Teaching Obesity Treatment Options to Adult Learners Trial

Study Overview
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Brief Summary
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Obesity is the second leading cause of death in the U.S. The treatment of obesity and its related health issues, including cardiovascular disease and diabetes, exceeds $150 billion annually. Morbidly or severely obese patients - defined by a body mass index [BMI] of >35 kg/m2 or greater - are especially high risk for serious complications due to their weight. Within the Veterans Health Administration (VA) system, nearly 600,000 patients are severely obese. These Veterans create significant costs for the VA system, experience poorer quality of life, and have shortened lifespans. Bariatric surgery is the most effective treatment for severe obesity for weight loss, resolving weight-related health issues, and quality of life. Bariatric surgery is supported as a treatment option by many national societies, including those representing primary care and endocrinology. However, less than 1% of Veterans who qualify for bariatric surgery undergo it. Reasons for low utilization are unclear, although the investigators' preliminary research suggests that there are various patient, provider and system level barriers to severe obesity care. The goal of this study is to pilot-test an educational video that aligns patient preferences with treatment options to improve the care that severely obese Veterans receive.

Detailed Description
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Obesity is the second leading cause of death in the U.S. The treatment of obesity and its related comorbidities, including cardiovascular disease and diabetes, exceeds $150 billion annually. Morbidly or severely obese patients - defined by a body mass index [BMI] of >35 kg/m2 or greater - are especially high risk for serious complications due to the metabolic and physiologic derangements that occur with severe obesity. Within the Veterans Health Administration (VA) system, nearly 600,000 patients are severely obese. These Veterans exert significant costs on the VA system, experience poorer quality of life, and have shortened lifespans. Bariatric surgery is the most effective treatment for severe obesity for weight loss, comorbidity resolution, and quality of life. Bariatric surgery is supported as a treatment option by many national societies, including those representing primary care and endocrinology. However, less than 1% of Veterans who qualify for bariatric surgery undergo it. Reasons for low utilization are unclear, although the investigators' preliminary research suggests that there are various patient, provider and system level barriers to severe obesity care. The goal of this study is to pilot-test an educational video that aligns patient preferences with treatment options to optimize the care that severely obese Veterans receive.

Official Title
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A Randomized Pilot Study of a Video-based Obesity Educational Intervention (CDA 15-060)

Conditions
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Obesity, Patient Education, Weight Loss

Intervention / Treatment
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* Behavioral: Educational Video


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Veterans scheduled to attend an in-person MOVE! visit led by a dietitian at the main VA hospital. Exclusion Criteria: No access to telephone, doesn't speak English as their primary language, has undergone bariatric surgery

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 75 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
Interventional Model Description: An educational video describing obesity treatment options available in the VA.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Usual Care<br>Patient attends a MOVE! visit (weight management visit). | |
| Experimental: Intervention<br>Patient attends a MOVE! visit (weight management visit) and watches an educational video describing obesity treatment options available in the VA. | Behavioral: Educational Video<br>* An educational video describing obesity treatment options available in the VA.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Recruitment | The proportion of patients who were contacted by the study team who also consented and provided baseline assessment data. | 1 year | 
| Retention | The proportion of patients who consented and completed the baseline assessment who also completed the post assessment. | 7-14 days | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Obesity, Patient Education, Weight Loss