Partnership Optimizes Weight Management in Primary Care

Primary Care Obesity Management in the Southeast_PROMISE

The purpose of this study is to examine whether a primary care weight management intervention delivered by peer coaches produces greater weight loss than a self-directed program without peer coach support.

Inclusion Criteria:

• Age 21-75 years
• Body mass index (BMI) 30-50 kg/m2
• Receiving primary care services at one of the practices participating in this study

Exclusion Criteria:

• Uncontrolled hypertension (blood pressure >160/100 mm Hg at screening)
• Any of the following other medical conditions: myocardial infarction or cerebrovascular accident within the last six months; unstable angina within the past six months; NYHA Class III or IV congestive heart failure; type 1 diabetes; cancer requiring treatment in past five years (exception: non-melanoma skin cancer); and chronic lung diseases that limit physical activity
• Current use of any of the following medications: antipsychotic agents, monoamine oxidase inhibitors, systemic corticosteroids, or chemotherapeutic drugs; prescription weight loss medications (past six months)
• Unwilling or unable to do any of the following: give informed consent; read/understand English; accept random assignment; travel to the intervention site
• Likely to relocate out of the area in the next 2 years
• Participation in another randomized research project
• Weight loss > 10 pounds in past six months
• History of bariatric surgery