POWERSforID: A Telehealth Weight Management System for Adults With Intellectual Disability

POWERS (Personalized Online Weight and Exercise Response System) platform is a novel,
multifocal-centered tailored intervention utilizing an innovative online tool designed to
facilitate improvements in physical activity and nutritional behaviors. Aim 1 of this
protocol is to customize the POWERS platform, demonstrated effective in previous research,
for adults with intellectual disability (ID) and their caregivers to be referred to as
POWERSforID. The POWERSforID intervention is designed to achieve weight loss and improve
specific health markers while respecting and supporting the needs of the participants with ID
as well as their caregivers. Aim 2 of the project is to conduct a pilot study to assess the
usability and feasibility of the POWERSforID system and intervention with 5 adults with ID
and their caregiver and improve the system based on pilot data. Aim 3 of the protocol is to
conduct a randomized controlled trial (RCT) to examine the effect of POWERSforID on educating
and coaching caregivers about nutrition and exercise and thus improving health status and
reducing body weight in obese adults with ID. The investigators hypothesize that the obese
participants in the intervention group (POWERSforID) will evidence significantly greater
weight loss and improved health status (i.e. lower waist circumference, blood pressure,
decreased body fat percentage, and improved blood lipids) compared to a control group. The
investigators also hypothesize that both adults with ID and their caregivers will demonstrate
improved knowledge, attitudes, and self-efficacy related to diet and exercise.

Inclusion Criteria:

- Participants with intellectual disability (ID) who meet the following inclusion
criteria are eligible to participate in the study:

- Body Mass Index > or equal to 30 kg/m2;

- Diagnosis of mild or moderate ID;

- 25 to 50 years of age;

- Medical provider approval to participate in a weight loss program;

- Has a caregiver who agrees to participate in the study and provides services 4
days a week or more to the adult with ID;

- Has access to a computer with internet throughout the week.

Exclusion Criteria:

- Currently on a weight loss program;

- Medical conditions that prevent participation as noted by the medical provider or
legal guardian including heart and/or renal disease;

- Behavioral issues determined by the DDHC Behavioral Health staff;

- Unable to walk or exercise due to a mobility impairment or medical condition;

- Judged to have insufficient capacity to consent or assent as assessed using the
"Supplemental Consent Document".