NCT02456636

Rural Engagement in Primary Care for Optimizing Weight Reduction

Rural Engagement in Primary Care for Optimizing Weight Reduction (RE-POWER)

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 1,432 (actual)
• Sponsor: University of Kansas Medical Center · Academic / Other
• Sex: All
• Age: 20 Years – 75 Years
• Healthy volunteers: Not accepted

Summary

The purpose of this study is to compare three methods for managing obesity in rural patients, to see which method will result in patients being able to attain their weight loss goal and maintain that weight loss.

Detailed description

Nearly 20% of the U.S. population lives in rural communities. Rural residents suffer at a higher rate from obesity and obesity-related illnesses, including diabetes, heart disease, and arthritis. Local primary care physicians are an important resource for treating obesity in rural areas because of a lack of other community resources. This study is looking at how effective current, real-world primary care treatment models are in helping rural residents lose weight and maintain that weight loss. Physician clinics will be randomized (like picking numbers from a hat) to conduct one of the three methods. The method a participant is part of will depend on the method their physician's clinic is randomized to. The three methods involved in this study are: 1. Individual weight-management counseling in person (in clinic individual visits) 2. Group weight-management counseling, both in person and by telephone; the latter if preferred by the group (in clinic group visits) 3. Group weight-management counseling by telephone (phone group visits) Participants will be in the study about 24 months. The number of in-person clinic visits and phone calls each participant will be asked to complete depends on the method.

Conditions

• Obesity

Interventions

Type	Name	Description
BEHAVIORAL	Fee-for-Service Model (FFS, In clinic individual visits)	To be performed by participant's doctor or other healthcare professional in their doctor's office.
BEHAVIORAL	Patient Centered Medical Home (PCMH, In clinic group visits)	To be performed by a registered dietitian, a nurse or other healthcare professional in their local setting.
BEHAVIORAL	Disease Management (DM, Phone group visits)	To be performed by obesity treatment specialists with relevant graduate training and experience with weight loss counseling via telephone.

Timeline

• Start date: 2016-02-15
• Primary completion: 2019-12-30
• Completion: 2019-12-30
• First posted: 2015-05-28
• Last updated: 2020-12-07
• Results posted: 2020-07-29

Locations

1 site across 1 country: United States