1692-P: Designing and Testing a Novel Weight Navigation Program to Improve Obesity Treatment in Primary Care Settings
Background: We developed and tested a novel Weight Navigation Program (WNP). The WNP aims to (1) integrate American Board of Obesity Medicine Diplomates into primary care teams, (2) deliver preference-sensitive weight management treatment, and (3) optimize patients’ achievement of ≥5% weight loss th...
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| Veröffentlicht in: | Diabetes (New York, N.Y.) N.Y.), 2023-06, Vol.72 (Supplement_1), p.1 |
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| container_title | Diabetes (New York, N.Y.) |
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| creator | GRIAUZDE, DINA H. TURNER, CASSIE D. HENDERSON, JAMES OTHMAN, AMAL OSHMAN, LAUREN GABISON, JONATHAN WALFORD, ERIC ARIZACA-DILEO, PATRICIA K. BECKIUS, DEENA I. KRAFTSON, ANDREW T. |
| description | Background: We developed and tested a novel Weight Navigation Program (WNP). The WNP aims to (1) integrate American Board of Obesity Medicine Diplomates into primary care teams, (2) deliver preference-sensitive weight management treatment, and (3) optimize patients’ achievement of ≥5% weight loss through remote weight monitoring with proactive outreach to support patients with |
| doi_str_mv | 10.2337/db23-1692-P |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_2849360801</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2849360801</sourcerecordid><originalsourceid>FETCH-LOGICAL-c641-6b491855afd0b181fbb94dcd8ef49aaf4f303c198e7b5e6850a844e8b2814133</originalsourceid><addsrcrecordid>eNotkN1LwzAUxYMoOKdP_gMBH6War7aJbzK_BmMbbKBvIWmT2rG2M0kH--9NrdyHex9-nHvOAeAWowdCaf5YakITnAmSrM_ABAsqEkryr3MwQQiTBOcivwRX3u8QQlmcCehH-gm-GF9Xbd1WULUl3Bof_m647I5mDz9NXX0HuFTHulKh7lq4dl3lVANDB-fNwUUKrnTUCCe4dUaFxrQB1gNXN8qd4Ew5AzcmDLL-GlxYtffm5n9PwebtdTv7SBar9_nseZEUGcNJppnAPE2VLZHGHFutBSuLkhvLhFKWWYpogQU3uU5NxlOkOGOGa8Ixw5ROwd2oGu399DGR3HW9a-NDSTgTNEMc4Ujdj1ThOu-dsfIwWpYYyaFVObQqh57kmv4CB6VqAw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2849360801</pqid></control><display><type>article</type><title>1692-P: Designing and Testing a Novel Weight Navigation Program to Improve Obesity Treatment in Primary Care Settings</title><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><creator>GRIAUZDE, DINA H. ; TURNER, CASSIE D. ; HENDERSON, JAMES ; OTHMAN, AMAL ; OSHMAN, LAUREN ; GABISON, JONATHAN ; WALFORD, ERIC ; ARIZACA-DILEO, PATRICIA K. ; BECKIUS, DEENA I. ; KRAFTSON, ANDREW T.</creator><creatorcontrib>GRIAUZDE, DINA H. ; TURNER, CASSIE D. ; HENDERSON, JAMES ; OTHMAN, AMAL ; OSHMAN, LAUREN ; GABISON, JONATHAN ; WALFORD, ERIC ; ARIZACA-DILEO, PATRICIA K. ; BECKIUS, DEENA I. ; KRAFTSON, ANDREW T.</creatorcontrib><description>Background: We developed and tested a novel Weight Navigation Program (WNP). The WNP aims to (1) integrate American Board of Obesity Medicine Diplomates into primary care teams, (2) deliver preference-sensitive weight management treatment, and (3) optimize patients’ achievement of ≥5% weight loss through remote weight monitoring with proactive outreach to support patients with <5% weight loss.
Methods: This is a quality improvement program conducted at an academic primary care site from October 2020 to September 2021. WNP inclusion criteria are BMI ≥30 and ≥1 weight-related condition. Primary outcomes were measures of feasibility, including rates of referral to and engagement in the WNP. Secondary outcomes were mean weight loss and percentage of patients achieving ≥5% weight loss. We compared rates of referral to weight management treatment programs (i.e., nutrition counseling, meal replacement (MR), bariatric surgery) and prescribing of weight management medications (WMMs) among WNP-eligible patients at the pilot site and at a nearby clinic (control). Rates are also reported for patients with a completed WNP visit.
Results: Of 1,533 eligible patients, 238 (16%) were referred to the WNP and 135 (9%) completed a WNP visit. Mean percent weight change at 12-months for WNP patients was 5% and 39% achieved ≥5% weight loss. WNP-eligible patients at the WNP site (n=1,533) were referred to WMTs and prescribed WMMs at similar rates to WNP-eligible patients at the control site (n=2,913) (nutrition counseling 4.8% v. 6.8%, MR 1.0% v. 0.6%, WMM 2.0% v. 3.2%, bariatric surgery 1.2% vs. 1.8%). Patients with a completed WNP visit (n=135) received WMTs at substantially higher rates than the pilot and control sites (nutrition counseling 26.7%, MR 13.3%, WMM 11.9%, bariatric surgery 16.3%).
