Evaluation of Patient Coach Support for Older Adults With Obesity
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 19
- 试验地点
- 2
- 主要终点
- Percentage of participants who attend physical therapy appointments
研究概览
简要总结
The purpose of the present pilot is to evaluate the outcomes of adding a patient coach to support the Optimal Health Weight and Lifestyle (OHWL) Clinic plan developed by PI Dewar, specifically to address barriers and facilitators of adherence to the plan. This will be accomplished via a coach who is not embedded in clinic care and is supported by pilot research funds. Evaluation of the coach activities, conducted by research personnel, will include compiling data from the electronic health record, a short set of patient report and performance measures, and qualitative interviews.
详细描述
A patient coach added to the OHWL Clinic plan as part of the pilot will help patients who are being treated for weight loss to achieve their goals, help address barriers and facilitators of adherence to referred services such physical therapy and nutritionist appointments and various specialists and links to community services as needed. Evaluation of the coach activities will be conducted by research personnel, which will also include data compilation from the electronic health record, a short set of patient report and performance measures, and qualitative interviews. This project will provide pilot data for future funding proposals.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 60 Years 至 85 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Body Mass Index (BMI) equal to or greater than 35
- •Ability to walk across a room with or without an assistive device
- •Willingness and ability to follow instructions
- •Interest in weight management
- •At least two of the following conditions: hypertension, cardiovascular conditions including heart failure, diabetes mellitus, hyperlipidemia, non-alcoholic steatohepatitis, obstructive sleep apnea, osteoarthritis
排除标准
- •Active mental health disorder, such as major depression
- •Moderate to severe cognitive impairment
- •Mobility limited to bed-bound status
研究组 & 干预措施
Study Participants
干预措施: OHWL Clinic Activities (Standard of Care) (Behavioral)
Study Participants
干预措施: Coach Activities (Behavioral)
结局指标
主要结局
Percentage of participants who attend physical therapy appointments
时间窗: 6 months
Patients who reported attending at least one physical therapy appointment during the course of the study, if referred.
Percentage of participants who achieve treatment goals
时间窗: 6 months
Percentage of participants whose coaches reported successful achievement of established goals for diet and physical therapy based on end of study interview.
Percentage of participants who attend nutritional consultation appointments
时间窗: 6 months
Patients who reported attending at least one nutritional consultation appointment during the course of the study.
Percentage of participants who access community resources
时间窗: 6 months
Patients who reported using a community resource (such as a gym, community park, or other similar resource) at least once during the course of the study.
次要结局
- Change in reported participant pain levels(6 months)
- Change in PROMIS-29 Score (Patient-Reported Outcomes Measurement Information System)(6 months)
- Change in NHATS (National health and aging trends study) Score(6 months)
- Change in patient mobility(6 months, 12 months)
- Change in Life Space Assessment Score(6 months)
研究者
Shenbagam Dewar
Clinical Assistant Professor
University of Michigan