participants
n=60 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=30 Participants
0 Participants
n=30 Participants
0 Participants
n=60 Participants
Race (NIH/OMB)
Black or African American
58 Participants
n=30 Participants
58 Participants
n=30 Participants
116 Participants
n=60 Participants
Race (NIH/OMB)
White
0 Participants
n=30 Participants
0 Participants
n=30 Participants
0 Participants
n=60 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=30 Participants
0 Participants
n=30 Participants
0 Participants
n=60 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=30 Participants
0 Participants
n=30 Participants
0 Participants
n=60 Participants
Region of Enrollment
United States
58 Participants
n=30 Participants
58 Participants
n=30 Participants
116 Participants
n=60 Participants

PRIMARY outcome

Timeframe: Baseline to 6 months

Population: Participants with data collected at both timepoints.

Percent of body weight change over 6 months

Outcome measures

Outcome measures
Measure
Take Off Pounds Sensibly (TOPS)
n=39 Participants
This group will receive TOPS intervention at the start of the study. Take of Pounds Sensibly (TOPS): Dietitian-facilitated classes
Waitlist Control
n=41 Participants
This group will be the control group for 6 months. Then at the completion of the study they will receive the vouchers to participate in TOPS chapters in the community. Waitlist Control: At end of study, offered peer-led classes to attend.
Weight Change
-2.50 percentage of body weight
Standard Deviation 3.90
-0.51 percentage of body weight
Standard Deviation 3.26

SECONDARY outcome

Timeframe: Baseline, 3 months, 6 months

Population: Participants with data collected at each timepoint.

A measure of cardiovascular disease (CVD) risk.

Outcome measures

Outcome measures
Measure
Take Off Pounds Sensibly (TOPS)
n=58 Participants
This group will receive TOPS intervention at the start of the study. Take of Pounds Sensibly (TOPS): Dietitian-facilitated classes
Waitlist Control
n=58 Participants
This group will be the control group for 6 months. Then at the completion of the study they will receive the vouchers to participate in TOPS chapters in the community. Waitlist Control: At end of study, offered peer-led classes to attend.
Systolic Blood Pressure (BP)
Baseline
137.60 mmHg
Standard Deviation 19.14
135.86 mmHg
Standard Deviation 15.66
Systolic Blood Pressure (BP)
3 months
132.15 mmHg
Standard Deviation 16.21
130.9 mmHg
Standard Deviation 16.47
Systolic Blood Pressure (BP)
6 months
132.86 mmHg
Standard Deviation 15.93
132.10 mmHg
Standard Deviation 15.82

SECONDARY outcome

Timeframe: Baseline, 3 months, 6 months

Population: Participants with data collected at each timepoint.

A measure of cardiovascular disease (CVD) risk.

Outcome measures

Outcome measures
Measure
Take Off Pounds Sensibly (TOPS)
n=58 Participants
This group will receive TOPS intervention at the start of the study. Take of Pounds Sensibly (TOPS): Dietitian-facilitated classes
Waitlist Control
n=58 Participants
This group will be the control group for 6 months. Then at the completion of the study they will receive the vouchers to participate in TOPS chapters in the community. Waitlist Control: At end of study, offered peer-led classes to attend.
Diastolic Blood Pressure (BP)
Baseline
78.16 mmHg
Standard Deviation 12.57
78.33 mmHg
Standard Deviation 10.28
Diastolic Blood Pressure (BP)
3 months
75.32 mmHg
Standard Deviation 12.08
76.38 mmHg
Standard Deviation 9.53
Diastolic Blood Pressure (BP)
6 months
76.20 mmHg
Standard Deviation 12.35
78.20 mmHg
Standard Deviation 9.52

SECONDARY outcome

Timeframe: Baseline, 3 months, 6 months

Population: Participants with data collected at each timepoint.

A measure of cardiovascular disease (CVD) risk.

Outcome measures

Outcome measures
Measure
Take Off Pounds Sensibly (TOPS)
n=54 Participants
This group will receive TOPS intervention at the start of the study. Take of Pounds Sensibly (TOPS): Dietitian-facilitated classes
Waitlist Control
n=58 Participants
This group will be the control group for 6 months. Then at the completion of the study they will receive the vouchers to participate in TOPS chapters in the community. Waitlist Control: At end of study, offered peer-led classes to attend.
Waist Circumference (WC)
Baseline
109.90 cm
Standard Deviation 12.60
111.87 cm
Standard Deviation 12.93
Waist Circumference (WC)
3 months
107.10 cm
Standard Deviation 11.96
111.71 cm
Standard Deviation 10.82
Waist Circumference (WC)
6 months
107.44 cm
Standard Deviation 10.77
111.22 cm
Standard Deviation 10.75

SECONDARY outcome

Timeframe: Baseline, 3 months, 6 months

Population: Participants with data collected at each timepoint.

