Partnership to Reduce Obesity in Community Health Center Patients (SMARTLife Utah)

Summary

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.

Conditions

• Obesity

Interventions

BEHAVIORAL

Ask-Advise-Connect (AAC)

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.

BEHAVIORAL

Text Messaging (TM)

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).

BEHAVIORAL

Connect Only (CO)

No patient level implementation strategy.

BEHAVIORAL

TM-Continued (TM-Cont)

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.

BEHAVIORAL

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

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.

Sponsors & Collaborators

• National Cancer Institute (NCI)

  collaborator NIH

• Association for Utah Community Health (AUCH)

  collaborator UNKNOWN

• University of Utah

  lead OTHER

Principal Investigators

• Chelsey Schlechter, PhD · Huntsman Cancer Institute/ University of Utah

Study Design

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Model

SEQUENTIAL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2026-04-30

Primary Completion

2029-04-30

Completion

2029-04-30

Countries

• United States

Study Locations