Can a smart scale and text messages help you keep weight off for good?
NCT ID NCT06151145
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests whether a stepped-care program using digital tools like smart scales, activity trackers, and text messages, plus in-person counseling if needed, can help adults with obesity maintain at least 5% weight loss for a year. About 258 participants first lose weight through a 16-week program with group counseling and meal replacements. Those who succeed are then randomly assigned to usual care, self-monitoring with digital tools, or the stepped-care program. The goal is to find a practical way to prevent weight regain.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- behavioral intervention (digital health tools, counseling, and meal replacement diet)
- What this could lead to
- If successful, this could provide an effective, scalable strategy to help people keep weight off long-term after losing it.
- What could go wrong
- This is a relatively small, early-stage trial focused on maintenance, not weight loss itself. Results may not apply to everyone, and some participants may still regain weight.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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192 people
The number who actually took part.
- Started
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Feb 2024
- Expected to finish
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Jun 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 70 years
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * BMI\>/=30 kg/m2 or \>/=27 kg/m2 with an obesity-related complication * Age 18-70 years * Completion of baseline assessment tasks * Ability to engage in physical activity * Own a smartphone capable of receiving text-messages and syncing to weight scales and physical activity trackers * Home wireless access Exclusion Criteria: * Serious medical condition or psychiatric condition that may pose a risk to the participant during intervention, cause a change in weight, or limit ability to adhere to the behavioral recommendations of the program * Pregnant or planning pregnancy in the next 1.5 years * Weight\>440 lbs * Planned move out of the area in the next 1.5 years * Recently began a course of or changed the dosage of medication that can cause significant change in weight * History of bariatric surgery * Weight loss of \>5% in the previous 6 months * Household member already participating in study
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Johns Hopkins University
Baltimore, Maryland, 21205, United States
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