A Toolbox Approach to Obesity Treatment in Urban Safety-Net Primary Care Clinics: a Pragmatic Clinical Trial.

ABSTRACT: BACKGROUND:There is a need for new strategies to improve the success of obesity treatment within the primary care setting. OBJECTIVE:To determine if patients offered low out-of-pocket cost weight management tools achieved more weight loss compared to usual care. DESIGN:Twelve-month pragmatic clinical weight loss trial with a registry-based comparator group performed in primary care clinics of an urban safety-net hospital. PARTICIPANTS:From a large clinical registry, we randomly selected 428 patients to have the opportunity to receive the intervention. INTERVENTIONS:Medical weight management tools-partial meal replacements, recreation center vouchers, pharmacotherapy, commercial weight loss program vouchers, and a group behavioral weight loss program-for $5 or $10 monthly. Patients chose their tools, could switch tools, and could add a second tool at 6 months. MAIN MEASURES:The primary outcome was the proportion of intervention-eligible patients who achieved ??5% weight loss. The main secondary outcome was the proportion of on-treatment patients who achieved ??5% weight loss. KEY RESULTS:Overall, 71.3% (305 of 428) had available weight measurement data/PCP visit data to observe the primary outcome. At 12 months, 23.3% (71 of 305) of intervention-eligible participants and 15.7% (415 of 2640) of registry-based comparators had achieved 5% weight loss (p?

SUBMITTER: Saxon DR 

PROVIDER: S-EPMC6848318 | biostudies-literature | 2019 Nov

REPOSITORIES: biostudies-literature