Percentage of hemoglobin that is coated with glucose. A measure of cardiovascular disease (CVD) risk.

Outcome measures

Outcome measures
Measure
Take Off Pounds Sensibly (TOPS)
n=54 Participants
This group will receive TOPS intervention at the start of the study. Take of Pounds Sensibly (TOPS): Dietitian-facilitated classes
Waitlist Control
n=57 Participants
This group will be the control group for 6 months. Then at the completion of the study they will receive the vouchers to participate in TOPS chapters in the community. Waitlist Control: At end of study, offered peer-led classes to attend.
Hemoglobin A1c (HA1c)
6 months
6.20 percent glycated hemoglobin
Standard Deviation 0.93
6.00 percent glycated hemoglobin
Standard Deviation 0.55
Hemoglobin A1c (HA1c)
3 months
6.21 percent glycated hemoglobin
Standard Deviation 0.88
5.98 percent glycated hemoglobin
Standard Deviation 0.55
Hemoglobin A1c (HA1c)
Baseline
6.28 percent glycated hemoglobin
Standard Deviation 1.08
6.16 percent glycated hemoglobin
Standard Deviation 0.92

SECONDARY outcome

Timeframe: Baseline, 3 months, 6 months

Population: Participants with data collected at each timepoint.

A measure of cardiovascular disease (CVD) risk.

Outcome measures

Outcome measures
Measure
Take Off Pounds Sensibly (TOPS)
n=55 Participants
This group will receive TOPS intervention at the start of the study. Take of Pounds Sensibly (TOPS): Dietitian-facilitated classes
Waitlist Control
n=56 Participants
This group will be the control group for 6 months. Then at the completion of the study they will receive the vouchers to participate in TOPS chapters in the community. Waitlist Control: At end of study, offered peer-led classes to attend.
HDL (High-Density Lipoprotein) Cholesterol
Baseline
63.47 mg/dL
Standard Deviation 18.19
64.20 mg/dL
Standard Deviation 18.99
HDL (High-Density Lipoprotein) Cholesterol
3 months
61.71 mg/dL
Standard Deviation 16.87
64.03 mg/dL
Standard Deviation 20.46
HDL (High-Density Lipoprotein) Cholesterol
6 months
63.77 mg/dL
Standard Deviation 17.73
61.26 mg/dL
Standard Deviation 18.85

SECONDARY outcome

Timeframe: Baseline, 3 months, 6 months

Population: Participants with data collected at each timepoint.

A measure of cardiovascular disease (CVD) risk.

Outcome measures

Outcome measures
Measure
Take Off Pounds Sensibly (TOPS)
n=54 Participants
This group will receive TOPS intervention at the start of the study. Take of Pounds Sensibly (TOPS): Dietitian-facilitated classes
Waitlist Control
n=54 Participants
This group will be the control group for 6 months. Then at the completion of the study they will receive the vouchers to participate in TOPS chapters in the community. Waitlist Control: At end of study, offered peer-led classes to attend.
LDL (Low-Density Lipoprotein) Cholesterol, Calculated
Baseline
103.15 mg/dL
Standard Deviation 38.39
108.56 mg/dL
Standard Deviation 36.84
LDL (Low-Density Lipoprotein) Cholesterol, Calculated
3 months
108.29 mg/dL
Standard Deviation 37.75
103.49 mg/dL
Standard Deviation 34.70
LDL (Low-Density Lipoprotein) Cholesterol, Calculated
6 months
104.38 mg/dL
Standard Deviation 37.37
98.46 mg/dL
Standard Deviation 33.76

SECONDARY outcome

Timeframe: Baseline, 3 months, 6 months

Population: Participants with data collected at each timepoint.

A measure of cardiovascular disease (CVD) risk.

Outcome measures

Outcome measures
Measure
Take Off Pounds Sensibly (TOPS)
n=54 Participants
This group will receive TOPS intervention at the start of the study. Take of Pounds Sensibly (TOPS): Dietitian-facilitated classes
Waitlist Control
n=56 Participants
This group will be the control group for 6 months. Then at the completion of the study they will receive the vouchers to participate in TOPS chapters in the community. Waitlist Control: At end of study, offered peer-led classes to attend.
LDL (Low-Density Lipoprotein) Cholesterol, Direct
Baseline
105.04 mg/dL
Standard Deviation 37.37
109.89 mg/dL
Standard Deviation 38.88
LDL (Low-Density Lipoprotein) Cholesterol, Direct
3 months
106.03 mg/dL
Standard Deviation 37.55
102.67 mg/dL
Standard Deviation 34.82
LDL (Low-Density Lipoprotein) Cholesterol, Direct
6 months
104.51 mg/dL
Standard Deviation 37.31
97.77 mg/dL
Standard Deviation 32.01

SECONDARY outcome

Timeframe: Baseline, 3 months, 6 months

Population: Participants with data collected at each timepoint.

