Clinical trial NCT06624163: Evaluation of Patient Coach Support for Older Adults With Obesity
Official title: Evaluation of Patient Coach Support for Older Adults With Obesity
Study type: INTERVENTIONAL
Overall status: ACTIVE_NOT_RECRUITING
Phase: NA
Conditions: Obesity
Keywords: Health Coach
Aging
Lead sponsor: University of Michigan
Sponsor class: OTHER
Collaborators: name: National Institute on Aging (NIA)
First posted: 2024-10-02
Enrollment: 19
Sex: ALL
Minimum age (years): 60
Maximum age (years): 85
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: SUPPORTIVE_CARE

Brief summary: The purpose of the present pilot is to evaluate the outcomes of adding a patient coach to support the Optimal Health Weight and Lifestyle (OHWL) Clinic plan developed by PI Dewar, specifically to address barriers and facilitators of adherence to the plan. This will be accomplished via a coach who is not embedded in clinic care and is supported by pilot research funds. Evaluation of the coach activities, conducted by research personnel, will include compiling data from the electronic health record, a short set of patient report and performance measures, and qualitative interviews.

Detailed description: A patient coach added to the OHWL Clinic plan as part of the pilot will help patients who are being treated for weight loss to achieve their goals, help address barriers and facilitators of adherence to referred services such physical therapy and nutritionist appointments and various specialists and links to community services as needed. Evaluation of the coach activities will be conducted by research personnel, which will also include data compilation from the electronic health record, a short set of patient report and performance measures, and qualitative interviews. This project will provide pilot data for future funding proposals.

Eligibility criteria: Inclusion Criteria:

* Body Mass Index (BMI) equal to or greater than 35
* Ability to walk across a room with or without an assistive device
* Willingness and ability to follow instructions
* Interest in weight management
* At least two of the following conditions: hypertension, cardiovascular conditions including heart failure, diabetes mellitus, hyperlipidemia, non-alcoholic steatohepatitis, obstructive sleep apnea, osteoarthritis

Exclusion Criteria:

* Active mental health disorder, such as major depression
* Moderate to severe cognitive impairment
* Mobility limited to bed-bound status

Primary outcomes:
measure: Percentage of participants who attend physical therapy appointments
timeFrame: 6 months
measure: Percentage of participants who achieve treatment goals
timeFrame: 6 months
measure: Percentage of participants who attend nutritional consultation appointments
timeFrame: 6 months
measure: Percentage of participants who access community resources
timeFrame: 6 months
Secondary outcomes:
measure: Change in PROMIS-29 Score (Patient-Reported Outcomes Measurement Information System)
timeFrame: 6 months
measure: Change in reported participant pain levels
timeFrame: 6 months
measure: Change in NHATS (National health and aging trends study) Score
timeFrame: 6 months
measure: Change in patient mobility
timeFrame: 6 months, 12 months
measure: Change in Life Space Assessment Score
timeFrame: 6 months
Other outcomes:
measure: NUTRITION assessment by ASA24 food recall - fat
timeFrame: 6 months
measure: NUTRITION assessment by ASA24 food recall - kilocalories
timeFrame: 6 months
measure: NUTRITION assessment by ASA24 food recall - saturated fat
timeFrame: 6 months
measure: NUTRITION assessment by ASA24 food recall - sodium
timeFrame: 6 months
measure: NUTRITION assessment by ASA24 food recall - added sugar
timeFrame: 6 months
measure: NUTRITION assessment by ASA24 food recall - alcohol
timeFrame: 6 months
Locations:
city: Ann Arbor
country: United States
facility: University of Michigan - East Ann Arbor Geriatrics Center
state: Michigan
Study officials:
References: