PATHWEIGH: Pragmatic Weight Management in Primary Care

Conditions

• Obesity

Eligibility Criteria

Sex

ALL

Age

18 Years - 89 Years

Healthy Volunteers

Not accepted

Interventions

• Weight management care path — OTHER
  * Documentation and data capture built in the Electronic Health Record * Clinical data support that suggests weight loss approach(es) * Tracking of weight loss progress and weight loss maintenance during patient visits to guide the patient-clinician conversation * Diagnosis and billing in EHR automatically adds the diagnosis of overweight or obesity and links the most common weight-related co-morbidities to ensure adequate provider reimbursement * Evidence-based online training on weight management for clinicians * Practice quality improvement and training for use of PATHWEIGH for weight-prioritized visits through practice coaches/facilitators * Consultation support by practice facilitators with implementing PATHWEIGH and by obesity providers for clinicians with creating patient treatment plans
• Control — OTHER
  Within primary care the option to select "Obesity brief HPI", this is a brief historical intake of a patient's weight - when either they or their clinician decides to have a weight-prioritized visit. It is intended to initiate a discussion regarding potential strategies for weight loss (often "eat less, exercise more"). The provider has the discretion to augment or add support as they see fit.

Study Details

The study examines patient weight loss and maintenance, associated predictors (patient health characteristics and demographics), and contextual factors in the practice environment that influence the intervention's adoption, implementation, and sustainability. This will be achieved through a mixed methods implementation study including collection and analysis of de-identified clinical data, surveys, observations, and interviews.

Key Dates

Start date

Mar 17, 2020

Status verified

Apr 2025

Primary completion

Sep 16, 2024

Completion

Jul 31, 2025

Study Design

Enrollment

100,000 participants (estimated)

Allocation

RANDOMIZED

Intervention model

CROSSOVER

Primary purpose

HEALTH_SERVICES_RESEARCH

Arms

• Active Comparator: Standard of Care
  Each primary care provider will administer weight loss care per their standard practice.
• Experimental: PATHWEIGH
  A weight management care path that support primary care both through the EHR and training for the clinicians.

Primary Outcome Measure

Patient weight trajectories over the 6 months after the initial weight measured in the usual care and intervention phases [ Time Frame: 0 to 6 months ]

Locations (64)

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