Examining Reach and Implementation of an Evidence-based Weight Loss Program in Rural Primary Care

Completed · Not applicable

Conditions studied: Obesity

In brief

The majority of American adults do not meet recommended guidelines for healthy eating or physical activity and are overweight or obese, which puts them at risk for chronic disease, poor quality of life, and increased personal and public health care costs. Despite the development and success of a number of evidence-based weight management interventions, these programs have lacked systematic and consistent translation in clinical practice or community services. Further, few of these interventions have been tested in rural populations, where there is a disproportionally high number of obese individuals, and resources to support such programs are lacking. Primary care clinics have the necessary resources to support such programs, and might be the ideal setting to intervene and address concerns of weight loss and management in rural areas. The intent of the proposed project is to increase the capacity of primary care in rural Nebraska to translate evidence-based weight management approaches into practice, improve the speed of uptake and the likelihood of sustainability, and reach a large and representative group of individuals. To achieve this, the investigators will 1) conduct a limited effectiveness and feasibility study to determine impact on weight loss of 100 overweight and obese adult patients in a rural Nebraska primary care clinic, and 2) test multiple strategies for recruitment to determine best practices for program reach. The primary outcome for program effectiveness is percent body weight loss, and the primary outcome for program feasibility is reach, defined as the proportion of individuals who enroll in the program per each recruitment strategy. The proposed project provides a means of implementing an evidence-based weight loss program in rural Nebraska, has the capacity to create meaningful change in patient weight status, and has the potential to influence future efforts to translate evidence-based weight management programs into rural primary care practice.

Key facts

Study ID

NCT03690557

Run by

University of Nebraska

People needed

98

Starts

2018-10-24

Expected to finish

2020-12-31

Last updated by the study team

2023-09-28

Who can join

Age: 19 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Patient of Butler County Clinic in David City, Nebraska
• BMI ≥25 (determined by patients electronic medical record measurement)
• Aged 19 or older
• Own an Apple or Android smartphone
• Have an active email address and have an understanding of how to navigate the internet
• Able to engage in physical activity and modify eating habits
• Approved to participate by primary care provider
• Capable of providing consent to participate

You may not qualify if…

• Not meeting all inclusion criteria
• Currently scheduled for bariatric surgery or had bariatric surgery within the past 3 years
• Currently undergoing treatment for cancer
• Currently on a prescribed medical diet
• Diagnosed with an eating disorder
• Currently participating in another weight management activity or interventional research trial
• Had a heart attack or stroke within the past 6 months or currently in cardiac rehabilitation
• Currently on dialysis or an active organ transplant list
• Currently pregnant or planning to become pregnant in the next 12 months
• Planning to move outside of the recruitment area in the next 12 months

Where it is running

• Butler County Clinic — David City, Nebraska, United States

Full record on ClinicalTrials.gov

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