Geisinger Education Intervention Study in Obesity Protocol (GEISO)

This study is enrolling participants by invitation only.
Sponsor:
Collaborator:
Ethicon Endo-Surgery
Information provided by (Responsible Party):
Geisinger Clinic
ClinicalTrials.gov Identifier:
NCT01160146
First received: July 9, 2010
Last updated: November 20, 2013
Last verified: November 2013
  Purpose

Overweight and obesity has become an epidemic which warrants more aggressive treatment. However, few primary care physicians (PCPs) address this issue or do not possess adequate education regarding treatment modalities such as nutrition counseling or bariatric surgery. The primary goal of this study will be to determine whether the referrals for weight management can be influenced through obesity education.


Condition
Obesity

Study Type: Observational
Study Design: Observational Model: Case Control
Time Perspective: Retrospective
Official Title: Geisinger Education Intervention Study in Obesity Protocol

Resource links provided by NLM:


Further study details as provided by Geisinger Clinic:

Primary Outcome Measures:
  • Correlation of weight management referral rates and attitudes/barriers towards obesity [ Time Frame: Referral rates are calculated over the course of one year ] [ Designated as safety issue: No ]
    Referral rates to a weight management clinic will be evaluated and correlated with clinicians attitudes towards treatment of obesity (as assessed by questionnaire).


Secondary Outcome Measures:
  • Change in referral rate by Continuing Medical Education and change in referral rate by clinician characteristic [ Time Frame: Compare rates of referral in year prior to Continuing Medical Education versus one year after Continuing Medical Education and compare rates of referral in consecutive years ] [ Designated as safety issue: No ]
    Compare change in Weight Management clinic referral rates between clinicians that attend in-person Continuing Medical Education versus those that complete an innovative gaming system Continuing Medical Education versus those that complete a web-based Continuing Medical Education and evaluate the correlation between changing Weight Management clinic referral rates and clinician characteristics such as attitudes towards obesity, clinician age/gender, number of patients, age/gender of patients, and percent of patients that are obese.


Estimated Enrollment: 300
Study Start Date: August 2011
Estimated Study Completion Date: October 2014
Estimated Primary Completion Date: October 2014 (Final data collection date for primary outcome measure)
Groups/Cohorts
Lifestyle counseling

Detailed Description:

Evaluation of educational interventions focusing on the treatment of obesity will include in person CME sessions, interactive game/virtual patient computer software and two 30 minute DVD/Web-based CME opportunities that the physicians can review at their leisure. These educational interventions were not completed as part of this research.

A control group will be comprised of those healthcare professionals who did not complete the CME survey.

Completion of the post education survey would be completed even if there was no study. The reward given to PCP's (free enrollment in CME session and either lab coat or $40 CME credit) was given for clinical purposes only and not for research. The study consists of the collection of PCP referral rates prior to the educational opportunity and then after the CME looking for a change to referral rates.

In June of 2009, an Obesity Educational Intervention Summit was attended by PCPs. This research seeks approval to perform data pulls consisting of referrals from their practice to the GI/Nutrition Clinic for potential bariatric surgery evaluation.

The information to be collected regarding the primary care providers' referral rates will be collected by a CDIS data pull by a data broker. The biostatistician will link survey responses to referral patterns and education type and will be true, only individual to have access to direct identifiers and in turn will provide PI and study team with de-identified summary data.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population

Geisinger's General Internal Medicine Primary Care Clinic Geisinger's Family Medicine Primary Care Clinic

Criteria

Inclusion Criteria:

Geisinger General Internal and Family Medicine PCPs (include physician, physical assistants and CRNP):

  • PCP must be active between May 2008 - May 2009
  • Average patient age between 30-60 (no individual patients will be identified using personal identification)
  • Minimum of 100 patients assigned to PC

Exclusion Criteria:

  • PCPs from clinics/departments other than General Internal Medicine or Family Medicine will be excluded from the analysis
  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: NCT01160146

Locations
United States, Pennsylvania
Geisinger Health System
Danville, Pennsylvania, United States, 17822
Sponsors and Collaborators
Geisinger Clinic
Ethicon Endo-Surgery
Investigators
Principal Investigator: Christopher D Still, DO Geisinger Clinic
  More Information

Additional Information:
No publications provided

Responsible Party: Geisinger Clinic
ClinicalTrials.gov Identifier: NCT01160146     History of Changes
Other Study ID Numbers: 2009-0296
Study First Received: July 9, 2010
Last Updated: November 20, 2013
Health Authority: United States: Institutional Review Board

Keywords provided by Geisinger Clinic:
Obestiy
Over weight
referral patterns
Continuing Medical Education

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

ClinicalTrials.gov processed this record on August 01, 2014