A web-based intervention to increase weight loss treatment initiation: results of a cluster randomized feasibility and acceptability trial

McVay, Megan A.; Yancy, William S.; Bennett, Gary G.; Levine, Erica; Jung, Seung-Hye; Jung, Soyeon; Anton, Steve; Voils, Corrine I.

doi:10.1093/tbm/ibz143

Cited by 5 publications

(7 citation statements)

References 22 publications

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“…There are few published reports of primary care, populationbased obesity management programs, with most describing small, observational cohort studies targeting narrow populations, making it difficult to compare measures and outcomes with this population-based study. [20][21][22][23][24][25] In addition, measures in published studies were rarely specified in the same way (eg, many studies measured absolute weight loss vs. percent body weight loss).…”

Section: Discussionmentioning

confidence: 99%

Measuring What Matters: Beyond Quality Performance Measures in Caring for Adults with Obesity

Ciemins

Joshi

Horn

et al. 2021

Population Health Management

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Obesity is a chronic disease that poses serious health and societal burdens. Although guidelines exist for obesity management in primary care, evaluating the success of obesity treatment programs is hampered by lack of established, robust quality measures. This study aimed to develop, and test for feasibility, measures for operational tracking, quality performance, and patient-centered care in the context of a national collaborative to develop a model for obesity management in the US primary care setting. The authors developed and evaluated 7 measures used to track the care of patients with overweight or obesity (n = 226,727 at baseline) receiving care within 10 health care organizations (HCOs). Measure categories included: (1) operational tracking (obesity/overweight prevalence and prevalence of obesity-related complications); (2) quality performance (obesity diagnosis, change in weight over time, anti-obesity medication prescriptions, and assessment of obesity-related complications); and (3) patient-centered care (patient-reported outcomes). Measures were tested for feasibility, variability across HCOs, ability to detect differences over time, and value to the HCOs. All measures were feasible to collect, provided value to the participating HCOs, and demonstrated variation and ability to detect differences over time (eg, rates of documented diagnosis of obesity classes 1, 2, and 3 increased from 29%, 46%, and 66%, respectively, at baseline to 35%, 53%, and 71% at study end). This study confirmed the feasibility and perceived value of 7 operational, performance, and patient-centered measures collected in primary care practices in 10 HCOs over an 18-month period.

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Section: Discussionmentioning

confidence: 99%

Measuring What Matters: Beyond Quality Performance Measures in Caring for Adults with Obesity

Ciemins

Joshi

Horn

et al. 2021

Population Health Management

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“…[38][39][40] In a 2015 survey of health care patients with body mass index ,BMI greater than 25 kg/m 2 , the majority of patients (62.4%) reported a desire to discuss weight loss strategies with their doctors, although interest in this conversation was substantially greater among individuals of race/ethnicity other than white. 41 While a few past studies have used the health care setting to attempt to engage individuals in comprehensive weight loss programs, 42,43 comprehensive programs may not be of interest to all patients due to costs or the intensity of the programs. Few studies have aimed to promote use of freely available online tools or resources, and none, to our knowledge, have aimed to promote use of existing social media communities for weight loss.…”

Section: Introductionmentioning

confidence: 99%

“…While a few past studies have used the health care setting to attempt to engage individuals in comprehensive weight loss programs, 42 , 43 comprehensive programs may not be of interest to all patients due to costs or the intensity of the programs. Few studies have aimed to promote use of freely available online tools or resources, and none, to our knowledge, have aimed to promote use of existing social media communities for weight loss.…”

Section: Introductionmentioning

confidence: 99%

Engaging primary care patients with existing online tools for weight loss: A pilot trial

