NCT07049861

Advancing Biopsychosocial Care Training Initiative

Increasing Access to USPSTF-Recommended Obesity Care for Youth and Adults Who Are Recipients of Medicaid: Evaluation of a Comprehensive Multidisciplinary Obesity Care Training Program in FQHCs

• Status: Recruiting
• Phase: N/A
• Study type: Interventional
• Enrollment: 6,200 (estimated)
• Sponsor: Washington University School of Medicine · Academic / Other
• Sex: All
• Age: 5 Years
• Healthy volunteers: Accepted

Summary

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.

Conditions

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

Interventions

Type	Name	Description
OTHER	Comprehensive Multidisciplinary Obesity Care	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.
OTHER	Implementation as Usual Control	The standard of care implemented in FQHCs in the absence of CMOC training.

Timeline

• Start date: 2025-07-09
• Primary completion: 2029-07-31
• Completion: 2029-07-31
• First posted: 2025-07-03
• Last updated: 2026-02-25

Locations

1 site across 1 country: United States