Adherence

Remote delivery of a multicomponent weight management intervention (diet, physical activity, behavioral counseling) achieves clinically meaningful weight loss and maintenance in adults with intellectual disabilities, with 6-month weight loss superior to face-to-face home visits.

For adults with intellectual disabilities, remote weight management using video calls, diet apps, and fitness trackers is a viable and potentially superior alternative to in-person home visits. Success requires a supportive caregiver (study partner) and the use of simplified, pre-configured technology (iPads with specific apps). The intervention includes dietary guidance (Enhanced Stop Light Diet), physical activity goals, and monthly behavioral counseling, leading to significant weight loss and maintenance over 24 months.