Clinical Research Directory

Inclusion Criteria: * BMI: \>= 30 kg/m2 * Rural resident * English speaking * Physician clearance to participate * Able to walk without assistance * Seen at least once in their primary care clinic within the past year * Internet access or smart phone (to access smart scale for weight measurement) Exclusion Criteria: * History of myocardial infarction within last six months * History of stroke within last six months * History of new cancer diagnosis within last six months * History of bariatric surgery within the last two years * Pregnancy within last 6 months or planned within the next 18 months * Currently breastfeeding * End stage renal disease, currently on dialysis, or anticipated dialysis or renal transplant within the next 18 months * End stage liver disease, or anticipated liver transplant within the next 18 months * Currently enrolled or planning to enroll in another study where weight loss is targeted or weight fluctuation is expected * Currently planning to move outside of current provider area, or leave primary care clinic within the next 18 months * Another household member is already participating in the study