Electronic Tools to Assist With Identification of and Counseling for Overweight Patients

Not Applicable

Completed

• Conditions: Overweight
• Interventions: Behavioral: Electronic tool set for counseling overweight patients

• Registration Number: NCT00973661
• Lead Sponsor: Northwestern University

Brief Summary

The purpose of this study is to design and assess the impact of an electronic alert and tool set to assist with physician identification and counseling of overweight patients.

Detailed Description

Overweight adults (Body Mass Index \[BMI\] 25-29.9) are at high risk for developing obesity, but rates of physician identification and counseling of overweight adults are low. Alerts and tools embedded in the electronic medical record have shown promise in enhancing quality improvement efforts.

Our aim is to design and assess the impact of an electronic alert and tool set to assist with identification and counseling of overweight patients with a BMI 27-29.9. Although the category of overweight patients spans BMI 25-29.9, we are including only patients with BMI 27-29.9 in order to focus resources on the most at-risk pre-obese population.

We will develop a tool set including the following components: automatic calculation of BMI, alert for overweight status, counseling template for weight loss goal-setting, linkage to referral options, and access to relevant patient handouts. Physicians in the Northwestern Memorial Faculty Foundation General Internal Medicine (NMFF GIM) practice who consent to participate in the study will be randomized into two groups, with one group of physicians receiving access to these tools. The other group of physicians will continue to provide their usual care for overweight patients. Outcome measures will include the following: tool usage; documentation of overweight in the problem list, encounter diagnosis, or note text; counseling for overweight and documentation of specific behavioral goals. Measures will be obtained via retrospective chart review.

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study First Submitted: 2009-09-08
• Study First Submitted QC: 2009-09-08
• Study First Posted: 2009-09-09
• Study Start: 2010-03
• Primary Completion: 2010-09
• Study Completion: 2010-09
• Status Verified: 2011-07
• Last Update Submitted: 2011-07-26
• Last Update Posted: 2011-07-27

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 2600

Inclusion Criteria

Not provided

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Exclusion Criteria

Not provided

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Electronic tools	Electronic tool set for counseling overweight patients	-

Primary Outcome Measures

Name	Time	Method
Documented diagnosis of overweight	September 1, 2009-February 28, 2010

Secondary Outcome Measures

Name	Time	Method
Documented counseling for overweight.	September 1, 2009-February 28, 2010
Documentation of specific behavior change goals	September 1, 2009-February 28, 2010

Trial Locations

Locations (1)

Northwestern Memorial Faculty Foundation General Internal Medicine Clinic; 🇺🇸 Chicago, Illinois, United States