Comprehensive Multidisciplinary Care for Obesity
(ABC Initiative Trial)
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial aims to identify the best approach for providing obesity care in community health centers. It compares two training methods for healthcare providers to determine which leads to greater weight loss and improved care for patients. The trial will also examine the frequency of treatment use by patients and the long-term adoption of these methods by healthcare providers. This trial suits Medicaid patients with obesity who visit participating clinics. As an unphased trial, it allows patients to contribute to innovative obesity care strategies that could enhance future healthcare practices.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your healthcare provider.
What prior data suggests that these training approaches are safe for obesity care?
Research has shown that a well-rounded approach to obesity care is generally safe and effective. This method trains healthcare providers to follow established guidelines for treating obesity. Studies have found that these programs can lead to significant weight loss without major safety issues. For example, participants in these programs lost between 5.9% and 9.8% of their body weight. However, some side effects, similar to those from weight loss medications, might occur. These side effects are usually mild and manageable. Overall, evidence suggests that this treatment is safe for most people.12345
Why are researchers excited about this trial?
Researchers are excited about the Comprehensive Multidisciplinary Obesity Care (CMOC) approach because it offers a holistic and tailored strategy for managing obesity. Unlike standard treatments that often focus on just diet or exercise, CMOC integrates multiple disciplines, combining nutrition, physical activity, and behavioral therapy into one cohesive program. This comprehensive method aims to provide a more sustainable and personalized plan for individuals struggling with obesity, potentially leading to better long-term outcomes. Additionally, the CMOC training for healthcare providers at Federally Qualified Health Centers could enhance the quality and consistency of care, making effective obesity management more accessible to diverse populations.
What evidence suggests that this trial's treatments could be effective for obesity?
This trial will compare two approaches to obesity care. Participants in the Comprehensive Multidisciplinary Obesity Care (CMOC) arm will receive a team-based approach to treating obesity, which research has shown can help people lose more weight. Studies have found that when health professionals like doctors and dietitians work together, people manage their weight better. This method also helps people adhere to their obesity medications longer. Overall, this approach is effective because it addresses various aspects of lifestyle and health, providing a well-rounded way to tackle obesity. Meanwhile, the Implementation as Usual Control (IAUC) arm will follow standard practices, with the option to receive CMOC training after the trial.14678
Who Is on the Research Team?
Denise Wilfley, Ph.D.
Principal Investigator
Washington University School of Medicine
Are You a Good Fit for This Trial?
This trial is for individuals dealing with obesity, including childhood obesity. It's being conducted in Federally Qualified Health Centers and aims to help patients achieve significant weight loss and improve their overall health by comparing two different training approaches for obesity care.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Training
Provider Trainees receive either CMOC or IAUC Training during the 12-month training period
Sustainability
A 12-month sustainability period following the training phase
Follow-up
Participants are monitored for changes in patient percent overweight and other outcomes
What Are the Treatments Tested in This Trial?
Interventions
- Comprehensive Multidisciplinary Obesity Care
- Implementation as Usual Control
Trial Overview
The study is testing the effectiveness of Comprehensive Multidisciplinary Obesity Care against a control group receiving standard implementation. It will measure patient weight change, treatment utilization, provider referrals to recommended care, competency changes in providers, and compare costs of both approaches.
How Is the Trial Designed?
2
Treatment groups
Active Control
The Provider Trainees at the Federally Qualified Health Centers (FQHCs) assigned to the Comprehensive Multidisciplinary Obesity Care (CMOC) condition will receive the CMOC Training during the12-month training period (months 0-12) of the trial, followed by a 12-month (month 13-24) sustainability period.
The Provider Trainees at the Federally Qualified Health Centers (FQHCs) in the implementation as usual control (IAUC) condition will receive the IAUC Training during the12-month training period (months 0-12) of the trial, followed by a 12-month (month 13-24) sustainability period. Following the 12-month sustainability period, Provider Trainees will be offered the CMOC Training.
Find a Clinic Near You
Who Is Running the Clinical Trial?
Washington University School of Medicine
Lead Sponsor
Children's Mercy Hospital Kansas City
Collaborator
University of Missouri, Kansas City
Collaborator
University of Missouri-Columbia
Collaborator
Missouri Institute of Mental Health
Collaborator
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Collaborator
The Missouri Department of Social Services, MO HealthNet Division, Office of Transformation
Collaborator
Citations
Multidisciplinary comprehensive obesity care model boosts ...
The primary outcomes were percent total weight loss, fat-free mass loss with obesity medications in those with body composition data and ...
Effectiveness of a Multidisciplinary Treatment Program for ...
Objective: The aim of this study is to evaluate the effectiveness of a multidisciplinary treatment program for obesity (MTPO) offered to adults ...
3.
healthcare-bulletin.co.uk
healthcare-bulletin.co.uk/article/systematic-review-managing-obesity-with-multidisciplinary-approaches-2671/Managing Obesity with Multidisciplinary Approaches
This systematic review synthesized evidence from 30 studies to assess the effectiveness of multidisciplinary approaches for managing obesity.
Evolution of multidisciplinary obesity treatments: past ...
Obesity is a complex chronic disease requiring lifelong comprehensive treatment. In addition to lifestyle counseling that improves nutrition and ...
A Comprehensive Multidisciplinary Metabolic Center to ...
Increasing efficiency in obesity treatment is crucial to improving financial and clinical outcomes.
Advancing Biopsychosocial Care Training Initiative
CMOC involves training providers (medical providers, registered dietitians, and behavioral health providers) to deliver guideline-based obesity care for youth ...
Multidisciplinary Team–Based Obesity Treatment in ...
For patients with diabetes, clinical trials have shown that bariatric surgery can lead to greater weight loss and greater improvement in diabetes than intensive ...
2025 Concise Clinical Guidance: An ACC Expert ...
Each of these is limited by modest weight loss (5.9%–9.8%), side effects, and a lack of outcome data related to CVD. Third-generation weight loss medications ...
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