Obesity Clinical Trial
Official title:
The Impact of the PACE Program Implementation on Health Services Utilization by Obese Arab Women (The AWESOME Study: Arab WomEn Study on Obesity Metabolism and Exercise)
Scientific background:
Obesity is a known risk factor for cardiovascular disease, metabolic syndrome, and diabetes.
In Israel, the prevalence of obesity and diabetes among Arab females is 2 and 2.8 times
higher than Jewish females, respectively. The economic impact of obesity and overweight in
terms of illness, disease and lost productivity is estimated to amount to 2-9% of the
national health budget in countries with high GDP. Diabetics have medical expenditure that
is 2.4 times higher than non diabetics per capita.
Lifestyle modification is an effective tool in reducing morbidity and health care
expenditure but despite that most family practitioners usually treat the complications of
obesity rather than preventing it.
PACE is a comprehensive health promotion guide in counseling patients to an active healthy
lifestyle. PACE is designed to assist the primary health care providers to promote physical
activity and dietary changes during routine office visits.
Objectives:
To asses the impact of PACE program on increasing the amount of physical activity, improving
clinical and metabolic indices, increasing the documentation of lifestyle indices in the
medical records and reducing health care expenditure and utilization.
Working hypothesis:
Implementing a modified PACE protocol can achieve this objectives in Arab women.
Methodology:
The investigators will conduct a structured, multidisciplinary and continuous primary care
based intervention, assisted by trained health promoters and applying a locally adjusted
PACE protocol.
n/a
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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