Improving team-based biopsychosocial training so clinics can deliver recommended obesity care

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

The initiative randomly compares a comprehensive multidisciplinary obesity care training approach to an implementation-as-usual control across Federally Qualified Health Centers affiliated with Washington University School of Medicine. It measures patient-level outcomes such as relative weight change and the proportion achieving clinically significant weight loss, and it tracks treatment reach and utilization. The project also measures provider behavior by comparing referral rates to USPSTF-recommended care at 12 and 24 months and by measuring short- and long-term changes in provider obesity-care competencies. Finally, the study compares implementation processes and service costs between the two training approaches.

Why it matters

Who can join: the full rules

Study Eligibility Criteria - Provider Trainees:

* Provider Trainees must be PCPs, BHPs, RDNs, or CHWs who work at participating clinics.

  * PCPs that are eligible to participate as Provider Trainees can be any of the following: Medical Doctors (MD), Doctor of Osteopathic Medicine (DO), Physician Assistants (PA), or Nurse Practitioners (NP). PCPs must see patients in a primary care setting and be capable of referring patients to IBT and MNT. PCPs must have already completed their residency (when applicable).
  * BHPs that are eligible to participate as Provider Trainees must be at least one of the following categories (listed with typical credentials): Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), Licensed Marriage and Family Therapist (LMFT), Psychologist (PhD/PsyD), Psychiatric Nurse Practitioner, Psychiatrist (MD).
  * RDNs that are eligible to participate as Provider Trainees must be Registered Dietitians/Registered Dietitian Nutritionists.
  * CHWs must work as Community Health Workers, or in functionally similar role, within participating clinics

Study Eligibility - EHR Patients: Benefit-Eligible Patients from Participating Clinics

* Benefit-Eligible Patients from Participating Clinics can either be youth (ages 5-20) or adults (ages 21+) and must be recipients of Medicaid, eligible for the MO Medicaid benefit (i.e., Medicaid recipients with obesity), and have been seen at participating FQHC clinics.

Exclusion Criteria - Provider Trainees:

* Not at a participating clinic
* PCPs who do not have the ability to refer to IBT or MNT
* Resident Doctors
* A doctor specializing in reproductive health (or related fields)

Exclusion Criteria - Benefit-Eligible Patients from Participating Clinics:

* Patients without obesity
* Patients not on Medicaid
* Youth under the age of 5
* Not a patient at a participating clinic

Where it's running

• Washington University School of Medicine
  St Louis, Missouri, United States Recruiting

Study contacts

• Principal investigator: Denise Wilfley, Ph.D. — Washington University School of Medicine
• Study coordinator: Aubrie Hampp, MSc
• Email: ahampp@wustl.edu
• Phone: 314-662-2005

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.