Use of Electronic Health Records for Addressing Overweight and Obesity in Primary Care

Not Applicable

Completed

• Conditions: Overweight; Obesity
• Interventions: Other: Obesity tools in the electronic health record

• Registration Number: NCT01480466
• Lead Sponsor: Brigham and Women's Hospital

Brief Summary

Overweight and obesity are highly significant clinical and public health issues, affecting more than two-thirds of adults in this country; however, primary care clinicians often do not document overweight or obesity or discuss weight management with their patients. The objectives of the proposed research are to develop and evaluate a set of tools within electronic health records (EHRs) to assist primary care clinicians with the diagnosis and treatment of overweight and obesity and to help patients manage their weight.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2011-11-21
• Study First Submitted QC: 2011-11-28
• Study First Posted: 2011-11-29
• Study Start: 2011-12
• Primary Completion: 2013-12
• Study Completion: 2013-12
• Status Verified: 2014-04
• Last Update Submitted: 2014-04-28
• Last Update Posted: 2014-04-29

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 65278

Inclusion Criteria

• All adult patients (ages >= 20 years) who have a visit at a primary care practice at Brigham and Women's Hospital during the intervention period

Exclusion Criteria

Not provided

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Obesity tools in electronic health record	Obesity tools in the electronic health record	This arm will consist of a new set of tools within the electronic health record to help primary care clinicians address overweight and obesity with their patients.

Primary Outcome Measures

Name	Time	Method
weight change over 12 months	Baseline, 12 months	Change in weight from first visit during Stage 2 of intervention period until approximately 12 months later, among patients with BMI \>= 25
weight change over 6 months	Baseline, 6 months	Change in weight from first visit during Stage 2 of intervention period until approximately 6 months later, among patients with BMI \>= 25

Secondary Outcome Measures

Name	Time	Method
Documentation of weight	Baseline, 6 months, 12 months	Percentage of patients with weight recorded in electronic health record within past year
Documentation of height	Baseline, 6 months, 12 months	Percentage of patients with height recorded in the electronic health record
Management of overweight and obesity	Baseline, 6 months, 12 months	Percentage of patients with BMI \>= 25 with evidence of treatment for overweight or obesity in the electronic health record
Documentation of body mass index	Baseline, 6 months, 12 months	Percentage of patients with body mass index calculated in electronic health record within past year
Diagnosis of overweight and obesity	Baseline, 6 months, 12 months	Percentage of patients with BMI \>= 25 with Overweight or Obesity on the Problem List in the electronic health record

Trial Locations

Locations (1)

Brigham and Women's Hospital; 🇺🇸 Boston, Massachusetts, United States