General practitioner-centered rural obesity management: Design, protocol and baseline data of the German HAPpEN pragmatic trial.

ABSTRACT:

Objective

HAPpEN aims to implement and evaluate a holistic general practitioner-centered, interdisciplinary obesity management strategy in rural Germany, focusing on feasibility, health outcomes, and economic benefits.

Methods

HAPpEN is a 12-month, pragmatic single-arm, multicenter trial, informed by a formative survey, and initiated in April 2023 with 98 obese participants (body mass index, BMI ≥ 30 kg/m²) in Kulmbach, Germany. The program integrates nutritional counseling, physical activity, and behavior change techniques, including smartphone-based self-monitoring. Monthly consultations help set personalized goals using a multi-stage grading scale. Primary outcomes include BMI, body weight, waist circumference, heart rate, blood pressure and parameters, while s

SUBMITTER: Haderer M 

PROVIDER: S-EPMC11755079 | biostudies-literature | 2025 Jan

REPOSITORIES: biostudies-literature