Evidence map›Paper›PMID 33054845›Full record

Trial reportBMC medical education2020

Impact of an educational intervention combining clinical obesity preceptorship with electronic networking tools on primary care professionals: a prospective study.

Jean-Patrice Baillargeon, Denise St-Cyr-Tribble, Marianne Xhignesse, Christine Brown, André C Carpentier, Martin Fortin, Andrew Grant, Judith Simoneau-Roy, Marie-France Langlois

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in BMC medical education, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01385397 (Integrated Obesity Care Management System), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01385397 nacompletednot on this map

Integrated Obesity Care Management System

TypeinterventionalSponsorUniversité de SherbrookeRan2006Enrolled39ConditionsObesityArmsPreceptorship and virtual community
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Jean-Patrice BaillargeonDivision of Endocrinology, Department of Medicine, Université de Sherbrooke, Sherbrooke, Québec, J1H 5N4, Canada.
Denise St-Cyr-TribbleNursing school, Université de Sherbrooke, Sherbrooke, Québec, J1H 5N4, Canada.
Marianne XhignesseDepartment of Family Medicine, Université de Sherbrooke, Sherbrooke, Québec, J1H 5N4, Canada.
Christine BrownDivision of Endocrinology, Department of Medicine, Université de Sherbrooke, Sherbrooke, Québec, J1H 5N4, Canada.
André C CarpentierDivision of Endocrinology, Department of Medicine, Université de Sherbrooke, Sherbrooke, Québec, J1H 5N4, Canada.
Martin FortinDepartment of Family Medicine, Université de Sherbrooke, Sherbrooke, Québec, J1H 5N4, Canada.
Andrew GrantDepartment of Biochemistry, Collaborative Research for Effective Diagnosis research unit, Université de Sherbrooke, Sherbrooke, Québec, J1H 5N4, Canada.
Judith Simoneau-RoyDepartment of Pediatrics, Université de Sherbrooke, Sherbrooke, Québec, J1H 5N4, Canada.
Marie-France LangloisDivision of Endocrinology, Department of Medicine, Université de Sherbrooke, Sherbrooke, Québec, J1H 5N4, Canada. marie-france.langlois@usherbrooke.ca.ORCID http://orcid.org/0000-0002-4011-8105
Université de Sherbrooke · CA

Funding

CIHR PHE 78707
6 · The paper itself

Abstract

backgroundPrimary care providers' (PCPs) attitude toward obesity is often negative, and their confidence level for helping patients manage their weight is low. Continuing professional development (CPD) on the subject of obesity is often based on a single activity using a traditional passive approach such as lectures known to have little effect on performance or patient outcomes. The aim of this study was to evaluate the impact of an educational intervention for obesity management on PCPs' attitude, self-efficacy, practice changes and patient-related outcomes.

methodsProspective interventional study with 12 months follow-up. A two-day clinical obesity preceptorship was offered where participants were actively involved in competence building using real-life situations, in addition to electronic networking tools, including a discussion forum and interactive monthly webinars. Thirty-five participants (12 nurses and 23 physicians) from seven Family medicine groups were enrolled. Questionnaires were used to evaluate the impact on primary care nurses' and physicians' attitudes and self-efficacy for obesity management. Practice changes and patient outcomes were evaluated using clinical vignettes, de-identified electronic patient records and qualitative analyses from group interviews.

resultsPhysicians' general attitude towards patients with obesity was improved (61 ± 22 mm vs 85 ± 17 mm, p <  0.001). Self-efficacy for obesity management and lifestyle counselling were also improved immediately and 1 year after the intervention (all Ps <  0.05). De-identified patient records and clinical vignettes both showed improvement in recording of weight, waist circumference and evaluation of readiness to change lifestyle (all Ps <  0.05) that was confirmed by group interviews. Also, 15% of patients who were prospectively registered for weight management had lost more than 5% of their initial weight at the time of their last visit (P <  0.0001, median follow-up of 152 days).

conclusionA multimodal educational intervention for obesity management can improve PCPs'attitude and self-efficacy for obesity management and lifestyle counselling. This translates into beneficial practice changes and patient-related outcomes.

trial registrationclinicaltrials.gov Identifier: NCT01385397 . Retrospectively registered, 28 June 2011.

Indexed as

PreceptorshipPrimary Health CareElectronicsHumansObesityProspective StudiesCase-based learningContinuing professional developmentObesity: lifestyleOnline educationPreceptorshipPrimary careTeam learning

Identifiers

PMID33054845
PMCPMC7556981
OpenAlexW3092896581

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.