A measure of cardiovascular disease (CVD) risk.

Outcome measures

Outcome measures
Measure
Take Off Pounds Sensibly (TOPS)
n=55 Participants
This group will receive TOPS intervention at the start of the study. Take of Pounds Sensibly (TOPS): Dietitian-facilitated classes
Waitlist Control
n=57 Participants
This group will be the control group for 6 months. Then at the completion of the study they will receive the vouchers to participate in TOPS chapters in the community. Waitlist Control: At end of study, offered peer-led classes to attend.
Triglycerides
Baseline
113.11 mg/dL
Standard Deviation 48.82
138.14 mg/dL
Standard Deviation 122.63
Triglycerides
3 months
106.86 mg/dL
Standard Deviation 41.49
110.69 mg/dL
Standard Deviation 54.61
Triglycerides
6 months
99.05 mg/dL
Standard Deviation 38.06
108.62 mg/dL
Standard Deviation 51.13

SECONDARY outcome

Timeframe: Baseline, 3 months, 6 months

Population: Participants with data collected at each timepoint.

The SF-36 consists of eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The lower the score the more disability. The higher the score the less disability, i.e., a score of zero is equivalent to maximum disability and a score of 100 is equivalent to no disability.

Outcome measures

Outcome measures
Measure
Take Off Pounds Sensibly (TOPS)
n=58 Participants
This group will receive TOPS intervention at the start of the study. Take of Pounds Sensibly (TOPS): Dietitian-facilitated classes
Waitlist Control
n=56 Participants
This group will be the control group for 6 months. Then at the completion of the study they will receive the vouchers to participate in TOPS chapters in the community. Waitlist Control: At end of study, offered peer-led classes to attend.
Quality of Life (QoL) as Measured by 36-item Short Form Survey (SF-36) - General Health
Baseline
72.50 score on a scale
Standard Deviation 16.66
73.39 score on a scale
Standard Deviation 14.59
Quality of Life (QoL) as Measured by 36-item Short Form Survey (SF-36) - General Health
3 months
75.99 score on a scale
Standard Deviation 16.92
71.89 score on a scale
Standard Deviation 13.61
Quality of Life (QoL) as Measured by 36-item Short Form Survey (SF-36) - General Health
6 months
72.71 score on a scale
Standard Deviation 17.30
69.76 score on a scale
Standard Deviation 17.93

SECONDARY outcome

Timeframe: Baseline, 3 months, 6 months

Population: Participants with data collected at each timepoint.

The SF-36 consists of eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The lower the score the more disability. The higher the score the less disability, i.e., a score of zero is equivalent to maximum disability and a score of 100 is equivalent to no disability.

Outcome measures

Outcome measures
Measure
Take Off Pounds Sensibly (TOPS)
n=58 Participants
This group will receive TOPS intervention at the start of the study. Take of Pounds Sensibly (TOPS): Dietitian-facilitated classes
Waitlist Control
n=56 Participants
This group will be the control group for 6 months. Then at the completion of the study they will receive the vouchers to participate in TOPS chapters in the community. Waitlist Control: At end of study, offered peer-led classes to attend.
Quality of Life (QoL) as Measured by 36-item Short Form Survey (SF-36) - Physical Functioning
Baseline
71.29 score on a scale
Standard Deviation 20.89
74.46 score on a scale
Standard Deviation 21.99
Quality of Life (QoL) as Measured by 36-item Short Form Survey (SF-36) - Physical Functioning
3 months
73.46 score on a scale
Standard Deviation 26.14
75.05 score on a scale
Standard Deviation 21.26
Quality of Life (QoL) as Measured by 36-item Short Form Survey (SF-36) - Physical Functioning
6 months
70.65 score on a scale
Standard Deviation 25.29
72.44 score on a scale
Standard Deviation 25.89

SECONDARY outcome

Timeframe: Baseline, 3 months, 6 months

Population: Participants with data collected at each timepoint.

The SF-36 consists of eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The lower the score the more disability. The higher the score the less disability, i.e., a score of zero is equivalent to maximum disability and a score of 100 is equivalent to no disability.

