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

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new program designed to help doctors manage obesity more effectively. The program, a 2-day preceptorship on obesity management, combines hands-on learning with online support to enhance how doctors assist patients with weight loss, particularly those with high blood pressure, type 2 diabetes, or blood sugar issues. The trial includes two groups: one receiving this new training and one without any intervention. It seeks patients who have had at least four doctor visits in the past two years for these conditions and maintain stable medication routines. As an unphased trial, this study provides a unique opportunity to contribute to improving obesity management practices.

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 prior data suggests that this program is safe for obesity management?

Research has shown that educational programs for managing obesity, such as a 2-day training session, are safe for participants. These sessions have not reported any negative effects. In fact, studies indicate that these programs boost primary care doctors' confidence and positivity in treating obesity. This demonstrates that the training is both safe and effective in enhancing doctors' skills and attitudes. There is no need to worry about safety with this type of educational program. ^{1 2 3 4 5}

Why are researchers excited about this trial?

Researchers are excited about the 2-day preceptorship on obesity management because it offers an innovative approach through intensive training combined with e-learning. Unlike traditional methods that focus primarily on diet and medication, this treatment emphasizes enhancing healthcare providers’ skills and knowledge, potentially leading to more effective patient interactions and management strategies. By equipping providers with up-to-date, practical tools, this approach has the potential to improve patient outcomes and engagement in managing obesity more effectively.

What evidence suggests that this obesity management training is effective for improving obesity management?

Research has shown that a 2-day training program on obesity management can greatly improve primary care doctors' attitudes and confidence in treating obesity. In this trial, some participants will receive preceptorships with e-learning, while others will be in a control group with no intervention. Doctors who participated in these hands-on sessions reported positive changes in their medical practice. These improvements persisted even a year later, indicating long-term benefits. The program aims to help doctors better manage weight loss and related health issues like high blood pressure, type 2 diabetes, and high blood sugar. Overall, this approach has proven to make obesity management more effective in primary care settings. ^{1 2 6 7 8}

Who Is on the Research Team?

Marie-France Langlois, MD

Principal Investigator

Université de Sherbrooke

Are You a Good Fit for This Trial?

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 for a Trial Participant

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

What Are the Treatments Tested in This Trial?

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.

How Is the Trial Designed?

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+

Published Research Related to This Trial

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]

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]

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]

Citations

1. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC7556981/

Impact of an educational intervention combining clinical ... The aim of this study was to evaluate the impact of an educational intervention for obesity management on PCPs' attitude, self-efficacy, practice changes and ...

2. sciencedirect.com sciencedirect.com/science/article/am/pii/S2667368123000311

A scoping review of obesity education interventions for ... Main Outcomes Assessed and Results Audience Description. Baillargeon,. 2020 [23]. ○ A 2-day obesity preceptorship was offered. ○ Interactive sessions were ...

3. researchgate.net researchgate.net/publication/345392387_Impact_of_an_educational_intervention_combining_clinical_obesity_preceptorship_with_electronic_networking_tools_on_primary_care_professionals_a_prospective_study

Impact of an educational intervention combining clinical ... A two-day clinical obesity preceptorship was offered where participants were actively involved in competence building using real-life situations, in ...

4. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC10728706/

A scoping review of obesity education interventions for current ... The purpose of this scoping review was to summarize existing educational interventions on obesity in Canada for current and prospective medical professionals

5. researchgate.net researchgate.net/figure/Proportion-of-individuals-reaching-12-months-allocated-to-treatment-types-over-12-months_fig3_7693992

Proportion of individuals reaching 12 months allocated to... A two-day clinical obesity preceptorship was offered where participants were actively involved in competence building using real-life situations, in ...

6. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC6947955/

Improving obesity management training in family medicine Following the course, residents reported improved attitudes towards people living with obesity and improved confidence for obesity counselling. Pre/post ...

7. researchgate.net researchgate.net/publication/338438404_Improving_obesity_management_training_in_family_medicine_Multi-methods_evaluation_of_the_5AsT-MD_pilot_course

Improving obesity management training in family medicine Results: Following the course, residents reported improved attitudes towards people living with obesity and improved confidence for obesity counselling. Pre/ ...

8. scholarworks.waldenu.edu scholarworks.waldenu.edu/cgi/viewcontent.cgi?article=13618&context=dissertations

Use of Evidence-Based Clinical Practice Guidelines in Obesity ... The staff education project provided the awareness of evidence-based recommendations in the management of overweight or obesity for the women seen in the ...