Obesity, Overweight
Conditions
Keywords
Overweight, Obesity, Body mass index, Weight, Primary care
Brief summary
Overweight and obesity are highly significant clinical and public health issues, affecting more than two-thirds of adults in this country; however, primary care clinicians often do not document overweight or obesity or discuss weight management with their patients. The objectives of the proposed research are to develop and evaluate a set of tools within electronic health records (EHRs) to assist primary care clinicians with the diagnosis and treatment of overweight and obesity and to help patients manage their weight.
Interventions
OTHERObesity tools in the electronic health record
The intervention is a set of new tools within the Partners electronic health record that are designed to assist primary care clinicians with the assessment and management of overweight and obesity in their patients.
Sponsors
Agency for Healthcare Research and Quality (AHRQ)
Boston Medical Center
Brigham and Women's Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
20 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* All adult patients (ages \>= 20 years) who have a visit at a primary care practice at Brigham and Women's Hospital during the intervention period
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| weight change over 12 months | Baseline, 12 months | Change in weight from first visit during Stage 2 of intervention period until approximately 12 months later, among patients with BMI \>= 25 |
| weight change over 6 months | Baseline, 6 months | Change in weight from first visit during Stage 2 of intervention period until approximately 6 months later, among patients with BMI \>= 25 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Documentation of weight | Baseline, 6 months, 12 months | Percentage of patients with weight recorded in electronic health record within past year |
| Diagnosis of overweight and obesity | Baseline, 6 months, 12 months | Percentage of patients with BMI \>= 25 with Overweight or Obesity on the Problem List in the electronic health record |
| Management of overweight and obesity | Baseline, 6 months, 12 months | Percentage of patients with BMI \>= 25 with evidence of treatment for overweight or obesity in the electronic health record |
| Documentation of body mass index | Baseline, 6 months, 12 months | Percentage of patients with body mass index calculated in electronic health record within past year |
| Documentation of height | Baseline, 6 months, 12 months | Percentage of patients with height recorded in the electronic health record |
Other
| Measure | Time frame | Description |
|---|---|---|
| Primary care clinician attitudes about management of overweight and obesity | baseline, 12 months | Primary care clinician attitudes about management of overweight and obesity, assessed via an electronic survey |
| Patient attitudes and behaviors around weight management | baseline, 6 months | Patient attitudes, beliefs, and behaviors around weight management (including diet, physical activity) |
Countries
United States
Outcome results
None listed