The Impact of Integrating an Internet Weight Control Program Into Primary Care

Completed · Not applicable

Conditions studied: Overweight, Obese

In brief

The investigators will conduct a randomized controlled trial comparing the effects of three interventions on weight loss at 12 months. The investigators propose to test the impact of integrating an effective automated Internet weight control program into primary care by recruiting patients and randomizing them to one of three conditions: A) Brief physician counseling plus usual care, B) Brief physician counseling plus referral and access to the Internet weight control program and, C) Brief physician counseling plus referral and access to the Internet weight control program plus brief follow-up email notes of support and accountability from Primary Care Physicians. The investigators hypothesize that an online program for weight control can be more effective by enhancing online follow-up with PCPs.

Key facts

Study ID

NCT01606813

Run by

Milton S. Hershey Medical Center

People needed

611

Starts

2012-10-01

Expected to finish

2016-11-01

Last updated by the study team

2016-12-08

Who can join

Age: 21 and older, up to 70. Sex: any. Healthy volunteers: accepted.

You may qualify if…

• Physicians and Mid-level providers (Focus group and RCT):
• Has medical license to practice primary care
• Practice within 60 miles (focus group)/100 miles (RCT) of Penn State Hershey Medical Center
• Practice not located at Penn State Hershey Medical Center campus (focus group)
• Be active primary care providers (provide primary care at least 2 half days per week at one practice)
• Not have had completed a weight management fellowship
• Use internet in their office
• Patients (Focus group only):
• Ages 21-60
• Body Mass Index between 25.0-50.0 kg/m2
• Have internet access at home or work
• Patient of a primary care provider who practices Internal Medicine or Family Community Medicine
• Has seen primary care provider in the last year, not including acute care
• Patients (RCT only)
• Ages 21-70
• Body Mass Index between 25.0-50.0 kg/m2
• Have internet access at home or work
• Patient of a PCP who is participating in the study
• Patient has been seeing the PCP for at least 12 months and has no other PCP
• The PCP must approve the patients' participation

You may not qualify if…

• Physicians and Mid-level providers (RCT only)
• Practice serves a specialty care population
• Pregnant or planning to become pregnant in the next 3 months
• Planning on changing practice locations in the next 12 months
• Planning on retiring in the next 12 months
• Patients (Focus group and RCT)
• Losing >5% of current body weight in the previous 6 months
• Participating in a research project involving weight loss or physical activity in the previous 6 months
• Pregnancy during the previous 6 months, lactating, or planning to become pregnant in the next 3 months (focus group)/12 months (RCT)
• Planning on moving out of the area in the next 3 months (focus group)/12 months (RCT)
• Current treatment for a condition or with a medication that could impact weight (Orlistat - aka. Alli, Phentermine, Topiramate - aka. Topamax) and are not willing to stop for duration of the study
• Hospitalization for psychiatric problems during the prior year
• Patients (RCT only)
• Had weight loss surgery
• Planning on changing primary care provider in the next 12 months
• Participating in an online or community weight loss program (e.g., Weight Watchers) and not willing to stop for the duration of the study
• Doctor has diagnosed a heart condition and said should only do physical activity recommended by doctor
• Feel pain in chest when doing physical activity
• In the past month, have had chest pain when not doing physical activity
• In the end stages of renal, liver or kidney diseases
• Has heart failure
• Has/had cancer in past 5 years (except non-melanoma skin cancer)
• Cannot walk for exercise for 10 minutes
• Not willing to participate in 12-month intervention
• Taking insulin

Where it is running

• Penn State Hershey Medical Center — Hershey, Pennsylvania, United States

Full record on ClinicalTrials.gov

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