Personalized Health Planning--Shared Medical Appointments for Obesity
Condition: Obesity
MeSH terms: Obesity
Study type: Interventional

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.
    

Intervention name(s): PHP; SMA
Intervention type(s): Behavioral; Behavioral
Intervention description(s): personalized health planning (PHP); shared medical appointments (SMAs)
Intervention model: Single Group Assignment
Masking: None (Open Label)
Primary purpose: Supportive Care
Keywords: personalized health planning; shared medical appointments