# Piloting a patient navigator program to facilitate uptake and persistence with evidence-based weight loss interventions

> **NIH NIH R01** · DREXEL UNIVERSITY · 2024 · $303,000

## Abstract

Abstract
Millions of adults in the U.S. with overweight or obesity would like to improve their health and quality of life via
weight loss, yet utilization of evidence-based weight loss interventions is low. Instead, adults commonly
attempt self-guided weight loss, which has poor efficacy. When adults do use evidence-based interventions
(which include behavioral, dietary, commercial, surgical, and pharmacological options), long-term engagement
is suboptimal, as some individuals select interventions that are poorly matched to their needs. The proposed
project is designed to test the use of patient navigators to increase uptake of and persistence with evidence-
based weight loss interventions. Navigators have been successfully used in other areas of healthcare to
facilitate engagement with various treatment and prevention services. However, no data are available on the
feasibility, acceptability, or efficacy of a weight loss navigator program in adults. In the proposed study, the
weight loss navigator will assess treatment barriers and preferences, provide education about evidence-based
options, support decision making, and address ambivalence about change. The navigator will not directly
provide weight loss intervention; rather, the navigator’s role will be to assist participants in utilizing existing
evidence-based interventions for weight loss from other sources. Navigators will maintain long-term
relationships with participants to monitor adherence and acceptability of the selected intervention and, as
needed, revisit other intervention options. Participants (N = 68 adults with a BMI >27 kg/m2 who are interested
in weight loss) will be randomly assigned for a 12-month period to either enhanced care or the navigator
condition. Enhanced care and navigator counseling will be delivered remotely. Participants in enhanced care
will receive education about weight loss options, dietary intake, and physical activity through workshops and
standardized text messages. In the navigator condition, participants will attend individual sessions and receive
personalized text messages. Assessments will be conducted at months 0, 6, and 12, with the primary outcome,
weight loss, being assessed remotely with wireless scales. The proposed research project is highly responsive
to NIDDK’s new “Small R01” funding opportunity, which supports pilot clinical trials that acquire preliminary
data regarding the effects of an intervention. Specifically, this project will 1) demonstrate the feasibility and
acceptability of various aspects of the project, 2) calculate effect sizes for weight loss and utilization of
evidence-based interventions, and 3) collect qualitative feedback from navigators and participants to inform
improvements in the navigator program for future research. This innovative project will provide much needed
data about the promise of navigators in meeting the needs of adults with overweight and obesity. It is expected
that if benchmarks for this study are met,...

## Key facts

- **NIH application ID:** 10937506
- **Project number:** 1R01DK140184-01
- **Recipient organization:** DREXEL UNIVERSITY
- **Principal Investigator:** Meghan Butryn
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $303,000
- **Award type:** 1
- **Project period:** 2024-08-15 → 2027-06-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10937506

## Citation

> US National Institutes of Health, RePORTER application 10937506, Piloting a patient navigator program to facilitate uptake and persistence with evidence-based weight loss interventions (1R01DK140184-01). Retrieved via AI Analytics 2026-06-12 from https://api.ai-analytics.org/grant/nih/10937506. Licensed CC0.

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