Smart Scale Data in SNAP. Rebecca Neiberg for the SNAP Research Group
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1 Smart Scale Data in SNAP Rebecca Neiberg for the SNAP Research Group
2 Study of Novel Approaches to Prevention (SNAP) 599 Adults years old BMI Self- Guided Small Changes Large Changes
3 Interventions Goal: Remain at baseline weight Weight zone feedback 1 lb. below baseline <1 lb. below baseline > baseline Wing RR, Tate DF, Espeland MA, Lewis CE, LaRose JG, Gorin AA, Bahnson J, Perdue LH, Hatley KE, Ferguson E, Garcia KR, Lang W, Study of Novel Approaches to Weight Gain Prevention (SNAP) Research Group. Innovative Self-Regulation Strategies to Reduce Weight Gain in Young Adults: The Study of Novel Approaches to Weight Gain Prevention (SNAP) Randomized Clinical Trial. JAMA Intern Med May 2 (epub ahead of print). Wing RR, Tate D, Espeland M, Gorin A, LaRose J, Robichaud EF, Erickson K, Perdue L, Bahnson J, Lewis CE. Weight gain prevention in young adults: design of the study of novel approaches to weight gain prevention (SNAP) randomized controlled trial. BMC Public Health 2013;13(1):300.PMCID: PMC
4 SNAP vs. SNAP-Extension M4 Y1 Y2 Y3 Y4 4½ Y5 5½ Y6 SNAP First 4 months 10 sessions (Small & Large change) Yearly assessments, in-clinic and online Two optional refreshers (Small & Large change) Monthly s with zone updates Personal scale with manual weight entry SNAP-E 4½, 5, 5½ online assessments Year 5 phone call Year 6 in-clinic and online Refreshers Monthly s Smart scales Fitbit step tracking 4
5 Benefits of BodyTrace Smart Scales Decrease participant burden Standardized self-weighing Increase number weights received Less time in clinics Retention tool to decrease Lost to Follow-Up BodyTrace escale, 28 W 39 th Street, Room 401, New York, NY
6 Flow of information Nightly data downloads Data validation Reports clinical staff & phone feedback Dynamic graphs of weights participants
7 Example of Data Received 7
8 How do we know which weights belong to participants? 8
9 BodyTrace Website Clinic staff attempt to verify/delete weights BodyTrace filter algorithm Filter excludes weights < 11 lbs BodyTrace can remove filters Time between weights Allowable difference < 24 hours 11 lbs 1 2 days 16.5 lbs 3 7 days 22 lbs 8 14 days 33 lbs > 2 weeks 44 lbs
10 BT Website vs CoC Website BT website display data received at CoC Filtered weights Deletion flags can t be transmitted to CoC Solution: BodyTrace website not for verification Coordinating Center data verification process 10
11 Determining Invalid Weights Define participants reference weight Start with first weight available Clinic staff verification Exclude from reports: >10 lbs from reference weight Any weight < 85 lbs Heartbeat signals 11
12 New Problems Arise Weights from suspended participants Friend or spouse similar weight within range Legitimate gain or loss 12
13 Data Cleaning Process Receive weights from BodyTrace SAS Process: Remove missing or < 85 lbs Exclude suspension weights Flag >10 lbs from reference All Data to Validation System for Clinic Staff Review Exclude Keep 13
14 Weight Verification System 14
15 Before cleaning 15
16 After cleaning 16
17 Future Challenges & Considerations Too many weights to verify Alternate reference weights Evaluate use for publications
18 Acknowledgements Wake Forest Coordinating Center Mark Espeland, PhD Wei Lang, PhD Judy Bahnson Letitia Perdue Katelyn Garcia Patty Davis Julia Robertson Mark King Robert Amoroso Providence Clinic Rena Wing, PhD Erica Ferguson UNC Clinic Deb Tate, PhD Karen Hatley Kristen Polzien SNAP Research Group This study is funded by the NHLBI, R01HL127341
19 Questions and Suggestions? 19
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