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

Study Overview
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Brief Summary
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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.

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

Conditions
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Obesity, Overweight

Intervention / Treatment
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* Other: Obesity tools in the electronic health record


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 20 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Obesity tools in electronic health record<br>This arm will consist of a new set of tools within the electronic health record to help primary care clinicians address overweight and obesity with their patients. | Other: Obesity tools in the electronic health record<br>* 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.<br>|
| No Intervention: Standard care<br>This arm is standard care for overweight/obesity. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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 | 
| 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 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Documentation of height | Percentage of patients with height recorded in the electronic health record | Baseline, 6 months, 12 months | 
| Documentation of weight | Percentage of patients with weight recorded in electronic health record within past year | Baseline, 6 months, 12 months | 
| 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 | 
| 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 | 
| 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 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Obesity, Overweight, Body mass index, Weight, Primary care