Please select the outcome measures that correspond to the clinical trial below.
Title: Implementation and Validation of the "5As Framework of Obesity Management" in Primary Care. "5AsT"
Brief Summary: The main goal of this project is to develop, implement and evaluate the 5As Team intervention (5AsT)for healthcare practitioners to improve their weight management patient encounters and improve patient health outcomes. The 5As of Obesity Management suite of tools is a robust, evidence-based approach to weight management, however its implementation and uptake has been heterogeneous in primary care.

This project was co-created by, and will be implemented with, our partners the Southside Primary Care Network (SSPCN). A needs assessment on weight management by the SSPCN revealed the need to change provider practice to increase the number of weight management visits. Despite a robust didactic training session on weight management for all providers, which includes the 5As, the uptake in practice has been highly heterogeneous. Thus, the 5AsT intervention to address the implementation of the 5As of Obesity Management in clinical practice was developed by the collaborative team. The SSPCN consists of 25 autonomous groups of multidisciplinary professionals that provide service to a defined group of patients within the SSPCN.

The 5As Team consists of multidisciplinary providers (Registered Nurse/ Nurse Practitioner, dietician, mental health worker) who work collaboratively. The intervention is a learning collaborative where these 12 different 5AsTs get together to work to address facilitators and barriers to weight management in their settings over a 6 month period. Half of the teams (N=12) will remain as controls and deliver usual care. They serve as a comparison group for the 5AsTs. This mixed methods study's primary outcomes will assess the change in provider practice and the effectiveness of the intervention and implementation.

To assess the impact of 5AsT on patients, we will recruit patients presenting to the central SSPCN programming, We will not intervene directly on patients; we will observe the impact of the 5AsT and SSPCN programming on their health outcomes for a minimum of 6 months, and where possible for 18 months. Data collected includes demographics, weight (BMI), waist circumference, vital signs,and Short Form-12 (SF-12,these measures are routinely measured in the SSPCN), EuroQol-5 dimensions 5 Level (EQ-5D-5L), modified patient assessment of chronic illness (PACIC), and observed adherence to routine clinical care for guideline recommended laboratory monitoring (cholesterol panel, fasting glucose, HbA1c, where appropriate).


Options:
A: At set time points the following will be measured: Recovery from depression Patient quality of life 1 year before and after: Clinic depression treatment utilization and costs
B: Change of documentation of aspirin therapy in patients with ischemic vascular disease. (Baseline, 3, 6, 9, 12, and 15 months from baseline); Change of documentation of blood pressure in patients with a diagnosis of hypertension. (Baseline, 3, 6, 9, 12, and 15 months from baseline); Change of documentation of blood pressure in patients with adequately controlled blood pressure. (Baseline, 3, 6, 9, 12, and 15 months from baseline); Change of documentation of fasting LDL in patients with a fasting LDL at or below the LDL goal. (Baseline, 3, 6, 9, 12, and 15 months from baseline); Change of documentation of patients who had a fasting LDL test performed and prescribed a statin based on risk. (Baseline, 3, 6, 9, 12, and 15 months from baseline); Change of documentation of patients screened about tobacco use. (Baseline, 3, 6, 9, 12, and 15 months from baseline)
C: Number of weight management visits/ practitioner Full Time Equivalent(FTE) (Data will be collected monthly and analyzed at 6, 12 and 18 Months); Change in BMI (3,6,12,and 18 month where possible); Change in Self-reported health measures-SF12 (3,6,12 months and 18 months where possible)
D: Time-to-first HF rehospitalization or death during the 12-months post-discharge (12-months after discharge); Improvement in an opportunity-based composite score of adherence to quality metrics for HF. (Baseline to 12 months post discharge)

Answer: C