Electronic Tools to Assist With Identification of and Counseling for Overweight Patients

This study has been completed.
Sponsor:
Collaborator:
Information provided by:
Northwestern University
ClinicalTrials.gov Identifier:
NCT00973661
First received: September 8, 2009
Last updated: July 26, 2011
Last verified: July 2011
  Purpose

The purpose of this study is to design and assess the impact of an electronic alert and tool set to assist with physician identification and counseling of overweight patients.


Condition Intervention
Overweight
Behavioral: Electronic tool set for counseling overweight patients

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Prevention
Official Title: Electronic Tools to Assist With Identification of and Counseling for Overweight Patients

Further study details as provided by Northwestern University:

Primary Outcome Measures:
  • Documented diagnosis of overweight [ Time Frame: September 1, 2009-February 28, 2010 ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Documented counseling for overweight. [ Time Frame: September 1, 2009-February 28, 2010 ] [ Designated as safety issue: No ]
  • Documentation of specific behavior change goals [ Time Frame: September 1, 2009-February 28, 2010 ] [ Designated as safety issue: No ]

Estimated Enrollment: 2600
Study Start Date: March 2010
Study Completion Date: September 2010
Primary Completion Date: September 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Electronic tools Behavioral: Electronic tool set for counseling overweight patients
Physicians randomized to the "electronic tools" arm will receive access to a tool set to aid with counseling of overweight patients. This tool set includes the following components: automatic calculation of BMI, alert for overweight status, counseling template for weight loss goal-setting, linkage to referral options, and access to relevant patient handouts. Physicians randomized to the "usual care" arm will not receive access to these tools, and will continue to provide their usual care for overweight patients.
No Intervention: Usual care

Detailed Description:

Overweight adults (Body Mass Index [BMI] 25-29.9) are at high risk for developing obesity, but rates of physician identification and counseling of overweight adults are low. Alerts and tools embedded in the electronic medical record have shown promise in enhancing quality improvement efforts.

Our aim is to design and assess the impact of an electronic alert and tool set to assist with identification and counseling of overweight patients with a BMI 27-29.9. Although the category of overweight patients spans BMI 25-29.9, we are including only patients with BMI 27-29.9 in order to focus resources on the most at-risk pre-obese population.

We will develop a tool set including the following components: automatic calculation of BMI, alert for overweight status, counseling template for weight loss goal-setting, linkage to referral options, and access to relevant patient handouts. Physicians in the Northwestern Memorial Faculty Foundation General Internal Medicine (NMFF GIM) practice who consent to participate in the study will be randomized into two groups, with one group of physicians receiving access to these tools. The other group of physicians will continue to provide their usual care for overweight patients. Outcome measures will include the following: tool usage; documentation of overweight in the problem list, encounter diagnosis, or note text; counseling for overweight and documentation of specific behavioral goals. Measures will be obtained via retrospective chart review.

  Eligibility

Ages Eligible for Study:   18 Years to 65 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria (physicians):

  • Consenting physicians from the Northwestern Memorial General Internal Medicine (NMFF GIM) practice

Exclusion Criteria (physicians):

  • Study investigators will be excluded from participation (Dr. David Baker, Dr. Joyce Tang)

Inclusion Criteria (patients):

  • Adults ages 18-65 seen at the NMFF GIM who are patients of consenting physicians
  • Have at least one appointment at the NMFF GIM clinic between 9/1/09-2/28/10
  • Body mass index (BMI) 27-29.9 at one or more visits between 9/1/09-2/28/10

Exclusion Criteria (patients):

  • Patients without at least one recorded height measurement from any prior visit or without weight information from a visit within the 6 month target window will be excluded due to inability to calculate BMI.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00973661

Locations
United States, Illinois
Northwestern Memorial Faculty Foundation General Internal Medicine Clinic
Chicago, Illinois, United States, 60611
Sponsors and Collaborators
Northwestern University
Investigators
Principal Investigator: Joyce W Tang, MD Northwestern University, Department of General Internal Medicine
  More Information

No publications provided

Responsible Party: Dr. Joyce Tang, Northwestern University, Department of General Internal Medicine
ClinicalTrials.gov Identifier: NCT00973661     History of Changes
Other Study ID Numbers: STU00013264
Study First Received: September 8, 2009
Last Updated: July 26, 2011
Health Authority: United States: Institutional Review Board

Keywords provided by Northwestern University:
Overweight
Diagnosis
Counseling
Medical Records Systems, Computerized

Additional relevant MeSH terms:
Overweight
Body Weight
Signs and Symptoms

ClinicalTrials.gov processed this record on September 22, 2014