McVay

Cooper

Donahue

et al. 2022

Obesity Science & Practice

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Objective: Free online tools show potential for promoting weight loss at a low cost, but there is limited evidence about how to effectively engage patients with them. To address this, a low-dose, flexible intervention was developed that aims to enhance weight-related discussions with primary care providers (PCPs) and engage patients with an organic (i.e., not researcher-created) weight loss-focused social media community and online self-monitoring tool. Feasibility and acceptability of the intervention was evaluated in a single-arm, 12-week pilot.Methods: PCPs were recruited at two clinics, then PCP's patients with upcoming appointments were identified and recruited. Patients received an interactive online kickoff before their scheduled primary care appointment, then 8 follow-up messages over 12 weeks via email or their electronic health record patient portal. Patients completed assessments at baseline, post-appointment, and week 12. Primary care providers and patients completed semi-structured interviews.Results: All PCPs approached enrolled (n = 6); patient recruitment was on track to meet the study goal prior to COVID-19 restrictions, and n = 27 patients enrolled.Patient satisfaction with the pre-appointment kickoff was high. Twenty-four patients reported discussing weight-related topics at their primary care appointment and all were satisfied with the discussion. Twenty-two patients completed 12-week assessments. Of these, 15 reported engaging with the self-monitoring tool and 9 with the social media community. Patient interviews revealed reasons for low social media community engagement, including perceived lack of fit. On average, patients with available data (n = 21) lost 2.4 � 4.1% of baseline weight, and 28.6% of these patients lost ≥3% of baseline weight. Primary care providers reported high intervention satisfaction. Conclusions:The intervention and trial design show potential, although additional strategies are needed to promote tool engagement.This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

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“…Evidence suggests that group‐based interventions may be more effective in facilitating weight change than individual interventions 6 . The challenge, however, is that engagement with conventional, in‐person behavioural weight management programmes is known to be low 7 . In a large multicentre trial of primary care referral to a group behavioural weight loss programme in England, only 6.5% of invited patients took up the offer 8 .…”

Section: Introductionmentioning

confidence: 99%

Can you see me? Participant experience of accessing a weight management programme via group videoconference to overcome barriers to engagement

Cliffe

Battista

Bishop

2020

Health Expectations

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Background Engagement with conventional weight management group programmes is low. Objective To understand participant experience of accessing an adapted programme via videoconference. Participants Adults with obesity (BMI ≥ 35kg/m 2 ), referred to an NHS Dietetics service in Wales, were offered a group videoconference weight management programme as an optional alternative to in‐person groups. Thirteen participants (mean age 48.5 ± 20.2 years, 8 female) recruited to two videoconference groups were interviewed. Study design A Registered Dietitian delivered a behavioural programme using Skype for Business in 10 sessions over 6 months. Participants joined the groups from any Internet‐connected device with a webcam. Participant perspectives were audiorecorded in one‐to‐one, semi‐structured interviews. Interviews were transcribed verbatim and thematically analysed using self‐determination theory as a theoretical framework. Results Ten themes were identified, three relating to service engagement and seven relating to behaviour change facilitation. Key themes in engagement included ‘reduced burden’, described as saving time and travel and ‘reduced threat’ as participants perceived joining a group from home as less daunting compared to attending in‐person. Despite reporting some initial technical difficulties with establishing video and audio connection, participants described beneficial peer support although not physically with other group members. Conclusion Accessing a group weight management programme via videoconference may be the preferred option for some participants, overcoming some of the barriers to access to standard in‐person programmes, particularly in rural areas. Participants are able to experience peer support via videoconference. During the COVID‐19 pandemic, weight management programmes could utilize videoconference groups to continue to provide support.

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A web-based intervention to increase weight loss treatment initiation: results of a cluster randomized feasibility and acceptability trial

Cited by 5 publications

References 22 publications

Measuring What Matters: Beyond Quality Performance Measures in Caring for Adults with Obesity

Measuring What Matters: Beyond Quality Performance Measures in Caring for Adults with Obesity

Engaging primary care patients with existing online tools for weight loss: A pilot trial

Can you see me? Participant experience of accessing a weight management programme via group videoconference to overcome barriers to engagement

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