Baseline Characteristics of PATHWEIGH: A Stepped-Wedge Cluster Randomized Study for Weight Management in Primary Care

To describe the characteristics of patients and practice of clinicians during standard-of-care for weight management in a large, multiclinic health system before the implementation of PATHWEIGH, a pragmatic weight management intervention. We analyzed baseline characteristics of patients, clinicians,...

Full description

Saved in:
Bibliographic Details
Published in:Annals of family medicine 2023-05, Vol.21 (3), p.249-255
Main Authors: Perreault, Leigh, Suresh, Krithika, Rodriguez, Carlos, Dickinson, L Miriam, Willems, Emileigh, Smith, Peter C, Williams, Jr, Johnny, Gritz, R Mark, Holtrop, Jodi Summers
Format: Article
Language:English
Subjects:
Adolescent
Adult
Anti-Obesity Agents - therapeutic use
Care and treatment
Cluster Analysis
Female
Humans
Male
Methods
Middle Aged
Obesity
Original Research
Primary Health Care
Referral and Consultation
Weight loss
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:To describe the characteristics of patients and practice of clinicians during standard-of-care for weight management in a large, multiclinic health system before the implementation of PATHWEIGH, a pragmatic weight management intervention. We analyzed baseline characteristics of patients, clinicians, and clinics during standard-of-care for weight management before the implementation of PATHWEIGH, which will be evaluated for effectiveness and implementation in primary care using an effectiveness-implementation hybrid type-1 cluster randomized stepped-wedge clinical trial design. A total of 57 primary care clinics were enrolled and randomized to 3 sequences. Patients included in the analysis met the eligibility requirements of age ≥18 years and body mass index (BMI) ≥25 kg/m and had a weight-prioritized visit (defined a priori) during the period March 17, 2020 to March 16, 2021. A total of 12% of patients aged ≥18 years and with a BMI ≥25 kg/m seen in the 57 practices during the baseline period (n = 20,383) had a weight-prioritized visit. The 3 randomization sequences of 20, 18, and 19 sites were similar, with an overall mean patient age of 52 (SD 16) years, 58% women, 76% non-Hispanic White patients, 64% with commercial insurance, and with a mean BMI of 37 (SD 7) kg/m . Documented referral for anything weight related was low (
ISSN:1544-1709
1544-1717
DOI:10.1370/afm.2966