Clinical trial

PATHWEIGH: Pragmatic Weight Management in Primary Care

Invitation only · Not applicable · 1 countries · Registry ID NCT04678752

Invitation onlyNot applicableInterventional

What this study is about

The study examines patient weight loss and maintenance, associated predictors (patient health characteristics and demographics), and contextual factors in the practice environment that influence the intervention's adoption, implementation, and sustainability. This will be achieved through a mixed methods implementation study including collection and analysis of de-identified clinical data, surveys, observations, and interviews.

A promising-looking record is not the same as confirmed eligibility. The study team must review the full criteria and current recruitment status.

Basic eligibility

Age18 Years to 89 Years

SexAll

Healthy volunteersNot accepted

ConditionObesity

Full registry criteria

Clinician Inclusion Criteria: * Affiliated with a participating primary care practice * Provide care for adult patients (\>=18 years old) Patient Inclusion Criteria: * All adult patients (age \>18 years) * BMI \>25 kg/m2 * Appointment at a primary care clinic participating in the study Patient Exclusion Criteria: * Unable to participate in weight loss treatment due to factors such as cognitive deficits, non-home residence, or limited life expectancy.

Treatments and study arms

Weight management care path

Other

* Documentation and data capture built in the Electronic Health Record * Clinical data support that suggests weight loss approach(es) * Tracking of weight loss progress and weight loss maintenance during patient visits to guide the patient-clinician conversation * Diagnosis and billing in EHR automatically adds the diagnosis of overweight or obesity and links the most common weight-related co-morbidities to ensure adequate provider reimbursement * Evidence-based online training on weight management for clinicians * Practice quality improvement and training for use of PATHWEIGH for weight-prioritized visits through practice coaches/facilitators * Consultation support by practice facilitators with implementing PATHWEIGH and by obesity providers for clinicians with creating patient treatment plans

Control

Other

Within primary care the option to select "Obesity brief HPI", this is a brief historical intake of a patient's weight - when either they or their clinician decides to have a weight-prioritized visit. It is intended to initiate a discussion regarding potential strategies for weight loss (often "eat less, exercise more"). The provider has the discretion to augment or add support as they see fit.

Primary outcomes

Patient weight trajectories over the 6 months after the initial weight measured in the usual care and intervention phases0 to 6 months

Change in patient weight trajectories 0-6 months after the initial weight measurement in the usual care and intervention phases.

Patient weight maintenance, as measured by patient weight trajectories from 6 to 18 months after the initial weight measurement, in the usual care and intervention phases6 to 18 months

Change in patient weight trajectories from 6 to 18 months after the initial weight measurement in the usual care and intervention phases.

Study locations

64 locations were listed when this page was built. The first 40 are shown.

UCHealth Primary Care - Arvada West🇺🇸 Arvada, Colorado, United States