Clinical trial NCT01160146: Geisinger Education Intervention Study in Obesity Protocol
Official title: Geisinger Education Intervention Study in Obesity Protocol
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Obesity
Keywords: Obestiy
Over weight
referral patterns
Continuing Medical Education
Lead sponsor: Geisinger Clinic
Sponsor class: OTHER
Collaborators: name: Ethicon Endo-Surgery
First posted: 2010-07-12
Enrollment: 289
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: CASE_CONTROL
Time perspective: RETROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Geisinger's General Internal Medicine Primary Care Clinic Geisinger's Family Medicine Primary Care Clinic

Brief summary: Overweight and obesity has become an epidemic which warrants more aggressive treatment. However, few primary care physicians (PCPs) address this issue or do not possess adequate education regarding treatment modalities such as nutrition counseling or bariatric surgery. The primary goal of this study will be to determine whether the referrals for weight management can be influenced through obesity education.

Detailed description: Evaluation of educational interventions focusing on the treatment of obesity will include in person CME sessions, interactive game/virtual patient computer software and two 30 minute DVD/Web-based CME opportunities that the physicians can review at their leisure. These educational interventions were not completed as part of this research.

A control group will be comprised of those healthcare professionals who did not complete the CME survey.

Completion of the post education survey would be completed even if there was no study. The reward given to PCP's (free enrollment in CME session and either lab coat or $40 CME credit) was given for clinical purposes only and not for research. The study consists of the collection of PCP referral rates prior to the educational opportunity and then after the CME looking for a change to referral rates.

In June of 2009, an Obesity Educational Intervention Summit was attended by PCPs. This research seeks approval to perform data pulls consisting of referrals from their practice to the GI/Nutrition Clinic for potential bariatric surgery evaluation.

The information to be collected regarding the primary care providers' referral rates will be collected by a CDIS data pull by a data broker. The biostatistician will link survey responses to referral patterns and education type and will be true, only individual to have access to direct identifiers and in turn will provide PI and study team with de-identified summary data.

Eligibility criteria: Inclusion Criteria:

Geisinger General Internal and Family Medicine PCPs (include physician, physical assistants and CRNP):

* PCP must be active between May 2008 - May 2009
* Average patient age between 30-60 (no individual patients will be identified using personal identification)
* Minimum of 100 patients assigned to PC

Exclusion Criteria:

* PCPs from clinics/departments other than General Internal Medicine or Family Medicine will be excluded from the analysis

Primary outcomes:
measure: Correlation of weight management referral rates and attitudes/barriers towards obesity
timeFrame: Referral rates are calculated over the course of one year
Secondary outcomes:
measure: Change in referral rate by Continuing Medical Education and change in referral rate by clinician characteristic
timeFrame: Compare rates of referral in year prior to Continuing Medical Education versus one year after Continuing Medical Education and compare rates of referral in consecutive years
Other outcomes:
Locations:
city: Danville
country: United States
facility: Geisinger Health System
state: Pennsylvania
Study officials:
affiliation: Geisinger Clinic
name: Christopher D Still, DO
role: PRINCIPAL_INVESTIGATOR
References: