Obesity / Overweight / Teaching Obesity Treatments to Adult Learners (TOTAL) · Interventional Study

Teaching Obesity Treatment Options to Adult Learners (TOTAL): A Multisite RCT

ClinicalTrials.gov · September 10, 2026

Preliminary Why this matters to you Expert discussion

Early or partial results. Treat as a signal, not a conclusion.

AI Summary

This is a completed multisite RCT registry record evaluating a telemedicine-delivered educational intervention (TOTAL) to increase obesity treatment initiation in Veterans. No efficacy results are posted in this registry entry, and outcomes cannot be assessed.

What was studied

Interventional, Randomized, Parallel, Double masking, Health Services Research purpose. Obesity, Overweight; age from 18 Years; to 70 Years. Intervention: TOTAL intervention. Compared with: Usual Care — Active Comparator. n = 440. 2 sites: United States.

Key findings

Safety

Safety was not reported in the material analysed. Check the source before drawing any conclusion about harm.

Who this may help

If results demonstrate efficacy, TOTAL could inform implementation of obesity treatment education within VA medical centers as an adjunct to existing MOVE! programs. However, efficacy cannot be determined from this registry record alone.

Plain-language summary

This is a completed registry record for a multisite RCT with no reported results; the study design is sound but outcome data are not yet posted, making it impossible to assess efficacy.

Study design

As stated by the source record.

MethodsPrimary outcome measure: Obesity treatment initiation (assessed at 18 months)

DesignInterventional, Randomized, Parallel, Double masking, Health Services Research purpose

PopulationObesity, Overweight; age from 18 Years; to 70 Years

Sample size440

InterventionTOTAL intervention

ComparatorUsual Care — Active Comparator

Setting2 sites: United States

Reported figures

Quoted from the source exactly as published.

Sample size440

Primary outcome measureObesity treatment initiation at 18 months

Study enrollment statusCOMPLETED

Clinical bottom line

Caveats

Results are not reported in this registry record; outcome data must be obtained from peer-reviewed publication or future registry update.
Blinding status, allocation concealment method, and follow-up completion rates are not described.
No effect sizes, p-values, or confidence intervals are available.
Generalizability to non-Veteran populations is unknown from registry information.

Evidence assessment

Graded across the dimensions that decide whether you should act, each from what the source actually supports. There is no single score, and where a dimension was not assessed it says so.

Study design

strong

Multisite RCT with behavioral intervention and usual care comparator.

Directness

strong

Primary outcome is obesity treatment initiation, a clinically relevant measure.

Consistency

insufficient

No results reported; consistency cannot be assessed from registry record alone.

Risk of bias

insufficient

Registry record does not describe allocation concealment, blinding, or loss to follow-up.

Sample adequacy

moderate

440 participants enrolled; sample size adequate for a multisite behavioral trial.

What is missing. This record has no key findings. That is a gap in the analysis, not a judgement about the study.

Source abstract

Registry record from ClinicalTrials.gov (NCT05346575). This is a study registration, not published results. Lead sponsor: VA Office of Research and Development. Recruitment status: COMPLETED. Phase: NA. Study type: INTERVENTIONAL. Enrollment: 440 participants (ACTUAL). Conditions: Obesity, Overweight. Interventions: BEHAVIORAL: Teaching Obesity Treatments to Adult Learners (TOTAL); BEHAVIORAL: Usual care. Primary outcome measures: Obesity treatment initiation , 18 months. Brief summary: Nearly 8 in 10 Veterans meet criteria for overweight/obesity. Three evidence-based treatment options are available within VA (behavioral weight management \[MOVE!\], obesity medications, and bariatric surgery). However, all treatments are significantly underutilized. This study will evaluate the effectiveness of a novel intervention designed to increase obesity treatment initiation and subsequently weight loss within VA. The intervention, Teaching Obesity Treatment Options to Adult Learners (TOTAL), involves an educational video and multiple motivational sessions delivered via telemedicine. If effective, TOTAL could be implemented throughout VA without requiring significant resources and could be integrated into the existing VA behavioral weight management program, MOVE!, which is present at nearly every VA medical center.

Follow from this

Taken from the source record, never inferred. Follow any of these and new work involving them reaches your briefing.

ObesityOverweightTeaching Obesity Treatments to Adult Learners (TOTAL)VA Office of Research and DevelopmentNCT05346575