Outcome measures

Outcome measures
Measure
Take Off Pounds Sensibly (TOPS)
n=58 Participants
This group will receive TOPS intervention at the start of the study. Take of Pounds Sensibly (TOPS): Dietitian-facilitated classes
Waitlist Control
n=56 Participants
This group will be the control group for 6 months. Then at the completion of the study they will receive the vouchers to participate in TOPS chapters in the community. Waitlist Control: At end of study, offered peer-led classes to attend.
Quality of Life (QoL) as Measured by 36-item Short Form Survey (SF-36) - Role Functioning/Physical
Baseline
72.84 score on a scale
Standard Deviation 38.70
72.77 score on a scale
Standard Deviation 38.52
Quality of Life (QoL) as Measured by 36-item Short Form Survey (SF-36) - Role Functioning/Physical
3 months
73.72 score on a scale
Standard Deviation 34.86
72.30 score on a scale
Standard Deviation 40.30
Quality of Life (QoL) as Measured by 36-item Short Form Survey (SF-36) - Role Functioning/Physical
6 months
76.83 score on a scale
Standard Deviation 32.78
71.34 score on a scale
Standard Deviation 40.14

SECONDARY outcome

Timeframe: Baseline, 3 months, 6 months

Population: Participants with data collected at each timepoint.

The SF-36 consists of eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The lower the score the more disability. The higher the score the less disability, i.e., a score of zero is equivalent to maximum disability and a score of 100 is equivalent to no disability.

Outcome measures

Outcome measures
Measure
Take Off Pounds Sensibly (TOPS)
n=58 Participants
This group will receive TOPS intervention at the start of the study. Take of Pounds Sensibly (TOPS): Dietitian-facilitated classes
Waitlist Control
n=56 Participants
This group will be the control group for 6 months. Then at the completion of the study they will receive the vouchers to participate in TOPS chapters in the community. Waitlist Control: At end of study, offered peer-led classes to attend.
Quality of Life (QoL) as Measured by 36-item Short Form Survey (SF-36) - Role Functioning/Emotional
Baseline
81.03 score on a scale
Standard Deviation 31.29
83.93 score on a scale
Standard Deviation 33.02
Quality of Life (QoL) as Measured by 36-item Short Form Survey (SF-36) - Role Functioning/Emotional
3 months
80.34 score on a scale
Standard Deviation 33.96
77.48 score on a scale
Standard Deviation 40.87
Quality of Life (QoL) as Measured by 36-item Short Form Survey (SF-36) - Role Functioning/Emotional
6 months
80.49 score on a scale
Standard Deviation 34.14
80.49 score on a scale
Standard Deviation 36.50

SECONDARY outcome

Timeframe: Baseline, 3 months, 6 months

Population: Participants with data collected at each timepoint.

The SF-36 consists of eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The lower the score the more disability. The higher the score the less disability, i.e., a score of zero is equivalent to maximum disability and a score of 100 is equivalent to no disability.

Outcome measures

Outcome measures
Measure
Take Off Pounds Sensibly (TOPS)
n=58 Participants
This group will receive TOPS intervention at the start of the study. Take of Pounds Sensibly (TOPS): Dietitian-facilitated classes
Waitlist Control
n=56 Participants
This group will be the control group for 6 months. Then at the completion of the study they will receive the vouchers to participate in TOPS chapters in the community. Waitlist Control: At end of study, offered peer-led classes to attend.
Quality of Life (QoL) as Measured by 36-item Short Form Survey (SF-36) - Energy/Fatigue
6 months
68.41 score on a scale
Standard Deviation 17.55
65.24 score on a scale
Standard Deviation 18.40
Quality of Life (QoL) as Measured by 36-item Short Form Survey (SF-36) - Energy/Fatigue
Baseline
64.57 score on a scale
Standard Deviation 16.44
65.18 score on a scale
Standard Deviation 22.03
Quality of Life (QoL) as Measured by 36-item Short Form Survey (SF-36) - Energy/Fatigue
3 months
63.46 score on a scale
Standard Deviation 18.92
62.97 score on a scale
Standard Deviation 19.24

SECONDARY outcome

Timeframe: Baseline, 3 months, 6 months

Population: Participants with data collected at each timepoint.

The SF-36 consists of eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The lower the score the more disability. The higher the score the less disability, i.e., a score of zero is equivalent to maximum disability and a score of 100 is equivalent to no disability.

