HealthyTogether: RCT of a Dyadic Weight Management Intervention

Inclusion Criteria:

Veteran participants:

* Assigned to a VA primary care provider
* Have a weight measurement (BMI\>=30) recorded in the VA medical record within 16 weeks prior to enrollment
* Have a second, valid weight measurement recorded in the VA medical record within the prior year
* Have a BMI\>=30 at enrollment
* Able to participate in virtual intervention sessions during regular business hours

Partner participants:

* Able to participate in virtual intervention sessions during regular business hours
* Speak with Veteran at last weekly
* Live in the same state where Veteran receives VA care

Exclusion Criteria:

Veterans are excluded if:

* not fluent in English
* have severe hearing loss prohibiting participation
* have a dementia diagnosis
* have recently (within the past 3 months) participated in a clinical or research behavioral weight management program
* have a history of (within past 2 years) or plans to (within next 6 months) have bariatric surgery
* are pregnant, postpartum, nursing, or planning to become pregnant within 6 months
* are receiving cancer (non-skin) treatment
* have drug or alcohol dependence not in remission, a recent suicide attempt, active psychosis, or an active behavior flag in the medical record
* report high-levels of alcohol use (AUDIT-C score \>=8)
* are receiving hospice or palliative care
* are living in a nursing home or assisted living facility
* are enrolled in VA home-based primary care
* have end stage renal disease
* have a current or past diagnosis of anorexia or bulimia
* have had an inpatient hospitalization in the past 3 months
* weigh more than 440 pounds (this is the upper limit of the study's scales)

Partners are excluded if:

* not fluent in English
* have severe hearing loss prohibiting participation
* endorse having a health condition that may limit their ability to participate in the intervention
* report high-levels of current alcohol use (AUDIT-C score \>=8)
* are receiving hospice or palliative care
* are living in a nursing home or assisted living facility