Advancing Biopsychosocial Care Training Initiative

Washington University School of Medicine6,200 enrolled

Overview

This project will compare two training approaches for US Preventive Services Task Force recommended obesity care in Federally Qualified Health Centers (FQHC) across four aims. Aim 1 compares patient-level effectiveness \[i.e., patient relative weight change and the proportion of patients who achieve clinically significant weight loss\]. Aim 2 compares reach (patient treatment utilization). Aim 3 compares primary care provider (PCP) referrals to USPSTF-recommended care at 12 (adoption) and 24 months (maintenance) and short- and long-term changes in provider obesity care competencies . Aim 4 compares implementation and service costs.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

OTHER

Masking

NONE

Enrollment

6,200

Conditions

Weight Management Obesity Prevention Obesity and Obesity-related Medical Conditions Obesity and Overweight

Interventions

Comprehensive Multidisciplinary Obesity CareOTHER

CMOC is an innovative approach to obesity care delivery that leverages policy, clinical and community linkages, and digital technology for scalability. CMOC involves training providers (medical providers, registered dietitians, and behavioral health providers) to deliver guideline-based obesity care for youth and adults with obesity who receive Medicaid. Guidelines-based care involves screening, identification, weight counseling, and referral to intensive behavioral treatment by medical providers, and delivery of multicomponent intensive behavioral treatment by behavioral health providers and registered dietitians.

Implementation as Usual ControlOTHER

The standard of care implemented in FQHCs in the absence of CMOC training.

Eligibility

Sex: ALLMin age: 5 YearsHealthy volunteers:

Medical Language ↔ Plain English

Study Eligibility Criteria - Provider Trainees: * Provider Trainees must be PCPs, BHPs, RDNs, or CHWs who work at participating clinics. * PCPs that are eligible to participate as Provider Trainees can be any of the following: Medical Doctors (MD), Doctor of Osteopathic Medicine (DO), Physician Assistants (PA), or Nurse Practitioners (NP). PCPs must see patients in a primary care setting and be capable of referring patients to IBT and MNT. PCPs must have already completed their residency (when applicable). * BHPs that are eligible to participate as Provider Trainees must be at least one of the following categories (listed with typical credentials): Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), Licensed Marriage and Family Therapist (LMFT), Psychologist (PhD/PsyD), Psychiatric Nurse Practitioner, Psychiatrist (MD). * RDNs that are eligible to participate as Provider Trainees must be Registered Dietitians/Registered Dietitian Nutritionists. * CHWs must work as Community Health Workers, or in functionally similar role, within participating clinics Study Eligibility - EHR Patients: Benefit-Eligible Patients from Participating Clinics * Benefit-Eligible Patients from Participating Clinics can either be youth (ages 5-20) or adults (ages 21+) and must be recipients of Medicaid, eligible for the MO Medicaid benefit (i.e., Medicaid recipients with obesity), and have been seen at participating FQHC clinics. Exclusion Criteria - Provider Trainees: * Not at a participating clinic * PCPs who do not have the ability to refer to IBT or MNT * Resident Doctors * A doctor specializing in reproductive health (or related fields) Exclusion Criteria - Benefit-Eligible Patients from Participating Clinics: * Patients without obesity * Patients not on Medicaid * Youth under the age of 5 * Not a patient at a participating clinic

Advancing Biopsychosocial Care Training Initiative

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Central Contacts