Outcome measures

Outcome measures
Measure
Take Off Pounds Sensibly (TOPS)
n=58 Participants
This group will receive TOPS intervention at the start of the study. Take of Pounds Sensibly (TOPS): Dietitian-facilitated classes
Waitlist Control
n=56 Participants
This group will be the control group for 6 months. Then at the completion of the study they will receive the vouchers to participate in TOPS chapters in the community. Waitlist Control: At end of study, offered peer-led classes to attend.
Quality of Life (QoL) as Measured by 36-item Short Form Survey (SF-36) - Emotional Well-being
Baseline
85.66 score on a scale
Standard Deviation 9.54
84.21 score on a scale
Standard Deviation 13.59
Quality of Life (QoL) as Measured by 36-item Short Form Survey (SF-36) - Emotional Well-being
3 months
83.49 score on a scale
Standard Deviation 13.30
81.73 score on a scale
Standard Deviation 15.36
Quality of Life (QoL) as Measured by 36-item Short Form Survey (SF-36) - Emotional Well-being
6 months
82.34 score on a scale
Standard Deviation 14.99
83.61 score on a scale
Standard Deviation 13.20

SECONDARY outcome

Timeframe: Baseline, 3 months, 6 months

Population: Participants with data collected at each timepoint.

The SF-36 consists of eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The lower the score the more disability. The higher the score the less disability, i.e., a score of zero is equivalent to maximum disability and a score of 100 is equivalent to no disability.

Outcome measures

Outcome measures
Measure
Take Off Pounds Sensibly (TOPS)
n=58 Participants
This group will receive TOPS intervention at the start of the study. Take of Pounds Sensibly (TOPS): Dietitian-facilitated classes
Waitlist Control
n=56 Participants
This group will be the control group for 6 months. Then at the completion of the study they will receive the vouchers to participate in TOPS chapters in the community. Waitlist Control: At end of study, offered peer-led classes to attend.
Quality of Life (QoL) as Measured by 36-item Short Form Survey (SF-36) - Social Functioning
Baseline
80.39 score on a scale
Standard Deviation 23.66
86.16 score on a scale
Standard Deviation 21.67
Quality of Life (QoL) as Measured by 36-item Short Form Survey (SF-36) - Social Functioning
3 months
80.45 score on a scale
Standard Deviation 25.46
81.08 score on a scale
Standard Deviation 25.96
Quality of Life (QoL) as Measured by 36-item Short Form Survey (SF-36) - Social Functioning
6 months
83.84 score on a scale
Standard Deviation 22.58
81.10 score on a scale
Standard Deviation 26.68

SECONDARY outcome

Timeframe: Baseline, 3 months, 6 months

Population: Participants with data collected at each timepoint.

The SF-36 consists of eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The lower the score the more disability. The higher the score the less disability, i.e., a score of zero is equivalent to maximum disability and a score of 100 is equivalent to no disability.

Outcome measures

Outcome measures
Measure
Take Off Pounds Sensibly (TOPS)
n=58 Participants
This group will receive TOPS intervention at the start of the study. Take of Pounds Sensibly (TOPS): Dietitian-facilitated classes
Waitlist Control
n=56 Participants
This group will be the control group for 6 months. Then at the completion of the study they will receive the vouchers to participate in TOPS chapters in the community. Waitlist Control: At end of study, offered peer-led classes to attend.
Quality of Life (QoL) as Measured by 36-item Short Form Survey (SF-36) - Pain
Baseline
66.34 score on a scale
Standard Deviation 22.39
71.83 score on a scale
Standard Deviation 23.74
Quality of Life (QoL) as Measured by 36-item Short Form Survey (SF-36) - Pain
3 months
73.65 score on a scale
Standard Deviation 21.69
68.92 score on a scale
Standard Deviation 23.32
Quality of Life (QoL) as Measured by 36-item Short Form Survey (SF-36) - Pain
6 months
71.83 score on a scale
Standard Deviation 25.38
66.89 score on a scale
Standard Deviation 25.62

SECONDARY outcome

Timeframe: Baseline, 3 months, 6 months

Population: Participants with data collected at each timepoint.

Number of primary care visits reported by participant in last month (baseline) or since last study visit (3 and 6 months).

Outcome measures

Outcome measures
Measure
Take Off Pounds Sensibly (TOPS)
n=58 Participants
This group will receive TOPS intervention at the start of the study. Take of Pounds Sensibly (TOPS): Dietitian-facilitated classes
Waitlist Control
n=58 Participants
This group will be the control group for 6 months. Then at the completion of the study they will receive the vouchers to participate in TOPS chapters in the community. Waitlist Control: At end of study, offered peer-led classes to attend.
Healthcare Utilization as Measured by Number of Primary Care Visits
6 months
3.12 visits
Standard Deviation 3.88
2.98 visits
Standard Deviation 3.15
Healthcare Utilization as Measured by Number of Primary Care Visits
Baseline
1.02 visits
Standard Deviation 1.16
0.98 visits
Standard Deviation 1.18
Healthcare Utilization as Measured by Number of Primary Care Visits
3 months
3.98 visits
Standard Deviation 4.28
3.46 visits
Standard Deviation 3.75

SECONDARY outcome

Timeframe: Baseline, 3 months, 6 months

Population: Participants with data collected at each timepoint.

