Evidence map›Paper›PMID 35234116›Full record

ArticlePrimary health care research & development2022

Developing weight navigation program to support personalized and effective obesity management in primary care settings: protocol for a quality improvement program with an embedded single-arm pilot study.

Dina H Griauzde, Amal Othman, Chris Dallas, Lauren Oshman, Jonathan Gabison, Dorene S Markel, Caroline R Richardson, Jeffrey T Kullgren, Gretchen Piatt, Michele Heisler and 2 more

Abstract read
In one paragraph

Article in Primary health care research & development, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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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

12 authors.

Dina H GriauzdeVA Ann Arbor Healthcare System, Ann Arbor, MI, USA.ORCID 0000-0002-2260-0299
Amal OthmanDepartment of Family Medicine, University of Michigan, Medical School, Ann Arbor, MI, USA.
Chris DallasDepartment of Internal Medicine, University of Michigan, Medical School, Ann Arbor, MI, USA.
Lauren OshmanDepartment of Family Medicine, University of Michigan, Medical School, Ann Arbor, MI, USA.
Jonathan GabisonDepartment of Family Medicine, University of Michigan, Medical School, Ann Arbor, MI, USA.
Dorene S MarkelDepartment of Learning Health Sciences, University of Michigan, Medical School, Ann Arbor, MI, USA.
Caroline R RichardsonUniversity of Michigan, Institute for Healthcare Policy and Innovation, Ann Arbor, MI, USA.
Jeffrey T KullgrenVA Ann Arbor Healthcare System, Ann Arbor, MI, USA.
Gretchen PiattDepartment of Learning Health Sciences, University of Michigan, Medical School, Ann Arbor, MI, USA.
Michele HeislerVA Ann Arbor Healthcare System, Ann Arbor, MI, USA.
Amy M KilbourneVA Ann Arbor Healthcare System, Ann Arbor, MI, USA.
Andrew KraftsonDepartment of Internal Medicine, University of Michigan, Medical School, Ann Arbor, MI, USA.

Funding

Research BaseP30DK092926 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MARY ELLEN MICHELE HEISLER, ADESUWA B OLOMU · 2011 to 2026
$10.0M
A multilevel intervention to support weight loss among individuals with prediabetes in primary care settingsK23DK123416 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI GRIAUZDE, DINA HAFEZ · 2020 to 2024
$962k
NIDDK NIH HHS K23 DK123416NIDDK NIH HHS P30 DK092926
6 · The paper itself

Abstract

backgroundPrimary care providers (PCPs) are expected to help patients with obesity to lose weight through behavior change counseling and patient-centered use of available weight management resources. Yet, many PCPs face knowledge gaps and clinical time constraints that hinder their ability to successfully support patients' weight loss. Fortunately, a small and growing number of physicians are now certified in obesity medicine through the American Board of Obesity Medicine (ABOM) and can provide personalized and effective obesity treatment to individual patients. Little is known, however, about how to extend the expertise of ABOM-certified physicians to support PCPs and their many patients with obesity.

aimTo develop and pilot test an innovative care model - the Weight Navigation Program (WNP) - to integrate ABOM-certified physicians into primary care settings and to enhance the delivery of personalized, effective obesity care.

methodsQuality improvement program with an embedded, 12-month, single-arm pilot study. Patients with obesity and ≥1 weight-related co-morbidity may be referred to the WNP by PCPs. All patients seen within the WNP during the first 12 months of clinical operations will be compared to a matched cohort of patients from another primary care site. We will recruit a subset of WNP patients (n = 30) to participate in a remote weight monitoring pilot program, which will include surveys at 0, 6, and 12 months, qualitative interviews at 0 and 6 months, and use of an electronic health record (EHR)-based text messaging program for remote weight monitoring. DISCUSSION: Obesity is a complex chronic condition that requires evidence-based, personalized, and longitudinal care. To deliver such care in general practice, the WNP leverages the expertise of ABOM-certified physicians, health system and community weight management resources, and EHR-based population health management tools. The WNP is an innovative model with the potential to be implemented, scaled, and sustained in diverse primary care settings.

Indexed as

Obesity ManagementHumansObesityPilot ProjectsPrimary Health CareQuality Improvementobesitypersonalized carepopulation healthprimary careweight loss

Identifiers

PMID35234116
PMCPMC8919179

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Registered trials

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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.