PATHWEIGH: Pragmatic Weight Management in Primary Care
- Conditions
- Obesity
- Interventions
- Other: ControlOther: Weight management care path
- Registration Number
- NCT04678752
- Lead Sponsor
- University of Colorado, Denver
- Brief Summary
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.
- Detailed Description
This study will investigate how PATHWEIGH, a weight management tool built into the EPIC electronic health record, in combination with clinician and staff training on the use of PATHWEIGH as a tool, education on effective weight management practices, and practice facilitation to support implementation can facilitate weight loss and maintenance for primary care patients. 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.
This study is being conducted because despite obesity being the leading cause of preventable death in the U.S. and a major risk factor for disease, people with any degree of overweight or obesity are rarely offered anything other than lifestyle advice, rather than more rigorous and evidence-based weight management strategies. Poor reimbursement for weight-related visits, competing priorities, lack of appropriate tools, and limited time in visits also prevent more widespread use of weight management interventions. PATHWEIGH helps primary care clinicians and teams prioritize weight management with their patients when appropriate and ensures that they have the tools and knowledge handy to do so effectively. As part of the assessment of the PATHWEIGH intervention, the study will identify predictors of patient weight loss and weight loss maintenance using mediator and moderator analysis. Relevant factors (patient demographics, health metrics (e.g. vital signs, anthropometrics, comorbidities), behaviors and goals, provider age, sex, years and % time practicing, and clinic information (e.g. size, location, culture scale)) will be evaluated by including interaction terms between the treatment variable and possible moderating variables in outcome regression models .
Recruitment & Eligibility
- Status
- ENROLLING_BY_INVITATION
- Sex
- All
- Target Recruitment
- 100000
- 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
- Unable to participate in weight loss treatment due to factors such as cognitive deficits, non-home residence, or limited life expectancy.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- CROSSOVER
- Arm && Interventions
Group Intervention Description Standard of Care Control Each primary care provider will administer weight loss care per their standard practice. PATHWEIGH Weight management care path A weight management care path that support primary care both through the EHR and training for the clinicians.
- Primary Outcome Measures
Name Time Method Evaluate the implementation of PATHWEIGH and determine its effectiveness versus control clinics using standard of care (SOC) on patient weight loss 6 months Change from baseline
- Secondary Outcome Measures
Name Time Method Evaluate the implementation of PATHWEIGH and determine its effectiveness versus standard of care on weight loss maintenance. 12 and 18 months To examine weight maintenance we will examine weight change from 6 to 12 months and 6 to 18 months. Weight loss maintenance will be defined as weight increase \<10% from the 6-month weight time point.
Trial Locations
- Locations (64)
UCHealth CU Family Medicine - Centennial
🇺🇸Centennial, Colorado, United States
UCHealth Primary Care and Sports Medicine Clinic - Lake Plaza
🇺🇸Colorado Springs, Colorado, United States
UCHealth Aspen Creek Medical Center
🇺🇸Colorado Springs, Colorado, United States
UCHealth Primary Care - Broomfield
🇺🇸Broomfield, Colorado, United States
UCHealth Primary Care - Castle Rock
🇺🇸Castle Rock, Colorado, United States
UCHealth Internal Medicine - Printers Park
🇺🇸Colorado Springs, Colorado, United States
UCHealth Family Medicine - Boulder
🇺🇸Boulder, Colorado, United States
UCHealth CU Family Medicine - Depot Hill
🇺🇸Broomfield, Colorado, United States
UCHealth Sports Medicine Clinic - Printers Park
🇺🇸Colorado Springs, Colorado, United States
UCHealth Family Medicine - Firestone
🇺🇸Firestone, Colorado, United States
UCHealth Family Medicine - Littleton
🇺🇸Highlands Ranch, Colorado, United States
UCHealth Primary Care - Arvada West
🇺🇸Arvada, Colorado, United States
UCHealth Primary Care - Craig
🇺🇸Craig, Colorado, United States
UCHealth Primary Care - Rockrimmon
🇺🇸Colorado Springs, Colorado, United States
UCHealth Primary Care - Falcon
🇺🇸Falcon, Colorado, United States
UCHealth Internal Medicine - Greeley
🇺🇸Greeley, Colorado, United States
UCHealth Primary Care - Highlands Ranch
🇺🇸Highlands Ranch, Colorado, United States
UCHealth CU Family Medicine - Landmark
🇺🇸Greenwood Village, Colorado, United States
UCHealth Women's Integrated Services in Health - Lone Tree
🇺🇸Lone Tree, Colorado, United States
UCHealth Internal Medicine - East Loveland
🇺🇸Loveland, Colorado, United States
UCHealth Primary Care and Women's Wellness - Stonegate
🇺🇸Parker, Colorado, United States
UCHealth Internal Medicine - Orchards
🇺🇸Loveland, Colorado, United States
UCHealth Primary Care - Timnath
🇺🇸Timnath, Colorado, United States
UCHealth Family Medicine - Woodland Park
🇺🇸Woodland Park, Colorado, United States
Little Snake River Clinic - Managed by UCHealth Yampa Valley Medical Center
🇺🇸Baggs, Wyoming, United States
UCHealth Cheyenne Medical Specialists
🇺🇸Cheyenne, Wyoming, United States
UCHealth Primary Care - Cheyenne
🇺🇸Cheyenne, Wyoming, United States
UCHealth Primary Care - Fontanero
🇺🇸Colorado Springs, Colorado, United States
UCHealth Primary Care - Academy
🇺🇸Colorado Springs, Colorado, United States
UCHealth Primary Care - Briargate
🇺🇸Colorado Springs, Colorado, United States
UCHealth Primary Care - Scarborough
🇺🇸Colorado Springs, Colorado, United States
UCHealth Primary Care - Estes Park
🇺🇸Estes Park, Colorado, United States
UCHealth Primary Care - Cripple Creek
🇺🇸Cripple Creek, Colorado, United States
UCHealth Family Medicine Center - Fort Collins
🇺🇸Fort Collins, Colorado, United States
UCHealth Internal Medicine - Prospect
🇺🇸Fort Collins, Colorado, United States
UCHealth Internal Medicine and Pediatric Care Clinic - Snow Mesa
🇺🇸Fort Collins, Colorado, United States
UCHealth Family Medicine - Greeley
🇺🇸Greeley, Colorado, United States
UCHealth Primary Care - Greenwood Village
🇺🇸Greenwood Village, Colorado, United States
UCHealth Primary Care - Sterling Ranch
🇺🇸Littleton, Colorado, United States
UCHealth Primary Care - Lone Tree
🇺🇸Lone Tree, Colorado, United States
UCHealth Orchards Medical Center
🇺🇸Loveland, Colorado, United States
UCHealth Family Medicine - Westminster
🇺🇸Westminster, Colorado, United States
UCHealth Primary Care - Monument
🇺🇸Monument, Colorado, United States
UCHealth Primary Care - Sterling
🇺🇸Sterling, Colorado, United States
UCHealth Family Medicine - Windsor
🇺🇸Windsor, Colorado, United States
UCHealth Internal Medicine - Anschutz Medical Campus
🇺🇸Aurora, Colorado, United States
UCHealth Primary Care - Quincy
🇺🇸Aurora, Colorado, United States
UCHealth Executive Health Services - Anschutz Medical Campus
🇺🇸Aurora, Colorado, United States
UCHealth Seniors Clinic - Anschutz Medical Campus
🇺🇸Aurora, Colorado, United States
UCHealth Women's Integrated Services in Health - Anschutz Medical Campus
🇺🇸Aurora, Colorado, United States
UCHealth A.F. Williams Family Medicine Clinic - Central Park
🇺🇸Denver, Colorado, United States
UCHealth Internal Medicine - Longmont
🇺🇸Longmont, Colorado, United States
UCHealth Primary Care - Steele Street
🇺🇸Denver, Colorado, United States
UCHealth Internal Medicine - Lowry
🇺🇸Denver, Colorado, United States
UCHealth Family Medicine - Longmont
🇺🇸Longmont, Colorado, United States
UCHealth Longmont Clinic
🇺🇸Longmont, Colorado, United States
UCHealth Primary Care - Hilltop
🇺🇸Parker, Colorado, United States
UCHealth Primary Care - Uptown
🇺🇸Denver, Colorado, United States
UCHealth Primary Care - Chapel Hills
🇺🇸Colorado Springs, Colorado, United States
UCHealth CU Internal Medicine - Garfield
🇺🇸Denver, Colorado, United States
UCHealth Internal Medicine - Snow Mesa
🇺🇸Fort Collins, Colorado, United States
UCHealth Internal Medicine - Greeley Midtown
🇺🇸Greeley, Colorado, United States
UCHealth Primary Care - Yosemite
🇺🇸Lone Tree, Colorado, United States
UCHealth Family Medicine - North Loveland
🇺🇸Loveland, Colorado, United States