Engaging Primary Care Patients in Online Weight Management Tools: A Pilot Study
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- University of Florida
- Enrollment
- 33
- Locations
- 2
- Primary Endpoint
- Patient retention
Study Overview
Brief Summary
The overall aim of this study is to evaluate the acceptability and feasibility of a primary-care based approach to facilitating engagement in online behavior tracking and community support networks for weight loss ("facilitation condition") over 12 weeks among adults with obesity.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Health Services Research
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 75 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Employed as a PCP at a clinics in the UF health care system.
- •Has practiced at current clinic for ≥1 year (self-report)
- •Is employed ≥ 0.5 FTE (self-report)
- •Has a patient panel that is majority adult (self-report)
- •Patients: EHR-based criteria:
- •Last BMI in EHR ≥30 kg/m2
- •Has an appointment scheduled ("index appointment") with an enrolled primary care PCP 7-30 days after electronic data pull.
- •Is enrolled in MyChart or has an email address in the IDR system.
- •Self-report criteria:
- •Self-reported BMI > 29 kg/m2 (to account for under-reporting)
- •Response yes to question: "Would you be interested in learning strategies to help you lose weight?"
- •Ability to read and understand English without assistance.
- •Has either (a) a phone or tablet with a data plan OR (b) reliable access to Wi-Fi (via computer, phone or tablet) in their home.
Exclusion Criteria
- •Planning to move out of the Gainesville or Jacksonville area in the next 12 months.
- •Patients:
- •Currently enrolled in formal weight loss program or a research study focused on changing diet, physical activity, or weight.
- •In past month, has tracked the majority of their food intake on an app, website, or paper log an average of 3 or more days per week.
- •Self-reported to be pregnant, breastfeeding, or planning to become pregnant in next 6 months.
- •Currently undergoing radiation or chemotherapy for cancer.
- •Self-reported cardiac event in past 6 months.
- •Self-reported Heart Failure (also known as chronic heart failure or CHF).
- •Planning to move out of the Gainesville or Jacksonville area (depending on which clinic they are recruited from) in the next 6 months.
Arms & Interventions
Facilitation Intervention
A brief, web-based facilitation guide (called "Weight Loss Your Way Kickoff Materials") that encourages initial and sustained engagement in online tracking and social network tools for weight loss.The intervention also includes 8 emails sent over 12 weeks to further motivate use of the online tools and weight loss.
Intervention: Facilitation Intervention (Behavioral)
Outcomes
Primary Outcomes
Patient retention
Time Frame: 12 weeks
Percent of enrolled patients completing the 12-week follow-up assessment. (NOTE: this is a feasibility pilot and is not conceptualized as having a single primary outcome)
Secondary Outcomes
- Acceptability of intervention- patient: 12 study specific questions(12 weeks)
- Sustained engagement in Tracking tool and social network(12 week assessment (queried about prior week))
- Provider retention(4-6 months (depends on patient recruitment rate))
- Weight change(baseline to 12 weeks)
- Percent of contacted providers who enroll(NA (depends on period of recruitment, approx 1 month))
- Initial engagement in Tracking tool and social network(12 weeks)
- Percent of patients who enroll(NA (depends on period of recruitment, approx 2-4 months))
- Rate of patient recruitment(up to 16 weeks)
- Acceptability of intervention- provider(At end of intervention (about 4-6 months after start, depending on recruitment rate))