Number of participants reporting emergency department visit(s) in last month (baseline) or since last study visit (3 and 6 months).

Outcome measures

Outcome measures
Measure
Take Off Pounds Sensibly (TOPS)
n=58 Participants
This group will receive TOPS intervention at the start of the study. Take of Pounds Sensibly (TOPS): Dietitian-facilitated classes
Waitlist Control
n=58 Participants
This group will be the control group for 6 months. Then at the completion of the study they will receive the vouchers to participate in TOPS chapters in the community. Waitlist Control: At end of study, offered peer-led classes to attend.
Healthcare Utilization as Measured by Number of Participants With Emergency Department Visits
Baseline
2 Participants
1 Participants
Healthcare Utilization as Measured by Number of Participants With Emergency Department Visits
3 months
0 Participants
1 Participants
Healthcare Utilization as Measured by Number of Participants With Emergency Department Visits
6 months
2 Participants
4 Participants

SECONDARY outcome

Timeframe: Baseline, 3 months, 6 months

Population: Participants with data collected at each timepoint.

Number of participants reporting hospitalization(s) in last month (baseline) or since last study visit (3 and 6 months).

Outcome measures

Outcome measures
Measure
Take Off Pounds Sensibly (TOPS)
n=58 Participants
This group will receive TOPS intervention at the start of the study. Take of Pounds Sensibly (TOPS): Dietitian-facilitated classes
Waitlist Control
n=58 Participants
This group will be the control group for 6 months. Then at the completion of the study they will receive the vouchers to participate in TOPS chapters in the community. Waitlist Control: At end of study, offered peer-led classes to attend.
Healthcare Utilization as Measured by Number of Participants With Hospitalizations
Baseline
1 Participants
1 Participants
Healthcare Utilization as Measured by Number of Participants With Hospitalizations
3 months
2 Participants
1 Participants
Healthcare Utilization as Measured by Number of Participants With Hospitalizations
6 months
1 Participants
2 Participants

SECONDARY outcome

Timeframe: Baseline, 3 months, 6 months

Population: Participants with data collected at each timepoint.

The Short Physical Performance Battery (SPPB) is an objective measurement instrument of balance, lower extremity strength, and functional capacity in older adults. Scores range from zero to 12 possible points. Lower scores are associated with lower function.

Outcome measures

Outcome measures
Measure
Take Off Pounds Sensibly (TOPS)
n=58 Participants
This group will receive TOPS intervention at the start of the study. Take of Pounds Sensibly (TOPS): Dietitian-facilitated classes
Waitlist Control
n=58 Participants
This group will be the control group for 6 months. Then at the completion of the study they will receive the vouchers to participate in TOPS chapters in the community. Waitlist Control: At end of study, offered peer-led classes to attend.
Physical Function as Measured by Short Physical Performance Battery (SPPB)
Baseline
9.81 score on a scale
Standard Deviation 2.14
9.86 score on a scale
Standard Deviation 1.36
Physical Function as Measured by Short Physical Performance Battery (SPPB)
3 months
10.36 score on a scale
Standard Deviation 1.75
9.95 score on a scale
Standard Deviation 2.20
Physical Function as Measured by Short Physical Performance Battery (SPPB)
6 months
9.95 score on a scale
Standard Deviation 2.02
10.10 score on a scale
Standard Deviation 1.76

SECONDARY outcome

Timeframe: Baseline, 3 months, 6 months

Population: Participants with data collected at each timepoint.

The 8-foot up-and-go test is a timed test that measures balance, agility, and speed while walking or moving. Higher times are associated with worse physical function.

Outcome measures

Outcome measures
Measure
Take Off Pounds Sensibly (TOPS)
n=58 Participants
This group will receive TOPS intervention at the start of the study. Take of Pounds Sensibly (TOPS): Dietitian-facilitated classes
Waitlist Control
n=58 Participants
This group will be the control group for 6 months. Then at the completion of the study they will receive the vouchers to participate in TOPS chapters in the community. Waitlist Control: At end of study, offered peer-led classes to attend.
Physical Function as Measured by 8-ft Up and Go
Baseline
7.80 seconds
Standard Deviation 2.37
8.47 seconds
Standard Deviation 3.31
Physical Function as Measured by 8-ft Up and Go
3 months
8.29 seconds
Standard Deviation 2.95
7.41 seconds
Standard Deviation 1.94
Physical Function as Measured by 8-ft Up and Go
6 months
7.73 seconds
Standard Deviation 2.66
8.11 seconds
Standard Deviation 2.70

SECONDARY outcome

Timeframe: Baseline, 3 months, 6 months

Population: Participants with data collected at each timepoint.

