Springfield

This research aims to evaluate the effectiveness of a multi-level, evidence-based weight loss program called LA-CEAL CONNECT for adults living with obesity in low-income and underserved communities in Louisiana. The study seeks to determine if LA-CEAL CONNECT leads to greater weight loss at 6 months compared to enhanced usual care, and whether weight loss is sustained at 12 months. The trial also examines improvements in waist size, diet quality, physical activity, quality of life, and blood pressure, while assessing the feasibility of implementing the program in these communities. Participants in both study groups receive health literacy-tailored educational materials and resources for weight loss and attend clinic visits at baseline, 6 months, and 12 months for clinical and survey assessments. Those in the LA-CEAL CONNECT intervention group additionally receive virtual health coaching from trained community health workers over 6 months, use digital tools like cellular-connected scales and wrist fitness trackers for daily self-monitoring of weight and activity, and attend group meetings to enhance use of community health and wellness resources identified through community asset mapping. The program also includes provider training and an obesity management toolkit for primary care providers at participating clinics. Throughout the study, participants are monitored through clinical visits collecting physical measurements and surveys at three timepoints over one year. Coaches remotely track weight and physical activity data to provide personalized support. The primary outcome is the difference in percentage weight change between groups at 6 months. The study also evaluates other health and behavioral measures, program feasibility, and sustainability over 12 months.