Dissemination of the Look AHEAD intensive lifestyle intervention in the United States Air Force: Study rationale, design and methods

Rebecca A. Krukowski, Marion E. Hare, Gerald W. Talcott, Karen C. Johnson, Phyllis A. Richey, Mehmet Kocak, Jennifer Balderas, Lauren Colvin, Patrick L. Keller, Teresa M. Waters, Robert C. Klesges

Research output: Contribution to journalArticlepeer-review

23 Scopus citations


Background: Despite an increase in overweight and obesity similar to the civilian population, there have been few randomized controlled trials examining behavioral weight management interventions in the military settings. Purpose: This paper describes the design, intervention development and analysis plan of the Fit Blue study, a randomized controlled behavioral weight loss trial taking place in the United States Air Force. Design: This study compares two adapted versions of the efficacious Look AHEAD Intensive Lifestyle Intervention (ILI), a counselor-initiated condition and a self-paced condition. Also described are the unique steps required when conducting military-based health promotion research and adaptations made to the Look AHEAD intervention to accommodate the military environment. Conclusions: To our knowledge, this is the first translation of the Look AHEAD ILI in the military setting and one of the first translations of the ILI in general. If successful, this intervention could be disseminated to the entire U.S. Military as this project is designed to overcome the barriers and utilize the facilitators for weight loss that are unique to a military population. Programs validated in military populations can have a major public health impact given that with 1.4 million active duty personnel, the Department of Defense is the nation's largest employer. However, while this intervention is designed for a military population and there are unique aspects of the military that may enhance weight loss interventions, the diversity of the study population should help inform obesity efforts in both civilian and military settings.

Original languageEnglish
Pages (from-to)232-239
Number of pages8
JournalContemporary Clinical Trials
StatePublished - Jan 1 2015

Bibliographical note

Funding Information:
The study was funded by the National Institute of Diabetes and Digestive and Kidney Diseases ( RO1 DK097158 ) of the National Institutes of Health , with the title of “Dissemination of the Look Ahead Weight Management Treatment in the Military.” The sponsor did not have a role in the study design; in the collection, analysis, or interpretation of data; in the writing of the report, or in the decision to submit the article for publication. The trial is registered on clinicaltrials.gov ( NCT02063178 ). The research represents a Collaborative Research and Development Agreement with the United States Air Force (CRADA #13-168-SG-C13001). The opinions expressed in this document are solely those of the authors and do not represent an endorsement by or the views of the United States Air Force, the Department of Defense, or the United States Government. We gratefully acknowledge the donation of some of the meal replacements and snacks from ConAgra Foods, Inc. and the partnership with Lose It!™ and BodyTrace™. The authors would also like to thank Dr. Ann Hryshko-Mullen and Mr. Byron Black for their invaluable assistance in the conduct of this research.

Publisher Copyright:
© 2014 Elsevier Inc.


  • Behavioral intervention
  • Military
  • Obesity
  • Weight loss

ASJC Scopus subject areas

  • Pharmacology (medical)


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