Decreased grip strength is a predictor of adverse outcomes in older adults.

Outcome measures

Outcome measures
Measure
Take Off Pounds Sensibly (TOPS)
n=58 Participants
This group will receive TOPS intervention at the start of the study. Take of Pounds Sensibly (TOPS): Dietitian-facilitated classes
Waitlist Control
n=58 Participants
This group will be the control group for 6 months. Then at the completion of the study they will receive the vouchers to participate in TOPS chapters in the community. Waitlist Control: At end of study, offered peer-led classes to attend.
Physical Function as Measured by Isometric Hand Grip, Right Hand
Baseline
24.52 kg
Standard Deviation 6.48
26.69 kg
Standard Deviation 5.40
Physical Function as Measured by Isometric Hand Grip, Right Hand
3 months
27.10 kg
Standard Deviation 5.76
28.82 kg
Standard Deviation 5.54
Physical Function as Measured by Isometric Hand Grip, Right Hand
6 months
27.28 kg
Standard Deviation 6.64
26.96 kg
Standard Deviation 7.63

SECONDARY outcome

Timeframe: Baseline, 3 months, 6 months

Population: Participants with data collected at each timepoint.

Decreased grip strength is a predictor of adverse outcomes in older adults.

Outcome measures

Outcome measures
Measure
Take Off Pounds Sensibly (TOPS)
n=58 Participants
This group will receive TOPS intervention at the start of the study. Take of Pounds Sensibly (TOPS): Dietitian-facilitated classes
Waitlist Control
n=58 Participants
This group will be the control group for 6 months. Then at the completion of the study they will receive the vouchers to participate in TOPS chapters in the community. Waitlist Control: At end of study, offered peer-led classes to attend.
Physical Function as Measured by Isometric Hand Grip, Left Hand
Baseline
24.00 kg
Standard Deviation 6.28
26.90 kg
Standard Deviation 6.09
Physical Function as Measured by Isometric Hand Grip, Left Hand
3 months
27.03 kg
Standard Deviation 6.12
28.26 kg
Standard Deviation 5.68
Physical Function as Measured by Isometric Hand Grip, Left Hand
6 months
26.70 kg
Standard Deviation 5.75
28.57 kg
Standard Deviation 6.60

SECONDARY outcome

Timeframe: Baseline, 3 months, 6 months

Population: Participants with data collected at each timepoint.

Counts the number of times a participant goes from sitting to standing in 30 seconds. Tests leg strength and endurance. Higher number associated with higher leg strength and endurance.

Outcome measures

Outcome measures
Measure
Take Off Pounds Sensibly (TOPS)
n=57 Participants
This group will receive TOPS intervention at the start of the study. Take of Pounds Sensibly (TOPS): Dietitian-facilitated classes
Waitlist Control
n=57 Participants
This group will be the control group for 6 months. Then at the completion of the study they will receive the vouchers to participate in TOPS chapters in the community. Waitlist Control: At end of study, offered peer-led classes to attend.
Physical Function as Measured by 30 Second Chair Stands
Baseline
11.58 chair stands
Standard Deviation 4.33
11.04 chair stands
Standard Deviation 4.11
Physical Function as Measured by 30 Second Chair Stands
3 months
10.84 chair stands
Standard Deviation 4.53
11.86 chair stands
Standard Deviation 4.42
Physical Function as Measured by 30 Second Chair Stands
6 months
11.41 chair stands
Standard Deviation 5.26
12.11 chair stands
Standard Deviation 4.87

SECONDARY outcome

Timeframe: Baseline, 3 months, 6 months

Population: Participants with data collected at each timepoint.

Measures distance walked in 6 minutes and assesses aerobic capacity and endurance. Higher number indicates higher aerobic capacity and endurance.

