Personalized Health Planning--Shared Medical Appointments for Obesity

NCT ID: NCT05938933

Last Updated: 2023-11-18

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 11 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2020-02-19
• Study Completion Date: 2022-01-25

Brief Summary

Obesity affects a large portion of our population and accounts for a significant individual health burden for both individual patients and society. Though as little as 3 to 5% weight loss is associated with significant clinical benefits,1,2 current approaches to treat patients with obesity are not providing patients with the interventions needed to routinely see this change. One potential solution to this problem is utilizing personalized health planning (PHP) shared medical appointments (SMAs) to address the treatment of obesity. As PHP SMA has shown to improve clinical outcomes and patient satisfaction when compared to traditional care in other chronic illnesses,3,4 it could also be useful as a strategy to improve the efficiency and effectiveness of treating patients with obesity.

Detailed Description

There will be 14 total participants in this study. All will be current patients enrolled at the Methodist Charlton Family Medicine Clinic in Dallas, TX. Female and male patients will be selected based on individual provider recommendations within the Family Medicine Clinic at Methodist Charlton Medical Center (Dallas, TX).

Obesity affects a large portion of our population and accounts for a significant individual health burden for both individual patients and society. Though as little as 3 to 5% weight loss is associated with significant clinical benefits,1,2 current approaches to treat patients with obesity are not providing patients with the interventions needed to routinely see this change. One potential solution to this problem is utilizing personalized health planning (PHP) shared medical appointments (SMAs) to address the treatment of obesity. As PHP SMA has shown to improve clinical outcomes and patient satisfaction when compared to traditional care in other chronic illnesses,3,4 it could also be useful as a strategy to improve the efficiency and effectiveness of treating patients with obesity. PHP tailors health care to the needs, values, and preferences of the individual patient. It facilitates the use of the best available resources for proactive, predictive medicine while recognizing the value of engaging patients in their care. Its clinical workflow allows for creation of a personal health plan for each patient in which shared patient-provider goals are outlined to address the patient's proximate and long-term health goals and risks.

The PHP model is flexible and adaptable to many clinical needs and settings. In the program described here, PHP is adapted for use within a SMA for individuals with obesity. SMAs are conducted in 90-minute group visits, wherein 8 to 12 patients meet together with a small clinical team that always includes a provider.

Conditions

Obesity

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: SUPPORTIVE_CARE
• Blinding Strategy: NONE

Study Groups

Cohort

Cohort

Group Type: EXPERIMENTAL

PHP

Intervention Type: BEHAVIORAL

personalized health planning (PHP)

SMA

Intervention Type: BEHAVIORAL

shared medical appointments (SMAs)

Interventions

PHP

personalized health planning (PHP)

Intervention Type: BEHAVIORAL

SMA

shared medical appointments (SMAs)

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• Current patients enrolled at the Methodist Charlton Family Medicine Clinic in Dallas, TX.
• Female and male patients will be selected based on individual provider recommendations within the Family Medicine Clinic at Methodist Charlton Medical Center (Dallas, TX)
• Patients will include motivated adults in our clinic from the ages of 30 to 60 yrs old with BMI ranges of 35 to 50 without significant mood or cardio-pulmonary issues.
• If a patient does have diabetes mellitus (DM), it needs to be under reasonable control (i.e., A1C less than 9).

Exclusion Criteria

• uncontrolled depression with a Patient Health Questionnaire-9(PHQ-9) score greater than 9
• history of bariatric surgery or future plans for bariatric surgery
• wheelchair bound
• uncontrolled chronic obstructive pulmonary disease (COPD)/asthma or supplemental oxygen dependence
• uncontrolled congestive heart failure (CHF)
• uncontrolled DM with A1C greater than 9
• pregnancy
• active cancer

• Minimum Eligible Age: 30 Years
• Maximum Eligible Age: 60 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Methodist Health System

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Khadija Kabani, DO

Role: PRINCIPAL_INVESTIGATOR

Methodist Charlton Family Medicine

Locations

Methodist Charlton Family Medicine

Dallas, Texas, United States

Countries

United States

Other Identifiers

066.FAM.2019.C

Identifier Type: -

Identifier Source: org_study_id