Table 1.
Overview of EARLY Trials
Trial | Sample Characteristics | Intervention | Main Outcomes |
---|---|---|---|
aChoosing Healthy Options in College Environments & Settings (CHOICES)87,90,98–100 | N=441 67.6% female 72.6% white 100% student (2-year college) Age= 22.7 (5.0)b BMI = 25.4 (3.8)b |
24-month weight gain prevention intervention Intervention: 1-credit college course + intervention website with social support, resources, and self-monitoring platform Control: Quarterly health promotion information |
No difference in BMI, weight, waist circumference, or body fat percentage between intervention and control at 24 months Significant reduction in prevalence of BMI ≥ 25 in intervention compared to control at 24 months |
Cell Phone Intervention for You (CITY)84,96 | N=365 69.6% female 56.2% white 34.3% student Age = 29.4 (4.3)b BMI = 35.2 (7.8)b |
24-month weight loss intervention Intervention 1 (CP): Comprehensive interactive cell phone app used for both intervention delivery and self-monitoring Intervention 2 (PC): Delivered via group sessions and personal coaching; self-monitoring via smartphone Control: Provided 3 handouts on healthy eating and physical activity |
No difference in weight loss between groups at 24 months Significantly greater weight losses in PC compared to both CP and Control at 6 and 12 months |
eMoms83 | N=1689 (ITT) 100% pregnant women 68.0% white [student status not reported] Age = 27.5 (4.7)b BMI = 25.4 (4.3)b |
See footnoted | See footnoted |
Innovative Approaches to Diet, Exercise, and Activity (IDEA)82,97 | N=471 71.1% female 77.2% white 25.7% student Age = 30.9 (27.8–33.7)c BMI = 31.2 (28.4–34.3)c |
24-month weight loss intervention Intervention 1 (Standard): in-person group behavioral weight loss + phone counseling/study website; self-monitoring via website Intervention 2 (Enhanced): in-person group behavioral weight loss + phone counseling/study website; self-monitoring via provided wearable device + web platform |
No difference in body composition, physical activity, or dietary behaviors between groups Significantly greater weight losses in Standard compared to Enhanced at 12, 18, & 24 months |
Study of Novel Approaches to Weight Gain Prevention (SNAP)85,101–102 | N=599 78.3% female 73.1% white 24.3% student (full-time) Age = 28.2 (4.4)b 26.2% age 18–24.9 BMI = 25.4 (2.6)b |
4-month weight gain prevention intervention with low-intensity follow-up (average 3 years) Intervention 1 (SC): 10 group in-person sessions followed by online weight reporting with feedback and quarterly online refreshers; instructed to make small, daily changes to eating and activity Intervention 2 (LC): 10 group in-person sessions followed by online weight reporting with feedback and quarterly online refreshers; instructed to make large changes initially to produce weight loss of 5–10lbs to create buffer against future gains Control: 1 group in-person meeting providing an overview of both SC and LC approaches |
Significantly greater weight losses in both LC and SC compared to Control at primary endpoint (average follow up of 3 years); significantly greater weight losses in LC compared to SC at primary endpoint |
aSocial Mobile Approaches to Reduce Weight (Project SMART)86,91,93–94 | N=404 70.3% female 41.8% white 100% student Age = 22.7 (3.8)b BMI = 29.0 (2.8)b |
24-month weight loss intervention Intervention: Delivery across multiple channels: Facebook, mobile apps, website, email, text, & health coaching Control: Access to general health education website without social networking components |
No difference in weight loss between intervention and control at 24 months Significantly greater weight loss in intervention at 6 and 12 months compared to control |
Treating Adults at Risk for Weight Gain with Interactive Technology (TARGIT)81 | N=330 48.8% female 57.3% white [student status not reported] 100% current smokers Age = 29.7 (4.2)b BMI < 25: 23.0% 25–29.9: 37.6% 30+: 39.4% |
See footnoted | See footnoted |
Mean age of enrolled participants within emerging adult range.
Mean (standard deviation)
Median (25th–75th percentile)
Full study description and outcomes not yet available for these trials. Additionally, both trials concerned weight control in specific populations: pregnant women (eMoms) and current smokers (TARGIT); therefore, results may not be applicable to weight management more generally in a young adult population.