Outcome measures

Outcome measures
Measure
Take Off Pounds Sensibly (TOPS)
n=58 Participants
This group will receive TOPS intervention at the start of the study. Take of Pounds Sensibly (TOPS): Dietitian-facilitated classes
Waitlist Control
n=58 Participants
This group will be the control group for 6 months. Then at the completion of the study they will receive the vouchers to participate in TOPS chapters in the community. Waitlist Control: At end of study, offered peer-led classes to attend.
Physical Function as Measured by 6 Minute Walk Test
Baseline
454.83 meters
Standard Deviation 140.97
442.83 meters
Standard Deviation 143.93
Physical Function as Measured by 6 Minute Walk Test
3 months
458.87 meters
Standard Deviation 155.62
464.90 meters
Standard Deviation 133.71
Physical Function as Measured by 6 Minute Walk Test
6 months
478.74 meters
Standard Deviation 154.09
479.88 meters
Standard Deviation 140.95

Adverse Events

Take Off Pounds Sensibly (TOPS)

Serious events: 2 serious events
Other events: 19 other events
Deaths: 0 deaths

Waitlist Control

Serious events: 3 serious events
Other events: 16 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Take Off Pounds Sensibly (TOPS)
n=58 participants at risk
This group will receive TOPS intervention at the start of the study. Take of Pounds Sensibly (TOPS): Dietician-facilitated classes
Waitlist Control
n=58 participants at risk
This group will be the control group for 6 months. Then at the completion of the study they will receive the vouchers to participate in TOPS chapters in the community. Waitlist Control: At end of study, offered peer-led classes to attend.
Surgical and medical procedures
Pacemaker implant
0.00%
0/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
1.7%
1/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
Infections and infestations
Hospital stay for flu
0.00%
0/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
1.7%
1/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
Surgical and medical procedures
Blood transfusion
0.00%
0/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
1.7%
1/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
Infections and infestations
Heel infection
1.7%
1/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
0.00%
0/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
Surgical and medical procedures
Surgery for heel infection
1.7%
1/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
0.00%
0/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
Surgical and medical procedures
Hernia repair
1.7%
1/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
0.00%
0/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.

Other adverse events

Other adverse events
Measure
Take Off Pounds Sensibly (TOPS)
n=58 participants at risk
This group will receive TOPS intervention at the start of the study. Take of Pounds Sensibly (TOPS): Dietician-facilitated classes
Waitlist Control
n=58 participants at risk
This group will be the control group for 6 months. Then at the completion of the study they will receive the vouchers to participate in TOPS chapters in the community. Waitlist Control: At end of study, offered peer-led classes to attend.
Respiratory, thoracic and mediastinal disorders
Chronic Cough
1.7%
1/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
0.00%
0/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
Reproductive system and breast disorders
Pelvic mass
0.00%
0/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
1.7%
1/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
Reproductive system and breast disorders
Breast concerns
0.00%
0/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
1.7%
1/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
Skin and subcutaneous tissue disorders
Rash
1.7%
1/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
0.00%
0/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
Cardiac disorders
Shortness of breath
0.00%
0/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
1.7%
1/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
Cardiac disorders
Dehydration
0.00%
0/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
1.7%
1/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
Cardiac disorders
Congestive heart failure
0.00%
0/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
1.7%
1/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
Ear and labyrinth disorders
Eustachian tube dysfunction
0.00%
0/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
1.7%
1/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
Gastrointestinal disorders
Gastroenteritis
0.00%
0/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
1.7%
1/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
Gastrointestinal disorders
E Coli infection
1.7%
1/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
0.00%
0/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
Gastrointestinal disorders
Abdominal pain
1.7%
1/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
0.00%
0/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
Immune system disorders
Allergy
0.00%
0/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
1.7%
1/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
Ear and labyrinth disorders
Other
1.7%
1/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
0.00%
0/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
Cardiac disorders
Increased blood pressure
1.7%
1/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
0.00%
0/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
General disorders
3.4%
2/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
3.4%
2/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
Musculoskeletal and connective tissue disorders
Joint pain
6.9%
4/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
6.9%
4/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
Musculoskeletal and connective tissue disorders
Fall
3.4%
2/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
1.7%
1/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
Musculoskeletal and connective tissue disorders
Pain
0.00%
0/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
1.7%
1/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
Musculoskeletal and connective tissue disorders
Back pain
0.00%
0/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
1.7%
1/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
Musculoskeletal and connective tissue disorders
Shoulder surgery after fall
0.00%
0/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
1.7%
1/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
Musculoskeletal and connective tissue disorders
Fracture
0.00%
0/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
1.7%
1/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
Surgical and medical procedures
Root canal
0.00%
0/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
1.7%
1/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
Infections and infestations
Sinusitis
5.2%
3/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
1.7%
1/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
Infections and infestations
Sore throat
1.7%
1/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
1.7%
1/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
Infections and infestations
Upper respiratory infection
3.4%
2/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
3.4%
2/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
Respiratory, thoracic and mediastinal disorders
Pneumonia
1.7%
1/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.
0.00%
0/58 • Up to 6 months
Participants from the feasibility period were not considered enrolled and were not monitored/assessed for Adverse Events.

Additional Information

Nia Schwann Mitchell, MD, MPH

Duke University

Phone: 919-668-7202

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place