Obesity in primary care Nutritional, Metabolic, Endocrine Obesity
Conditions
Interventions
After GPs have dealt with the patient's original presenting complaint(s), they will briefly deliver one of two randomly allocated treatments:
1. An 'assistance-orientated' treatment (
this is designed not to last longer than a few seconds. They will also offer a review about a month later to check progress. The commercial weight management referral scheme typically consists of 12 v
Sponsors
University of Oxford (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Current inclusion criteria as of 19/02/2013: Any patient, during a recruitment session, that is: 1. Identified with a body mass index (BMI) greater or equal to 30 (or greater than or equal to 25 for South Asian population groups) 2. Identified with excess body fat 3. 18 years of age or older, either sex 4. Willing to be randomised, consent and comply with study procedures 5. Willing to possibly have the brief intervention component of their GP consultation recorded for the purpose of fidelity checks Previous inclusion criteria until 19/02/2013: Any patient, during a recruitment session, that is: 1. Identified with a body mass index (BMI) greater or equal to 30 2. 18 years of age or older, either sex 3. Willing to be randomised, consent and comply with study procedures 4. Willing to possibly have the brief intervention component of their GP consultation recorded for the purpose of fidelity checks
Exclusion criteria
Exclusion criteria: 1. Pregnant or intending to become pregnant during the trial period, i.e. the next 12 months 2. Currently or within the past three months participated in a weight management programme (including pharmacotherapy or bariatric surgery) 3. Unable to understand and speak English sufficiently to give informed consent and complete the research assessments 4. Visiting the GP for weight management 5. The GP deems it inappropriate to make an opportunistic intervention on weight management. This includes personal medical reasons known to the GP, such as an eating disorder, or reasons related to the consultation e.g. the patient has become distressed and it would seem insensitive to make such an intervention at this time. If the GP does not consider it appropriate, then the patient will not be enrolled and randomised into the trial
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Participants' weight change, measured by a researcher in the patients' GP practice at baseline and at 12 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Efficacy outcomes: 1. The mean change in participants' weight from baseline to 3 months. Weight measured at baseline by a researcher and self-reported at three months by the participant over the telephone. 2. The proportion of participants who lose 5% and 10% of their initial weight at 12 months. Weight measured at baseline and at 12 months. 3. Costs of the two types of intervention to calculate the NHS cost per kg/m2 lost. Costs of the two types of intervention will be assessed to calculate: 3.1. The NHS cost per kg/m2 lost Added as of 19/02/2013: 3.2. The NHS cost per kg lost Non-efficacy outcomes: 1. Participants' reaction to the GP discussing weight management, when they visited for reasons other than their weight. Participants' rating of the helpfulness and the appropriateness of the GP's very brief intervention on a five-item Likert-type scale measured immediately after their GP appointment. 2. The actions participants take to manage their weight, at 3 months, in response to the two types of GP intervention. A researcher will contact all participants, via telephone (or by alternative methods if telephone contact is not possible), 3 months after their initial appointment to assess what actions they have taken, if any, to manage their weight since their first appointment. 3. The actions participants take to manage their weight between 3 and 12 months following a brief opportunistic intervention. A researcher will contact all participants, via telephone (or by alternative methods if telephone contact is not possible), 12 months after enrolment to assess which methods of weight management they have used/continued to use, if any, since the 3 month follow up. 4. Participants' thoughts about the opportunistic intervention that was delivered and whether other styles may have resulted in a different reaction t | — |
Countries
England, United Kingdom
Outcome results
None listed