The GEM (Goals for Eating and Moving) Study
| Status: | Recruiting |
|---|---|
| Conditions: | Obesity Weight Loss |
| Therapuetic Areas: | Endocrinology |
| Healthy: | No |
| Age Range: | 18 - 85 |
| Updated: | 11/21/2018 |
| Start Date: | November 20, 2017 |
| End Date: | December 2020 |
| Contact: | Clare Clare |
| Email: | Clare.Clare@nyumc.org |
| Phone: | 212 686 7500 |
Technology-Assisted Weight Management Intervention Within Patient-Centered Medical Homes: The GEM (Goals for Eating and Moving) Study
The GEM intervention leverages the patient-centered medical home model by using the GEM tool
to provide individually tailored, patient-centered care at the time of the primary care
visit, promote standardized weight management counseling by health coaches and primary team
members, coordinate care between teams and other weight management service providers/programs
(e.g., dietitians, health educators, DPP), and provide feedback to the provider and primary
care team about patients' weight management-related goals, progress, and care.
to provide individually tailored, patient-centered care at the time of the primary care
visit, promote standardized weight management counseling by health coaches and primary team
members, coordinate care between teams and other weight management service providers/programs
(e.g., dietitians, health educators, DPP), and provide feedback to the provider and primary
care team about patients' weight management-related goals, progress, and care.
To establish the efficacy of the GEM intervention, investigators will conduct a cluster
randomized controlled 12-month intervention of 16 primary care teams at two urban healthcare
systems with Medical Home models of care to compare the GEM intervention (intervention arm)
with Enhanced Usual Care (educational materials; control arm).
The specific aims of this study are:
- Test the impact of the GEM intervention on weight change, and clinical and behavioral
outcomes.
- Identify predictors of weight loss in the GEM intervention arm related to: a)
goal-setting processes and b) intervention components
- Determine the impact of the GEM intervention on obesity-related counseling practices and
attitudes in primary care providers.
randomized controlled 12-month intervention of 16 primary care teams at two urban healthcare
systems with Medical Home models of care to compare the GEM intervention (intervention arm)
with Enhanced Usual Care (educational materials; control arm).
The specific aims of this study are:
- Test the impact of the GEM intervention on weight change, and clinical and behavioral
outcomes.
- Identify predictors of weight loss in the GEM intervention arm related to: a)
goal-setting processes and b) intervention components
- Determine the impact of the GEM intervention on obesity-related counseling practices and
attitudes in primary care providers.
Inclusion Criteria:
- Between the ages of 18-85 years of age,
- Body mass index of ≥30kg/m2 OR
- Body mass index of ≥25 kg/m2 with an obesity associated co-morbidity67,68
- Hypertension
- High Cholesterol
- Sleep Apnea
- Osteoarthritis
- Metabolic Syndrome
- Under primary care team care with at least one prior visit with their provider in the
past 12 months
- Access to a telephone, and ability to travel for in-person evaluations at baseline, 6,
12, and 24 months
Exclusion Criteria:
- Patients who do not speak English or Spanish,
- Have active psychosis or other cognitive issues via ICD-10 codes,
- Experienced >5% loss of body weight in the past year,
- Participated in MOVE!, DPP, or another intensive weight management program (>12
sessions) in the past year,
- Have a history of bariatric surgery,
- Are pregnant, or become pregnant during the intervention period,
- Have a provider who states they should not participate,
- Have self-reported inability to read at 5th grade level.
We found this trial at
1
site
550 1st Avenue
New York, New York 10016
New York, New York 10016
Principal Investigator: Melanie Jay, MD
Click here to add this to my saved trials
