FIT System for Weight Loss in Wheelchair Users

Inclusion Criteria: * Age18 + * Live within approximately 75 miles of Pittsburgh * Uses a wheelchair as primary means of locomotion * Currently transfers in and out of bed every night (or most nights) * Has been diagnosed as obese or overweight * Are interested in losing weight * BMI in the range of approximately 25 to 40; BMI range will be determined from published evidence for the primary diagnosis of the participant. For example, spinal cord injury /quadriplegic BMI range of approximately 22 to 40; for amputees it will be based on location and level of amputation, or if no diagnosis specific evidence exists, a BMI of approximately 25 to 40 will be used as a general guideline. * Own a smart phone, and have reliable internet and wifi connection * Are comfortable using exercise equipment like resistance bands or hand pedal exercisers * Are able and willing to engage in exercise of moderate intensity * Weight in bed including sleep partner is an estimated combined weight of 600 pounds or less * Does not have a regular way to weigh themselves, such as a roll-on scale in the home or gym, or have regular access to a device to weigh themselves regularly and are willing to avoid weighing themselves during the trial. * Indication that the participant has autonomy in decision-making as determined by the "Everyday Autonomy Self-Determination Scale." * Indication that their current bedroom setup is compatible with the FIT bed scales as determined by the "Bed Determination Survey." Due to the medical complexity of this population, inclusion of this study based on BMI, in-bed transfer frequency, or geographic location will be at the discretion of the expert members of our study team and will be considered on a case-by-case basis. Exclusion Criteria: * Extended vacations or absences planned in the next year (more that 2 - 4 weeks) or plans to move approximately 75 miles or greater from the Pittsburgh region * BMI outside of the desired range as based on condition and as determined by the study team. * Currently taking weight loss medication, medications that affect appetite, or have had weight loss surgery in the last 2 years. * History disordered eating in the last 2 years, such as Anorexia Nervosa, Bulimia Nervosa or Binge Eating Disorder * Currently pregnant or intend to become pregnant in the next 12 months * Regularly have 4 or more alcoholic drinks a day * Have any cognitive conditions that limit decision making or self-governing. * Indication that the participant does not have autonomy in decision-making as determined by the "Everyday Autonomy Self-Determination Scale." * Indication that their current bedroom setup is not compatible with the FIT bed scales as determined by the "Bed Determination Survey." Due to the medical complexity of this population, exclusion from this study based on BMI, geographic location, and what is considered a "medication that affects appetite" will be at the discretion of the expert members of our study team and will be considered on a case-by-case basis.