Coordinating Pragmatic Primary Care Population Management for Obesity

Coordinating Pragmatic Primary Care Population Management for Obesity

The C3PO pilot and feasibility study uses a rigorous, mixed-method research design to provide information needed to refine and implement a technology-mediated primary care outreach intervention approach before conducting a larger and more definitive future intervention trial.

This study will implement and evaluate a pragmatic and generalizable framework for population management of obesity by the primary care sector. With patient and other stakeholder input, the C3PO intervention will be designed to leverage existing primary care professionals and technologies to implement a scalable framework for population obesity management that coordinates primary care services with extant intensive lifestyle interventions in community settings to achieve wider reach and population-level effectiveness. A rigorous, mixed-method pilot and feasibility study will provide critical information needed to optimize the intervention design and prepare us for a larger and definitive future trial.

Inclusion Criteria:

• BMI ≥ 27 kg/m2
• ≥ 1 CVD risk condition (hypertension, dyslipidemia, prediabetes or type 2 diabetes)
• Registered in Northwestern Medical Group's EpicCare MyChart patient portal
• Received and completed MyChart survey of weight loss interest
• Affirms interest in weight loss goal setting and receiving additional resource information and electronic Scale.

Exclusion Criteria:

• Evidence of hospitalization in past 30 days
• Most recent blood pressure >180/105
• Cancer (non-skin) treatment within the past 2 years
• Encounter diagnosis for hypoglycemia in past 30 days
• Actively receiving care from the bariatric surgery service or a bariatric medication order in the past 100 days