Study Testing Patient Decision Tools Related to the Risks and Benefits of Weight Loss Surgery

Not Applicable

Completed

• Conditions: Obesity; Bariatric Surgery; Obesity, Morbid; Decision Aids
• Interventions: Other: Booklet Decision Aid; Other: Video Decision Aid

• Registration Number: NCT00666952
• Lead Sponsor: Kaiser Permanente

Brief Summary

Morbid obesity currently affects more than 11 million US adults and is strongly associated with type 2 diabetes, cancer, cardiovascular disease, and arthritis. Bariatric (weight loss) surgical procedures have been shown to significantly reduce body weight and improve the health and quality of life of morbidly obese adults, at least in the short term. However, bariatric surgery also presents substantial risks, including a 10% to 20% risk of serious complications and up to a 2% risk of death in the first 30 days after surgery. Thus, a morbidly obese patient's decision regarding bariatric surgery should be based on his or her evaluation of accurate information on the possible risks and benefits of the various treatment options. Anecdotal reports suggest that bariatric treatment decisions may be more heavily influenced by insurance coverage and reimbursement rates than patient preferences.

The main objective of the current proposal is to examine the impact of a bariatric decision aid, Weight loss surgery: Is it right for you?, on decision quality in primary care and bariatric specialty practice settings. We propose a randomized controlled trial to assess the effect of this bariatric decision aid on bariatric-specific measures of patient knowledge, values and choice of weight management strategy. We will also investigate the effect of the decision aid on decisional conflict and decisional self-efficacy and examine medical, psychological, and behavioral factors as mediators and moderators of treatment choice. This information will help to elucidate the value of this decision aid in improving decision quality.

The primary aims of this of this research are to:

1. Determine if the bariatric decision aid results in superior bariatric surgery decision quality than an NIH booklet on weight loss surgery ('usual care').

2. Determine if the bariatric decision aid results in less decisional conflict and superior decisional self-efficacy than usual care.

3. Determine if there is a differential effect of the interventions on decision quality among treatment seekers and non-treatment seekers.

4. Investigate medical, psychological, and behavioral factors as mediators of treatment choice.

The secondary aims of this study are to:

1. Understand the current weight control attitudes and practices among morbidly obese patients who are not actively seeking bariatric surgical treatment.

2. Assess the rates of bariatric surgery, health care costs, health care use and outcomes, and changes in BMI over time across the intervention groups, as well as across study subgroups, such as those who did and did not choose to have bariatric surgery.

We hypothesize that the decision aid will result in greater knowledge and greater values concordance, less decisional conflict and superior decisional self-efficacy than the NIH booklet.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2008-04-23
• Study First Submitted QC: 2008-04-23
• Study First Posted: 2008-04-25
• Study Start: 2008-05
• Primary Completion: 2008-10
• Study Completion: 2009-01
• Status Verified: 2017-10
• Last Update Submitted: 2017-10-11
• Last Update Posted: 2017-10-13

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 150

Inclusion Criteria

• aged 20 to 65 years
• enrolled in Group Health and not planning to discontinue enrollment during study period
• meet standard NIH eligibility criteria for bariatric surgery
• reside in King County;
• have a phone
• are able to read, write and speak in English
• report no physical or hearing impairments which would prevent engaging in the study assessments

Exclusion Criteria

• Pregnant, lactating, or planning to become pregnant in the next two years
• have any contraindications to bariatric surgery
• previously undergone a bariatric procedure

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
2	Booklet Decision Aid	-
1	Video Decision Aid	-

Primary Outcome Measures

Name	Time	Method
Our primary focus is estimating the benefit of the decision aid on decision quality. The two components of decision quality are knowledge and value concordance.	3 Months

Secondary Outcome Measures

Name	Time	Method
Our secondary aims will examine the impact of our interventions or decisional conflict, decisional self-efficacy, and explore potential mediators of our intervention effects.	3 Months

Trial Locations

Locations (1)

Group Health Research Institute; 🇺🇸 Seattle, Washington, United States