Overview

This trial is active, not recruiting.

Condition obesity
Treatment 2-day preceptorship on obesity management
Sponsor Université de Sherbrooke
Collaborator Canadian Institutes of Health Research (CIHR)
Start date November 2009
End date December 2013
Trial size 460 participants
Trial identifier NCT00991640, 09-022

Summary

The investigators developed a program aimed at enhancing primary care physician (PCP) teams' expertise, self-efficacy and attitudes with respect to obesity management. The investigators implemented and evaluated this obesity management system based on a preceptorship combined with a virtual learning community favouring continuous support of family medicine groups (FMGs, Groupes de Médecine Familiale) by a team of experts in obesity management; significant improvements regarding their attitudes and perception of self-efficacy were observed immediately after the preceptorship and maintained after one year. Furthermore, the investigators observed significant changes in their practice that were maintained one year later.

The investigators hypothesize that their program combining preceptorships with a virtual community will improve: (1) management and weight loss of obese/overweight subjects who are treated by PCPs for hypertension (HTN), type 2 diabetes (DM2) or impaired glucose tolerance (IGT); and (2) screening and initial management of obesity among unselected patients of PCPs who practice in FMGs.

United States No locations recruiting
Other Countries No locations recruiting

Study Design

Allocation non-randomized
Intervention model parallel assignment
Masking single blind (subject)
Primary purpose health services research
Arm
(No Intervention)
No intervention
(Experimental)
Preceptorships with e-learning
2-day preceptorship on obesity management

Primary Outcomes

Measure
Among patients from the targeted diseases group, we aim at improving: a)the proportion of subjects who have an initial intervention planned, according to the CCPGO; b)the proportion of subjects who lose at least 5% of their initial weight.
time frame: 18 months
Among patients from the regular follow-up group, we aim at improving: a)the proportion of patients who have measured weight, BMI and waist circumference and b)the proportion of overweight or obese subjects who have an initial intervention planned.
time frame: 18 months

Secondary Outcomes

Measure
Among health professionals who receive the intervention (vs. those who did not), we aim at ameliorating their attitudes and perceptions towards patients and treatment effectiveness.
time frame: 12 months
Among health professionals who receive the intervention (vs. those who did not), we aim at improving their perception of self-efficacy in managing obesity.
time frame: 12 months
Among health professionals who receive the intervention (vs. those who did not), we aim at increasing their knowledge and expertise on obesity management and changing their practice.
time frame: 12 months
Among patients who are followed by PCPs who receive the intervention (vs. no intervention), we aim at:a) evaluating their attitudes and perceptions regarding obesity/overweight and lifestyle and b)improving their satisfaction regarding their management.
time frame: 18 months

Eligibility Criteria

Male or female participants at least 18 years old.

Inclusion Criteria: - Patients who have, during the past 2 years, at least 4 documented visits for the targeted diseases group and at least 2 visits for the regular follow-up group Exclusion Criteria: - Active mental health problem - Active psychiatric disorder - Cancer in the last five years - Patient with medication that changed in the last 6 months

Additional Information

Official title Impact of an Integrated Obesity Management System on Patient's Care
Principal investigator Marie-France Langlois, MD
Trial information was received from ClinicalTrials.gov and was last updated in November 2016.
Information provided to ClinicalTrials.gov by Université de Sherbrooke.