Remote Delivery of Weight Management for Adults With IDD

Inclusion criteria

• Diagnosis of mild to moderate IDD as determined by a Community Service Provider operating in Kansas under the auspices of a Community Developmental Disability Organization (CDDO). Participants will be judged competent to provide informed consent by their CDDO, or will have a guardian with power of attorney.
• Ability to provide assent, regardless of guardian consent.
• BMI of 25 to 45 kg/m2
• Sufficient functional ability to understand directions, communicate preferences (e.g. foods), wants (e.g. more to eat/drink), and needs (e.g. assistance with food preparation) through spoken language
• Living at home with a parent/guardian, or in a supported living environment with a caregiver who assists with food shopping, meal planning, and meal preparation and agrees to serve as a study partner
• No plans to relocate outside the study area over the next 24 months
• Internet access in the home

Exclusion criteria

• Unable to participate in moderate-to-vigorous physical activity (MVPA)
• Insulin dependent diabetes
• Participation in a weight management program involving diet and physical activity in the past 6 months
• Serious food allergies, consuming special diets (vegetarian, Atkins etc.), aversion to common foods (e.g., unwilling to consume dairy products, vegetables), diagnosis of Prader-Willi Syndrome
• Pregnancy during the previous 6 months, currently lactating or planned pregnancy in the following 24 months.
• Serious medical risk, e.g., cancer, recent heart attack, stroke, angioplasty
• Unwilling to be randomized.