Remote Information Counseling for Elders

Inclusion criteria

• Aged 40 to 64 years.
• One or more CHC visits in the past 12 months.
• Body-mass index of ≥30 and <50.
• English speaking.
• Access to telephone.
• A permanent address.
• Willingness to be randomized.
• Willingness to have computer installed in home.

Exclusion criteria

• Any serious medical condition likely to hinder accurate weight measurement, or for which weight loss is contraindicated or could cause weight loss (e.g., cancer).
• Current diagnosis of psychosis or bipolar disorder.
• Unstable or recent onset of cardiovascular disease within 6 months or presence of congestive heart failure
• Illness that might be associated with weight change, such as asthma (because of treatment with corticosteroids), psychosis
• Use of medications that might cause weight gain such as hypoglycemic oral medicines or insulin, anti-depressants, and weight loss medications.
• Unwilling or unable to provide informed consent.
• Receiving disability insurance.
• Pregnant or nursing in past 6 months, or plans to become pregnant within 12 months.
• Enrolled in a weight loss program or study or member of household enrolled in study.
• Residence outside of Marion County, Indiana.
• Residence relocation plans within 12 months.
• Planned or prior bariatric surgery.
• Substance abuse.
• History of treatment for eating disorder.
• Unstable weight with loss or gain of ≥ 5% in last 3 months.

-