Increasing uptake of behavioral weight loss programs among primary care patients

初级保健患者越来越多地接受行为减肥计划

基本信息

批准号：
9458792
负责人：
Megan Apperson McVay
金额：
$ 17.04万
依托单位：
UNIVERSITY OF FLORIDA
依托单位国家：
美国
项目类别：
财政年份：
2015
资助国家：
美国
起止时间：
2015-04-07 至 2020-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9458792
关键词：
Academic Medical Centers Address Affordable Care Act Appointment Area Award Behavior Therapy Behavioral Body Weight decreased Clinic Clinical Clinical Trials Cluster randomized trial Comorbidity Computers Counseling Data Development Doctor of Philosophy Educational workshop Effectiveness Effectiveness of Interventions Enrollment Environment Feedback Five-Year Plans Focus Groups Health Health behavior Healthcare Incidence Individual International Intervention Intervention Studies Intervention Trial Interview Literature Mentored Patient-Oriented Research Career Development Award Mentors Modeling Motivation Obesity Online Systems Patient Care Patients Population Pragmatic clinical trial Predisposition Primary Health Care Privatization Procedures Protocols documentation Provider Psychosocial Factor Public Health Qualitative Research Quality of life Randomized Clinical Trials Research Research Methodology Research Personnel Research Training Resources Sampling Scientist Self Efficacy Severities Testing Time Training Translating United States National Institutes of Health Visit Weight Weight maintenance regimen Work adult obesity base care providers career cost cost efficient digital evidence base experience feasibility trial health belief innovation patient oriented research pilot trial post intervention primary care setting primary outcome program costs programs psychosocial public health relevance secondary outcome smoking cessation symposium therapy development trend uptake usability web site weight loss program

项目摘要

DESCRIPTION (provided by applicant): The objective of this proposed K23 award is to prepare Dr. Megan McVay for a career as an independent scientist studying patient-oriented approaches to increase engagement in evidence-based weight management treatment among adults with obesity. To this end, Dr. McVay will obtain training in the areas of qualitative research methods, digital health intervention research, and the conduct of pragmatic clinical trials in primary care settings. The candidate and her mentors have developed a five- year plan to obtain training in these areas that includes coursework, workshops, and attendance at national conferences. Dr. McVay will work closely with her primary mentor, Corrine Voils, PhD, and her co-mentors, Gary Bennett, PhD, and William Yancy, MD, who jointly have nationally and internationally recognized expertise in behavioral weight loss treatment, qualitative research, intervention development, primary care-based clinical trials, and digital health interventions. The proposed research and training will be conducted in the resource-rich environment of Duke University Medical Center. The currently proposed research addresses the problem of poor uptake of evidence-based behavioral weight loss treatment through the development and testing of an intervention delivered via the primary care setting. Specifically, a web-based intervention that is completed by patients remotely, prior to a clinical visit is proposed. The intervention content will be individually tailored and will target determinants of treatment initiation based on our conceptual model, which draws extensively on the Health Belief Model. The delivery of the intervention remotely may allow more patients to receive evidence-based weight counseling while minimizing additional demands on clinic time and space. The first step of intervention development is to better characterize Health Belief Model constructs as they relate to weight loss treatment initiation in a primary care population, which will be accomplished through focus groups (Aim 1). Next, data from Aim 1 will be used to develop intervention content and the intervention website (Sub-aim 2.a.). This preliminary version of the intervention will be refined through usability testing and post-intervention qualitative interviews with patients (Sub-aim 2.b.) and through qualitative interviews with primary care providers (Sub-aim 2c). Finally, a pilot, pragmatic cluster randomized trial will be conducted in primary care clinics to determine intervention acceptability and the feasibility of proposed study protocol (Aim 3). At the end of the award tenure, the applicant will be prepared to submit an NIH R01 to conduct an adequately powered, pragmatic clinical trial to test the effectiveness of the intervention in increasing treatment initiation and weight loss.

描述（由申请人提供）：拟议的 K23 奖项的目的是让 Megan McVay 博士成为一名独立科学家，研究以患者为导向的方法，以提高肥胖成人对基于证据的体重管理治疗的参与度。最后，麦克维博士将获得定性研究方法、数字健康干预研究以及在初级保健机构进行实用临床试验等领域的培训。候选人和她的导师制定了一项五年计划，以获得这些方面的培训。领域包括McVay 博士将与她的主要导师 Corrine Voils 博士以及她的共同导师 Gary Bennett 博士和 William Yancy 医学博士密切合作，他们共同获得了国内和国际认可。拟议的研究和培训将在杜克大学医学中心资源丰富的环境中进行。吸收不良的问题通过开发和测试通过初级保健机构提供的干预措施进行基于证据的行为减肥治疗。具体来说，是由患者在临床就诊之前远程完成的基于网络的干预措施。干预内容将单独进行。基于我们的概念模型，远程干预的实施可以让更多的患者接受基于证据的体重咨询，同时主要减少对诊所时间和空间的额外需求。干预开发的第一步是更好地描述健康信念模型结构，因为它们与初级保健人群中开始减肥治疗有关，这将通过焦点小组来完成（目标 1）接下来，目标 1 的数据将用于开发干预内容和干预网站（子目标 2）。 a.). 该干预措施的初步版本将通过可用性测试和干预后对患者的定性访谈（子目标 2.b.）以及对主要患者的定性访谈进行完善最后，将进行一项试点、务实的整群随机试验。在初级保健诊所确定干预措施的可接受性和拟议研究方案的可行性（目标 3）。在资助期限结束时，申请人将准备提交 NIH R01，以进行充分有力的、务实的临床试验来测试。干预措施在增加治疗开始和体重减轻方面的有效性。