Increasing Access to USPSTF-Recommended Obesity Care for Youth and Adults Who Are Recipients of Medicaid: Evaluation of a Comprehensive Multidisciplinary Obesity Care Training Program in FQHCs
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 6,200
- 试验地点
- 1
- 主要终点
- Change in patient percent overweight
研究概览
简要总结
This project will compare two training approaches for US Preventive Services Task Force recommended obesity care in Federally Qualified Health Centers (FQHC) across four aims. Aim 1 compares patient-level effectiveness [i.e., patient relative weight change and the proportion of patients who achieve clinically significant weight loss]. Aim 2 compares reach (patient treatment utilization). Aim 3 compares primary care provider (PCP) referrals to USPSTF-recommended care at 12 (adoption) and 24 months (maintenance) and short- and long-term changes in provider obesity care competencies . Aim 4 compares implementation and service costs.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 5 Years 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Study Eligibility Criteria - Provider Trainees:
- •Provider Trainees must be PCPs, BHPs, RDNs, or CHWs who work at participating clinics.
- •PCPs that are eligible to participate as Provider Trainees can be any of the following: Medical Doctors (MD), Doctor of Osteopathic Medicine (DO), Physician Assistants (PA), or Nurse Practitioners (NP). PCPs must see patients in a primary care setting and be capable of referring patients to IBT and MNT. PCPs must have already completed their residency (when applicable).
- •BHPs that are eligible to participate as Provider Trainees must be at least one of the following categories (listed with typical credentials): Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), Licensed Marriage and Family Therapist (LMFT), Psychologist (PhD/PsyD), Psychiatric Nurse Practitioner, Psychiatrist (MD).
- •RDNs that are eligible to participate as Provider Trainees must be Registered Dietitians/Registered Dietitian Nutritionists.
- •CHWs must work as Community Health Workers, or in functionally similar role, within participating clinics
- •Study Eligibility - EHR Patients: Benefit-Eligible Patients from Participating Clinics
- •Benefit-Eligible Patients from Participating Clinics can either be youth (ages 5-20) or adults (ages 21+) and must be recipients of Medicaid, eligible for the MO Medicaid benefit (i.e., Medicaid recipients with obesity), and have been seen at participating FQHC clinics.
排除标准
- •Provider Trainees:
- •Not at a participating clinic
- •PCPs who do not have the ability to refer to IBT or MNT
- •Resident Doctors
- •A doctor specializing in reproductive health (or related fields)
- •Exclusion Criteria - Benefit-Eligible Patients from Participating Clinics:
- •Patients without obesity
- •Patients not on Medicaid
- •Youth under the age of 5
- •Not a patient at a participating clinic
研究组 & 干预措施
CMOC
The Provider Trainees at the Federally Qualified Health Centers (FQHCs) assigned to the Comprehensive Multidisciplinary Obesity Care (CMOC) condition will receive the CMOC Training during the12-month training period (months 0-12) of the trial, followed by a 12-month (month 13-24) sustainability period.
干预措施: Comprehensive Multidisciplinary Obesity Care (Other)
IAUC
The Provider Trainees at the Federally Qualified Health Centers (FQHCs) in the implementation as usual control (IAUC) condition will receive the IAUC Training during the12-month training period (months 0-12) of the trial, followed by a 12-month (month 13-24) sustainability period. Following the 12-month sustainability period, Provider Trainees will be offered the CMOC Training.
干预措施: Comprehensive Multidisciplinary Obesity Care (Other)
IAUC
The Provider Trainees at the Federally Qualified Health Centers (FQHCs) in the implementation as usual control (IAUC) condition will receive the IAUC Training during the12-month training period (months 0-12) of the trial, followed by a 12-month (month 13-24) sustainability period. Following the 12-month sustainability period, Provider Trainees will be offered the CMOC Training.
干预措施: Implementation as Usual Control (Other)
结局指标
主要结局
Change in patient percent overweight
时间窗: Months 2-29 post-enrollment
Percent over the median body mass index (BMI) for sex and age.
次要结局
未报告次要终点