Obesity Management Training for Obesity

(ROGMF-2 Trial)

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: Université de Sherbrooke

Disqualifiers: Mental health, Psychiatric disorder, Cancer, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: Unknown

460 Participants Needed

Trial Summary

What is the purpose of this trial?

This trial tests a program that helps doctors manage obesity better through expert mentorship and online support. It targets obese or overweight patients with conditions like hypertension and diabetes, aiming to improve doctors' skills and confidence in treating these patients.

Do I need to stop my current medications for this trial?

The trial protocol does not specify if you need to stop your current medications. However, if your medication has changed in the last 6 months, you may not be eligible to participate.

What data supports the effectiveness of the treatment 2-day preceptorship on obesity management?

Research shows that immersive educational programs, like a 2.5-day obesity summit, significantly increased participants' knowledge and confidence in managing obesity, with a 110% relative increase in knowledge and competence. This suggests that similar short-term, intensive training programs can effectively improve healthcare providers' ability to manage obesity. ^{1 2 3 4 5}

Is the obesity management training generally safe for participants?

The research articles do not provide specific safety data for the obesity management training, but they focus on improving knowledge and confidence in managing obesity, which suggests the training is educational and not associated with physical risks. ^{1 2 3 6 7}

How does the 2-day preceptorship on obesity management differ from other treatments for obesity?

The 2-day preceptorship on obesity management is unique because it focuses on training healthcare providers, particularly nurse practitioners and residents, to improve their skills and confidence in managing obesity. Unlike standard treatments that directly target patients, this approach enhances the ability of healthcare professionals to effectively counsel and support patients in managing their weight. ^{1 3 5 7 8}

Research Team

Marie-France Langlois, MD

Principal Investigator

Université de Sherbrooke

Eligibility Criteria

This trial is for patients who have had at least four documented visits in the past two years for conditions like hypertension, type 2 diabetes, or impaired glucose tolerance. It's designed to help primary care physician teams improve their management of obesity.

Inclusion Criteria

I've had at least 4 visits for my condition and 2 follow-ups in the last 2 years.

Exclusion Criteria

My medication has changed in the last 6 months.

I have had cancer within the last five years.

Active mental health problem

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Preceptorship and Virtual Learning

Participants undergo preceptorships combined with a virtual learning community to enhance obesity management skills

12 months

Follow-up

Participants are monitored for changes in practice and self-efficacy in obesity management

12 months

Treatment Details

Interventions

• 2-day preceptorship on obesity management

Trial Overview The study tests an integrated obesity management system that includes a short training program (preceptorship) and ongoing support through a virtual community. The goal is to see if this improves weight loss and obesity care among patients with certain chronic diseases.

Participant Groups

Group I: Preceptorships Experimental Treatment 1 Intervention

Preceptorships with e-learning

Group II: Control Active Control 1 Intervention

No intervention

Who Is Running the Clinical Trial?

Université de Sherbrooke

Lead Sponsor

Trials

317

Recruited

79,300+

Canadian Institutes of Health Research (CIHR)

Collaborator

Trials

1,417

Recruited

26,550,000+

Findings from Research

A study involving 225 nurse practitioner students revealed that they observed significant differences in how preceptors managed obesity, with many preceptors demonstrating positive, unbiased interactions with patients.

Despite concerns in existing literature about weight bias, NP students reported that their preceptors often displayed warmth and support when treating patients with obesity, suggesting a need for continued education on effective and compassionate obesity management.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Nurse practitioner students' observations of preceptor engagement in obesity management and weight bias: A mixed-methods approach. Hauff, C., Fruh, SM., Sims, BM., et al.[2022]

A 2.5-day interactive workshop significantly improved the knowledge and competence of 63 resident and fellow physicians in managing obesity, with an average increase of 110% in their understanding of obesity-related topics.

Participants reported enhanced confidence and improved patient care practices six months after the workshop, indicating that immersive training can lead to meaningful changes in clinical practice regarding obesity management.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Development and outcomes of an immersive obesity summit workshop for medical resident and fellow education. Velazquez, A., Robinson, KJH., Frederick, JL., et al.[2021]

The 5As of Obesity Management™ course significantly improved family medicine residents' attitudes and confidence in obesity counseling, with notable pre/post improvements in their ability to assess, advise, and assist patients, as evidenced by significant changes in BAOP scores (p < .001).

Experiential learning components, such as the bariatric empathy suit and patient practice, were crucial in enhancing residents' empathetic engagement with patients, indicating that hands-on experiences can effectively improve training outcomes in obesity management.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Improving obesity management training in family medicine: multi-methods evaluation of the 5AsT-MD pilot course. Luig, T., Wicklum, S., Heatherington, M., et al.[2020]

The study aims to evaluate an integrated obesity management system that combines training, coaching, and a virtual community for primary care physicians (PCPs), hypothesizing it will improve obesity screening and management in patients with weight-related diseases.

By enrolling 22 patients per family medicine group and assessing their care over 18 months, the research will measure the effectiveness of the intervention on weight loss and patient satisfaction, highlighting the importance of supporting PCPs in managing obesity effectively.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Impact of an integrated obesity management system on patient's care - research protocol. Baillargeon, JP., St-Cyr-Tribble, D., Xhignesse, M., et al.[2023]

References

1. United States pubmed.ncbi.nlm.nih.gov

Nurse practitioner students' observations of preceptor engagement in obesity management and weight bias: A mixed-methods approach. [2022]

2. England pubmed.ncbi.nlm.nih.gov

Development and outcomes of an immersive obesity summit workshop for medical resident and fellow education. [2021]

3. England pubmed.ncbi.nlm.nih.gov

Improving obesity management training in family medicine: multi-methods evaluation of the 5AsT-MD pilot course. [2020]

4. England pubmed.ncbi.nlm.nih.gov

Impact of an integrated obesity management system on patient's care - research protocol. [2023]

5. England pubmed.ncbi.nlm.nih.gov

Improving residents' clinical approach to obesity: impact of a multidisciplinary didactic curriculum. [2021]

6. United States pubmed.ncbi.nlm.nih.gov

Are Graduating Pediatric Residents Prepared to Engage in Obesity Prevention and Treatment? [2018]

7. England pubmed.ncbi.nlm.nih.gov

Training in childhood obesity management in the United States: a survey of pediatric, internal medicine-pediatrics and family medicine residency program directors. [2022]

8. United States pubmed.ncbi.nlm.nih.gov

Pediatric Residency Obesity and Overweight Training Curricula: A Systematic Review. [2020]