EHR-connected lifestyle program with optional remote coaching for people 50+

Project on EHR-Integrated Lifestyle Interventions for Adults Aged Fifty and Older (PIVOT)

NIH-funded research University of Illinois at Chicago · NIH-11379913

This program compares a video-based Diabetes Prevention lifestyle program alone versus adding remote problem-solving coaching to help adults 50 and older with overweight and cardiometabolic conditions lose weight.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionUniversity of Illinois at Chicago NIH-funded
Lab location1 site (Chicago, UNITED STATES)
Project IDNIH-11379913 on NIH RePORTER

What this research studies

If you join, researchers will identify and enroll adults through participating health systems' electronic health records and are looking for people 50 or older with a BMI of 27+ and at least one heart or metabolic condition. Everyone will start with a proven video-based Group Lifestyle Balance (DPP-based) program delivered through EHR-linked tools. After six weeks, people who lose at least 3% of their weight will continue the base program, while those who don’t (or who miss weight checks) will be randomly assigned to either keep the videos alone or get added problem-solving therapy coaching by videoconference. The multisite trial of about 1,029 U.S. adults tests whether the added, adaptive remote coaching improves weight loss and related health outcomes over time.

Who could benefit from this research

Good fit: Ideal candidates are U.S. adults aged 50 or older with a BMI of 27 or higher and at least one cardiometabolic condition.

Not a fit: People under 50, those with BMI below 27, without cardiometabolic conditions, or without access to video visits or a participating health system are unlikely to be eligible or benefit.

Why it matters

Potential benefit: If successful, this could give older adults a scalable, doctor-linked video program plus remote coaching to help with weight loss and cardiometabolic health.

How similar studies have performed: Diabetes Prevention Program/Group Lifestyle Balance and problem-solving therapy have shown benefit for weight and behavior change, and this trial combines those proven components in an EHR-integrated, adaptive format.

Where this research is happening

Chicago, UNITED STATES

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.