Advancing Biopsychosocial Care Training Initiative

Summary

This project will compare two training approaches for US Preventive Services Task Force recommended obesity care in Federally Qualified Health Centers (FQHC) across four aims. Aim 1 compares patient-level effectiveness \[i.e., patient relative weight change and the proportion of patients who achieve clinically significant weight loss\]. Aim 2 compares reach (patient treatment utilization). Aim 3 compares primary care provider (PCP) referrals to USPSTF-recommended care at 12 (adoption) and 24 months (maintenance) and short- and long-term changes in provider obesity care competencies . Aim 4 compares implementation and service costs.

Conditions

• Weight Management
• Obesity Prevention
• Obesity and Obesity-related Medical Conditions
• Obesity and Overweight
• Obesity

Interventions

OTHER

Comprehensive Multidisciplinary Obesity Care

CMOC is an innovative approach to obesity care delivery that leverages policy, clinical and community linkages, and digital technology for scalability. CMOC involves training providers (medical providers, registered dietitians, and behavioral health providers) to deliver guideline-based obesity care for youth and adults with obesity who receive Medicaid. Guidelines-based care involves screening, identification, weight counseling, and referral to intensive behavioral treatment by medical providers, and delivery of multicomponent intensive behavioral treatment by behavioral health providers and registered dietitians.

OTHER

Implementation as Usual Control

The standard of care implemented in FQHCs in the absence of CMOC training.

Sponsors & Collaborators

• National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

  collaborator NIH

• Children's Mercy Hospital Kansas City

  collaborator OTHER

• University of Missouri-Columbia

  collaborator OTHER

• Missouri Institute of Mental Health

  collaborator UNKNOWN

• University of Missouri, Kansas City

  collaborator OTHER

• The Missouri Department of Social Services, MO HealthNet Division, Office of Transformation

  collaborator UNKNOWN

• Washington University School of Medicine

  lead OTHER

Principal Investigators

• Denise Wilfley, Ph.D. · Washington University School of Medicine

Study Design

Allocation

RANDOMIZED

Purpose

OTHER

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

5 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2025-07-14

Primary Completion

2028-12-15

Completion

2028-12-15

Countries

• United States

Study Locations