Electronic Tools to Assist With Identification of and Counseling for Overweight Patients
|ClinicalTrials.gov Identifier: NCT00973661|
Recruitment Status : Completed
First Posted : September 9, 2009
Last Update Posted : July 27, 2011
|Condition or disease||Intervention/treatment|
|Overweight||Behavioral: Electronic tool set for counseling overweight patients|
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.
|Study Type :||Interventional (Clinical Trial)|
|Estimated Enrollment :||2600 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||None (Open Label)|
|Official Title:||Electronic Tools to Assist With Identification of and Counseling for Overweight Patients|
|Study Start Date :||March 2010|
|Primary Completion Date :||September 2010|
|Study Completion Date :||September 2010|
|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|
- Documented diagnosis of overweight [ Time Frame: September 1, 2009-February 28, 2010 ]
- Documented counseling for overweight. [ Time Frame: September 1, 2009-February 28, 2010 ]
- Documentation of specific behavior change goals [ Time Frame: September 1, 2009-February 28, 2010 ]
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00973661
|United States, Illinois|
|Northwestern Memorial Faculty Foundation General Internal Medicine Clinic|
|Chicago, Illinois, United States, 60611|
|Principal Investigator:||Joyce W Tang, MD||Northwestern University, Department of General Internal Medicine|