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Geisinger Education Intervention Study in Obesity Protocol (GEISO)

14. august 2015 oppdatert av: Geisinger Clinic
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.

Studieoversikt

Status

Fullført

Forhold

Detaljert beskrivelse

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.

Studietype

Observasjonsmessig

Registrering (Faktiske)

289

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

  • Forente stater
    • Pennsylvania
      • Danville, Pennsylvania, Forente stater, 17822
        • Geisinger Health System

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

18 år og eldre (Voksen, Eldre voksen)

Tar imot friske frivillige

Ja

Kjønn som er kvalifisert for studier

Alle

Prøvetakingsmetode

Ikke-sannsynlighetsprøve

Studiepopulasjon

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

Beskrivelse

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

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

Kohorter og intervensjoner

Gruppe / Kohort
Lifestyle counseling

Clinicians provide lifestyle management counseling regarding healthful lifestyle behaviors and daily physical activity.

  1. Logging foods for accountability and counting calories
  2. Close attention to portion control and appropriate serving sizes of foods consumed
  3. Consumption of appropriate calorie and sugar free beverages
  4. Good meal distribution and avoidance of meal skipping
  5. Balance of food groups using the MyPlate concept (USDA Choose My Plate)-inclusion of all food groups with emphasis on fruits, vegetables, whole grains, low-fat dairy products and lean meat/fish/poultry
  6. Increasing physical activity with reasonable, sustainable exercise or activity. Working toward a goal of at least 30 minutes, 5 days per week

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Correlation of weight management referral rates and attitudes/barriers towards obesity
Tidsramme: Referral rates are calculated over the course of one year
Referral rates to a weight management clinic will be evaluated and correlated with clinicians attitudes towards treatment of obesity (as assessed by questionnaire).
Referral rates are calculated over the course of one year

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Change in referral rate by Continuing Medical Education and change in referral rate by clinician characteristic
Tidsramme: 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
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.
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

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

Geisinger Clinic

Samarbeidspartnere

Ethicon Endo-Surgery

Etterforskere

  • Hovedetterforsker: Christopher D Still, DO, Geisinger Clinic

Publikasjoner og nyttige lenker

Den som er ansvarlig for å legge inn informasjon om studien leverer frivillig disse publikasjonene. Disse kan handle om alt relatert til studiet.

Hjelpsomme linker

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart

1. august 2011

Primær fullføring (Faktiske)

1. juli 2015

Studiet fullført (Faktiske)

1. juli 2015

Datoer for studieregistrering

Først innsendt

9. juli 2010

Først innsendt som oppfylte QC-kriteriene

9. juli 2010

Først lagt ut (Anslag)

12. juli 2010

Oppdateringer av studieposter

Sist oppdatering lagt ut (Anslag)

17. august 2015

Siste oppdatering sendt inn som oppfylte QC-kriteriene

14. august 2015

Sist bekreftet

1. juli 2015

Mer informasjon

Begreper knyttet til denne studien

Nøkkelord

Ytterligere relevante MeSH-vilkår

Andre studie-ID-numre

  • 2009-0296

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