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| Name | Class |
|---|---|
| Agency for Healthcare Research and Quality (AHRQ) | FED |
| Boston Medical Center | OTHER |
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Overweight and obesity are highly significant clinical and public health issues, affecting more than two-thirds of adults in this country; however, primary care clinicians often do not document overweight or obesity or discuss weight management with their patients. The objectives of the proposed research are to develop and evaluate a set of tools within electronic health records (EHRs) to assist primary care clinicians with the diagnosis and treatment of overweight and obesity and to help patients manage their weight.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Obesity tools in electronic health record | Experimental | This arm will consist of a new set of tools within the electronic health record to help primary care clinicians address overweight and obesity with their patients. |
|
| Standard care | No Intervention | This arm is standard care for overweight/obesity. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Obesity tools in the electronic health record | Other | The intervention is a set of new tools within the Partners electronic health record that are designed to assist primary care clinicians with the assessment and management of overweight and obesity in their patients. |
| Measure | Description | Time Frame |
|---|---|---|
| weight change over 6 months | Change in weight from first visit during Stage 2 of intervention period until approximately 6 months later, among patients with BMI >= 25 | Baseline, 6 months |
| weight change over 12 months | Change in weight from first visit during Stage 2 of intervention period until approximately 12 months later, among patients with BMI >= 25 | Baseline, 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Documentation of height | Percentage of patients with height recorded in the electronic health record | Baseline, 6 months, 12 months |
| Documentation of weight | Percentage of patients with weight recorded in electronic health record within past year |
| Measure | Description | Time Frame |
|---|---|---|
| Primary care clinician attitudes about management of overweight and obesity | Primary care clinician attitudes about management of overweight and obesity, assessed via an electronic survey | baseline, 12 months |
| Patient attitudes and behaviors around weight management |
Inclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Heather J Baer, ScD | Brigham and Women's Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Brigham and Women's Hospital | Boston | Massachusetts | 02115 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25810449 | Derived | Baer HJ, Wee CC, DeVito K, Orav EJ, Frolkis JP, Williams DH, Wright A, Bates DW. Design of a cluster-randomized trial of electronic health record-based tools to address overweight and obesity in primary care. Clin Trials. 2015 Aug;12(4):374-83. doi: 10.1177/1740774515578132. Epub 2015 Mar 25. |
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| ID | Term |
|---|---|
| D050177 | Overweight |
| D009765 | Obesity |
| D001835 | Body Weight |
| ID | Term |
|---|---|
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
| D012816 | Signs and Symptoms |
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| Baseline, 6 months, 12 months |
| Documentation of body mass index | Percentage of patients with body mass index calculated in electronic health record within past year | Baseline, 6 months, 12 months |
| Diagnosis of overweight and obesity | Percentage of patients with BMI >= 25 with Overweight or Obesity on the Problem List in the electronic health record | Baseline, 6 months, 12 months |
| Management of overweight and obesity | Percentage of patients with BMI >= 25 with evidence of treatment for overweight or obesity in the electronic health record | Baseline, 6 months, 12 months |
Patient attitudes, beliefs, and behaviors around weight management (including diet, physical activity) |
| baseline, 6 months |
| D013568 | Pathological Conditions, Signs and Symptoms |