Rural Engagement in Primary Care for Optimizing Weight Reduction



Status:Active, not recruiting
Conditions:Obesity Weight Loss
Therapuetic Areas:Endocrinology
Healthy:No
Age Range:20 - 75
Updated:1/26/2019
Start Date:January 2016
End Date:April 2020

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Rural Engagement in Primary Care for Optimizing Weight Reduction (RE-POWER)

The purpose of this study is to compare three methods for managing obesity in rural patients,
to see which method will result in patients being able to attain their weight loss goal and
maintain that weight loss.

Nearly 20% of the U.S. population lives in rural communities. Rural residents suffer at a
higher rate from obesity and obesity-related illnesses, including diabetes, heart disease,
and arthritis. Local primary care physicians are an important resource for treating obesity
in rural areas because of a lack of other community resources.

This study is looking at how effective current, real-world primary care treatment models are
in helping rural residents lose weight and maintain that weight loss. Physician clinics will
be randomized (like picking numbers from a hat) to conduct one of the three methods. The
method a participant is part of will depend on the method their physician's clinic is
randomized to. The three methods involved in this study are:

1. Individual weight-management counseling in person

2. Group weight-management counseling, both in person and by telephone

3. Group weight-management counseling by telephone

Participants will be in the study about 24 months. The number of in-person clinic visits and
phone calls each participant will be asked to complete depends on the method.

Inclusion Criteria:

- BMI between 30 kg/m2 and 45 kg/m2

- Live in a rural location

- Have clearance from their primary care provider to participate in a diet and exercise
weight control intervention

- Participants must have access to a telephone

- One individual per household will be permitted to enroll in the study

Exclusion Criteria:

- History of heart attack, stroke, new cancer diagnosis, bariatric surgery

- Pregnancy planned within the next two years or currently pregnant or lactating

- Serious medical conditions where weight loss is contraindicated

- Medical contraindications will be determined by the patient's primary care physician
(PCP), and documented PCP clearance will be obtained

- Participants who are already enrolled in, or planning to enroll in another research
study where weight loss is targeted

- Participants who plan to relocate outside of their provider's service area or who plan
to leave their primary care clinic in the next 2 years

- Able to read and understand English
We found this trial at
1
site
3901 Rainbow Blvd
Kansas City, Kansas 66160
(913) 588-5000
University of Kansas Medical Center The University of Kansas Medical Center serves Kansas through excellence...
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mi
from
Kansas City, KS
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