Use of Electronic Health Records for Addressing Overweight and Obesity in Primary Care

This study has been completed.
Sponsor:
Collaborators:
Boston Medical Center
Information provided by (Responsible Party):
Heather J. Baer, Brigham and Women's Hospital
ClinicalTrials.gov Identifier:
NCT01480466
First received: November 21, 2011
Last updated: April 28, 2014
Last verified: April 2014
  Purpose

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.


Condition Intervention
Overweight
Obesity
Other: Obesity tools in the electronic health record

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single Blind (Subject)
Primary Purpose: Health Services Research
Official Title: Use of Electronic Health Records for Addressing Overweight and Obesity in Primary Care

Resource links provided by NLM:


Further study details as provided by Brigham and Women's Hospital:

Primary Outcome Measures:
  • weight change over 6 months [ Time Frame: Baseline, 6 months ] [ Designated as safety issue: No ]
    Change in weight from first visit during Stage 2 of intervention period until approximately 6 months later, among patients with BMI >= 25

  • weight change over 12 months [ Time Frame: Baseline, 12 months ] [ Designated as safety issue: No ]
    Change in weight from first visit during Stage 2 of intervention period until approximately 12 months later, among patients with BMI >= 25


Secondary Outcome Measures:
  • Documentation of height [ Time Frame: Baseline, 6 months, 12 months ] [ Designated as safety issue: No ]
    Percentage of patients with height recorded in the electronic health record

  • Documentation of weight [ Time Frame: Baseline, 6 months, 12 months ] [ Designated as safety issue: No ]
    Percentage of patients with weight recorded in electronic health record within past year

  • Documentation of body mass index [ Time Frame: Baseline, 6 months, 12 months ] [ Designated as safety issue: No ]
    Percentage of patients with body mass index calculated in electronic health record within past year

  • Diagnosis of overweight and obesity [ Time Frame: Baseline, 6 months, 12 months ] [ Designated as safety issue: No ]
    Percentage of patients with BMI >= 25 with Overweight or Obesity on the Problem List in the electronic health record

  • Management of overweight and obesity [ Time Frame: Baseline, 6 months, 12 months ] [ Designated as safety issue: No ]
    Percentage of patients with BMI >= 25 with evidence of treatment for overweight or obesity in the electronic health record


Other Outcome Measures:
  • Primary care clinician attitudes about management of overweight and obesity [ Time Frame: baseline, 12 months ] [ Designated as safety issue: No ]
    Primary care clinician attitudes about management of overweight and obesity, assessed via an electronic survey

  • Patient attitudes and behaviors around weight management [ Time Frame: baseline, 6 months ] [ Designated as safety issue: No ]
    Patient attitudes, beliefs, and behaviors around weight management (including diet, physical activity)


Enrollment: 65278
Study Start Date: December 2011
Study Completion Date: December 2013
Primary Completion Date: December 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Obesity tools in electronic health record
This arm will consist of a new set of tools within the electronic health record to help primary care clinicians address overweight and obesity with their patients.
Other: Obesity 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.
No Intervention: Standard care
This arm is standard care for overweight/obesity.

  Eligibility

Ages Eligible for Study:   20 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

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
  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: NCT01480466

Locations
United States, Massachusetts
Brigham and Women's Hospital
Boston, Massachusetts, United States, 02115
Sponsors and Collaborators
Brigham and Women's Hospital
Boston Medical Center
Investigators
Principal Investigator: Heather J Baer, ScD Brigham and Women's Hospital
  More Information

No publications provided

Responsible Party: Heather J. Baer, Associate Epidemiologist, Brigham and Women's Hospital
ClinicalTrials.gov Identifier: NCT01480466     History of Changes
Other Study ID Numbers: K01HS019789
Study First Received: November 21, 2011
Last Updated: April 28, 2014
Health Authority: United States: Institutional Review Board

Keywords provided by Brigham and Women's Hospital:
Overweight
Obesity
Body mass index
Weight
Primary care

Additional relevant MeSH terms:
Obesity
Overweight
Overnutrition
Nutrition Disorders
Body Weight
Signs and Symptoms

ClinicalTrials.gov processed this record on October 16, 2014