Computer-Based Weight Maintenance in Primary Care
| Status: | Active, not recruiting |
|---|---|
| Conditions: | Obesity Weight Loss |
| Therapuetic Areas: | Endocrinology |
| Healthy: | No |
| Age Range: | 18 - 75 |
| Updated: | 10/12/2018 |
| Start Date: | October 1, 2013 |
| End Date: | August 1, 2019 |
Maintaining Activity and Nutrition Through Technology-Assisted Innovation in Primary Care
The purpose of this study is to test whether online tracking tools and weight maintenance
coaching visits for patients and real-time electronic progress reports for primary care
providers (PCPs) [Continued Coaching (CC)] will support more successful weight maintenance
than online tracking tools alone [Tracking Only (TO)] in a group of primary care patients who
have lost ≥ 5% of their body weight.
coaching visits for patients and real-time electronic progress reports for primary care
providers (PCPs) [Continued Coaching (CC)] will support more successful weight maintenance
than online tracking tools alone [Tracking Only (TO)] in a group of primary care patients who
have lost ≥ 5% of their body weight.
The investigators aim to address the key problem of how to implement U.S.Preventive Services
Task Force obesity treatment recommendations in a cost-effective manner. The investigators
propose a Randomized Clinical Trial - Maintaining Activity and Nutrition through
Technology-Assisted Innovation in Primary Care (MAINTAIN-PC) - to test whether a group of
primary care patients who have lost at least 5% of their body weight in the past year will be
more likely to maintain their weight loss with a multifaceted intervention that includes
online tracking tools, web-based "coaching" visits, and PCP engagement through real time
electronic progress reports with counseling tips than when using online tracking tools alone.
By integrating this intervention within an existing electronic health record and clinical
flow, the investigators maximize potential for future dissemination.
The MAINTAIN-PC study draws upon recommendations for the design of practical clinical and
behavioral trials. The investigators will assess multiple relevant outcomes across clinically
meaningful treatment strategies. The investigators will recruit a sample that is diverse in
terms of gender, BMI and co-morbidity status, with a racial/ethnic mix reflective of the
region, and that includes Agency for Healthcare Research Quality priority populations. The
investigators will include clinical practices with diverse characteristics, and have selected
interventionists who reflect the level of training typically seen among primary care clinic
staff. The investigators will recruit 30-40 participants a month, with recruitment lasting
5-6 months, and each participant in both CC and TO arms receiving a 30 month intervention.
The last year of the study will focus on analyses, including cost-effectiveness analyses.
Task Force obesity treatment recommendations in a cost-effective manner. The investigators
propose a Randomized Clinical Trial - Maintaining Activity and Nutrition through
Technology-Assisted Innovation in Primary Care (MAINTAIN-PC) - to test whether a group of
primary care patients who have lost at least 5% of their body weight in the past year will be
more likely to maintain their weight loss with a multifaceted intervention that includes
online tracking tools, web-based "coaching" visits, and PCP engagement through real time
electronic progress reports with counseling tips than when using online tracking tools alone.
By integrating this intervention within an existing electronic health record and clinical
flow, the investigators maximize potential for future dissemination.
The MAINTAIN-PC study draws upon recommendations for the design of practical clinical and
behavioral trials. The investigators will assess multiple relevant outcomes across clinically
meaningful treatment strategies. The investigators will recruit a sample that is diverse in
terms of gender, BMI and co-morbidity status, with a racial/ethnic mix reflective of the
region, and that includes Agency for Healthcare Research Quality priority populations. The
investigators will include clinical practices with diverse characteristics, and have selected
interventionists who reflect the level of training typically seen among primary care clinic
staff. The investigators will recruit 30-40 participants a month, with recruitment lasting
5-6 months, and each participant in both CC and TO arms receiving a 30 month intervention.
The last year of the study will focus on analyses, including cost-effectiveness analyses.
Inclusion Criteria:
- 18 - 75 years old
- Intentional & verified weight loss of greater than or equal to 5% of body weight in
past two years with previous BMI greater than or equal to 25.
- Patient of participating PCP
- Has/willing to get electronic personal health record account
Exclusion Criteria:
- Unable to perform moderate exercises according to PCP
- Current or planned pregnancy
- Currently breastfeeding
- Recent or planned bariatric surgery
- Edema due to medical condition
- No access to computer
- Treated for cancer or thyroid disease in past year
- Unable to attend group session or comply with requirements
- Any other reason as determined by the Principal Investigator
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