Clinical trial NCT04784338: Virtual Weight Management Shared Medical Visit
Official title: A Virtual Weight Management Shared Medical Appointment: a Feasibility Study
Study type: INTERVENTIONAL
Overall status: WITHDRAWN
Phase: NA
Conditions: Metabolic Syndrome
Obesity
Keywords: Culinary medicine
Teaching kitchens
Virtual shared medical appointments (SMA)
Mind body exercises
Social Determinants of Health (SDoH)
Lead sponsor: Boston Medical Center
Sponsor class: OTHER
First posted: 2021-03-05
Enrollment: 0
Sex: ALL
Minimum age (years): 21
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: Culinary medicine has emerged which provides the practical application of nutrition education through experiential learning. Studies have shown that patients with metabolic syndrome who underwent a series of classes that featured nutrition recommendations and cooking classes had weight loss, and improved cardiac health and blood sugar management.

Given the increasing focus on providing remote experiences to minimize contact and risk of infection with Sars-COV2, this pilot study at Boston Medical Center (BMC) will integrate a physician consultation, interactive didactic presentations, nutritious cooking and mind- body exercises. Patients with obesity and metabolic syndrome can attend a virtual shared medical visit series co-taught by a registered dietician and chef and an endocrinologist and weight management specialist. Data will be collected in the form of surveys, phone interviews, chart review, and home monitoring to test both the feasibility of running such an intervention virtually and to explore whether attending this one month program with weekly remote classes/visits improves vitals including weight and blood blood pressure and other small habit changes in patients.


Eligibility criteria: Inclusion Criteria:

* English speaking
* BMI =\> 30
* Must have documented measured blood pressure, weight, height in the 12 months prior to the intervention
* Enrolled in Boston Medical Center's (BMC's) Food Pantry Program

Exclusion Criteria:

* Patients with advanced dementia or uncontrolled psychiatric disease
* Uncontrolled medical illness including severe hypertension, recent acute coronary syndrome, active malignancy or other condition that would make the subject unable to complete the study procedures

Primary outcomes:
measure: Recruitment rates
timeFrame: 1 month
measure: Retention of participants
timeFrame: 1 month
measure: Facilitators for program participation
timeFrame: 1 month
measure: Barriers to program participation
timeFrame: 1 month
Secondary outcomes:
measure: Change in knowledge of healthy foods
timeFrame: baseline, 1 month
measure: Change in nutritional food intake behaviours
timeFrame: baseline, 1 month
measure: Change in blood pressure
timeFrame: baseline, 1 month
measure: Change in fasting blood glucose level
timeFrame: baseline, 1 month
measure: Change in body mass index [BMI]
timeFrame: baseline, 1 month
Other outcomes:
Locations:
Study officials:
affiliation: Boston Medical Center
name: Ivania Rizo, MD
role: PRINCIPAL_INVESTIGATOR
References: