Obesity, Patient Education, Weight Loss
Conditions
Keywords
Obesity, Patient Education, Weight Loss
Brief summary
Obesity is the second leading cause of death in the U.S. The treatment of obesity and its related health issues, including cardiovascular disease and diabetes, exceeds $150 billion annually. Morbidly or severely obese patients - defined by a body mass index \[BMI\] of \>35 kg/m2 or greater - are especially high risk for serious complications due to their weight. Within the Veterans Health Administration (VA) system, nearly 600,000 patients are severely obese. These Veterans create significant costs for the VA system, experience poorer quality of life, and have shortened lifespans. Bariatric surgery is the most effective treatment for severe obesity for weight loss, resolving weight-related health issues, and quality of life. Bariatric surgery is supported as a treatment option by many national societies, including those representing primary care and endocrinology. However, less than 1% of Veterans who qualify for bariatric surgery undergo it. Reasons for low utilization are unclear, although the investigators' preliminary research suggests that there are various patient, provider and system level barriers to severe obesity care. The goal of this study is to pilot-test an educational video that aligns patient preferences with treatment options to improve the care that severely obese Veterans receive.
Detailed description
Obesity is the second leading cause of death in the U.S. The treatment of obesity and its related comorbidities, including cardiovascular disease and diabetes, exceeds $150 billion annually. Morbidly or severely obese patients - defined by a body mass index \[BMI\] of \>35 kg/m2 or greater - are especially high risk for serious complications due to the metabolic and physiologic derangements that occur with severe obesity. Within the Veterans Health Administration (VA) system, nearly 600,000 patients are severely obese. These Veterans exert significant costs on the VA system, experience poorer quality of life, and have shortened lifespans. Bariatric surgery is the most effective treatment for severe obesity for weight loss, comorbidity resolution, and quality of life. Bariatric surgery is supported as a treatment option by many national societies, including those representing primary care and endocrinology. However, less than 1% of Veterans who qualify for bariatric surgery undergo it. Reasons for low utilization are unclear, although the investigators' preliminary research suggests that there are various patient, provider and system level barriers to severe obesity care. The goal of this study is to pilot-test an educational video that aligns patient preferences with treatment options to optimize the care that severely obese Veterans receive.
Interventions
BEHAVIORALEducational Video
An educational video describing obesity treatment options available in the VA.
Sponsors
The Clowes Fund
VA Office of Research and Development
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Outcomes Assessor)
Masking description
The outcomes assessor will be blinded to the patient's allocation.
Intervention model description
An educational video describing obesity treatment options available in the VA.
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* Veterans scheduled to attend an in-person MOVE! visit led by a dietitian at the main VA hospital.
Exclusion criteria
* No access to telephone, doesn't speak English as their primary language, has undergone bariatric surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Recruitment | 1 year | The proportion of patients who were contacted by the study team who also consented and provided baseline assessment data. |
| Retention | 7-14 days | The proportion of patients who consented and completed the baseline assessment who also completed the post assessment. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Usual Care Patient attends a MOVE! visit (weight management visit). | 20 |
| Intervention Patient attends a MOVE! visit (weight management visit) and watches an educational video describing obesity treatment options available in the VA.
Educational Video: An educational video describing obesity treatment options available in the VA. | 22 |
| Total | 42 |
Baseline characteristics
| Characteristic | Usual Care | Intervention | Total |
|---|---|---|---|
| Age, Continuous | 57.5 years STANDARD_DEVIATION 13.1 | 60.7 years STANDARD_DEVIATION 10.9 | 59.2 years STANDARD_DEVIATION 11.9 |
| BMI | 40.7 kg/m^2 STANDARD_DEVIATION 7.8 | 43.1 kg/m^2 STANDARD_DEVIATION 5.3 | 41.9 kg/m^2 STANDARD_DEVIATION 6.6 |
| Race/Ethnicity, Customized Black, non-Hispanic | 0 Participants | 0 Participants | 0 Participants |
| Race/Ethnicity, Customized Hispanic | 0 Participants | 1 Participants | 1 Participants |
| Race/Ethnicity, Customized Other | 2 Participants | 2 Participants | 4 Participants |
| Race/Ethnicity, Customized White, non-Hispanic | 18 Participants | 19 Participants | 37 Participants |
| Region of Enrollment United States | 20 participants | 22 participants | 42 participants |
| Sex: Female, Male Female | 2 Participants | 5 Participants | 7 Participants |
| Sex: Female, Male Male | 18 Participants | 17 Participants | 35 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 20 | 0 / 22 |
| other Total, other adverse events | 0 / 20 | 0 / 22 |
| serious Total, serious adverse events | 0 / 20 | 0 / 22 |
Outcome results
Primary
Recruitment
The proportion of patients who were contacted by the study team who also consented and provided baseline assessment data.
Time frame: 1 year
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| All Attempted Recruitment | Recruitment | 42 Participants |
Primary
Retention
The proportion of patients who consented and completed the baseline assessment who also completed the post assessment.
Time frame: 7-14 days
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| All Attempted Recruitment | Retention | 40 Participants |