Use of Electronic Health Records for Addressing Overweight and Obesity in Primary Care

Obesity Clinical Trial

Official title:

Use of Electronic Health Records for Addressing Overweight and Obesity in Primary Care

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01480466
• Other study ID #: K01HS019789
• Status: Completed
• Phase: N/A
• First received: November 21, 2011
• Last updated: April 28, 2014
• Start date: December 2011
• Est. completion date: December 2013

Study information

• Verified date: April 2014
• Source: Brigham and Women's Hospital
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Institutional Review Board
• Study type: Interventional

Clinical Trial Summary

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 65278
• Est. completion date: December 2013
• Est. primary completion date: December 2013
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 20 Years and older

Eligibility

Inclusion Criteria:

• All adult patients (ages >= 20 years) who have a visit at a primary care practice at Brigham and Women's Hospital during the intervention period

Study Design

Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Single Blind (Subject), Primary Purpose: Health Services Research

Related Conditions & MeSH terms

• Obesity
• Overweight

Intervention

Other:
• Obesity tools in the electronic health record
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.

Locations

Country	Name	City	State
United States	Brigham and Women's Hospital	Boston	Massachusetts

Sponsors (3)

Lead Sponsor	Collaborator
Brigham and Women's Hospital	Agency for Healthcare Research and Quality (AHRQ), Boston Medical Center

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	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	No
Other	Patient attitudes and behaviors around weight management	Patient attitudes, beliefs, and behaviors around weight management (including diet, physical activity)	baseline, 6 months	No
Primary	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	No
Primary	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	No
Secondary	Documentation of height	Percentage of patients with height recorded in the electronic health record	Baseline, 6 months, 12 months	No
Secondary	Documentation of weight	Percentage of patients with weight recorded in electronic health record within past year	Baseline, 6 months, 12 months	No
Secondary	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	No
Secondary	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	No
Secondary	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	No