Discussion: A WNP is feasible and may support achievement of ≥5% weight loss. Additional work is needed to compare the efficacy of WNP vs usual care for weight loss.</description><identifier>ISSN: 0012-1797</identifier><identifier>EISSN: 1939-327X</identifier><identifier>DOI: 10.2337/db23-1692-P</identifier><language>eng</language><publisher>New York: American Diabetes Association</publisher><subject>Counseling ; Gastrointestinal surgery ; Nutrition ; Obesity ; Patients ; Primary care ; Quality control ; Surgery ; Weight ; Weight control</subject><ispartof>Diabetes (New York, N.Y.), 2023-06, Vol.72 (Supplement_1), p.1</ispartof><rights>Copyright American Diabetes Association Jun 2023</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids></links><search><creatorcontrib>GRIAUZDE, DINA H.</creatorcontrib><creatorcontrib>TURNER, CASSIE D.</creatorcontrib><creatorcontrib>HENDERSON, JAMES</creatorcontrib><creatorcontrib>OTHMAN, AMAL</creatorcontrib><creatorcontrib>OSHMAN, LAUREN</creatorcontrib><creatorcontrib>GABISON, JONATHAN</creatorcontrib><creatorcontrib>WALFORD, ERIC</creatorcontrib><creatorcontrib>ARIZACA-DILEO, PATRICIA K.</creatorcontrib><creatorcontrib>BECKIUS, DEENA I.</creatorcontrib><creatorcontrib>KRAFTSON, ANDREW T.</creatorcontrib><title>1692-P: Designing and Testing a Novel Weight Navigation Program to Improve Obesity Treatment in Primary Care Settings</title><title>Diabetes (New York, N.Y.)</title><description>Background: We developed and tested a novel Weight Navigation Program (WNP). The WNP aims to (1) integrate American Board of Obesity Medicine Diplomates into primary care teams, (2) deliver preference-sensitive weight management treatment, and (3) optimize patients’ achievement of ≥5% weight loss through remote weight monitoring with proactive outreach to support patients with <5% weight loss.
Methods: This is a quality improvement program conducted at an academic primary care site from October 2020 to September 2021. WNP inclusion criteria are BMI ≥30 and ≥1 weight-related condition. Primary outcomes were measures of feasibility, including rates of referral to and engagement in the WNP. Secondary outcomes were mean weight loss and percentage of patients achieving ≥5% weight loss. We compared rates of referral to weight management treatment programs (i.e., nutrition counseling, meal replacement (MR), bariatric surgery) and prescribing of weight management medications (WMMs) among WNP-eligible patients at the pilot site and at a nearby clinic (control). Rates are also reported for patients with a completed WNP visit.
Results: Of 1,533 eligible patients, 238 (16%) were referred to the WNP and 135 (9%) completed a WNP visit. Mean percent weight change at 12-months for WNP patients was 5% and 39% achieved ≥5% weight loss. WNP-eligible patients at the WNP site (n=1,533) were referred to WMTs and prescribed WMMs at similar rates to WNP-eligible patients at the control site (n=2,913) (nutrition counseling 4.8% v. 6.8%, MR 1.0% v. 0.6%, WMM 2.0% v. 3.2%, bariatric surgery 1.2% vs. 1.8%). Patients with a completed WNP visit (n=135) received WMTs at substantially higher rates than the pilot and control sites (nutrition counseling 26.7%, MR 13.3%, WMM 11.9%, bariatric surgery 16.3%).
Discussion: A WNP is feasible and may support achievement of ≥5% weight loss. Additional work is needed to compare the efficacy of WNP vs usual care for weight loss.</description><subject>Counseling</subject><subject>Gastrointestinal surgery</subject><subject>Nutrition</subject><subject>Obesity</subject><subject>Patients</subject><subject>Primary care</subject><subject>Quality control</subject><subject>Surgery</subject><subject>Weight</subject><subject>Weight control</subject><issn>0012-1797</issn><issn>1939-327X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNotkN1LwzAUxYMoOKdP_gMBH6War7aJbzK_BmMbbKBvIWmT2rG2M0kH--9NrdyHex9-nHvOAeAWowdCaf5YakITnAmSrM_ABAsqEkryr3MwQQiTBOcivwRX3u8QQlmcCehH-gm-GF9Xbd1WULUl3Bof_m647I5mDz9NXX0HuFTHulKh7lq4dl3lVANDB-fNwUUKrnTUCCe4dUaFxrQB1gNXN8qd4Ew5AzcmDLL-GlxYtffm5n9PwebtdTv7SBar9_nseZEUGcNJppnAPE2VLZHGHFutBSuLkhvLhFKWWYpogQU3uU5NxlOkOGOGa8Ixw5ROwd2oGu399DGR3HW9a-NDSTgTNEMc4Ujdj1ThOu-dsfIwWpYYyaFVObQqh57kmv4CB6VqAw</recordid><startdate>20230620</startdate><enddate>20230620</enddate><creator>GRIAUZDE, DINA H.</creator><creator>TURNER, CASSIE D.</creator><creator>HENDERSON, JAMES</creator><creator>OTHMAN, AMAL</creator><creator>OSHMAN, LAUREN</creator><creator>GABISON, JONATHAN</creator><creator>WALFORD, ERIC</creator><creator>ARIZACA-DILEO, PATRICIA K.</creator><creator>BECKIUS, DEENA I.</creator><creator>KRAFTSON, ANDREW T.</creator><general>American Diabetes Association</general><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope></search><sort><creationdate>20230620</creationdate><title>1692-P: Designing and Testing a Novel Weight Navigation Program to Improve Obesity Treatment in Primary Care Settings</title><author>GRIAUZDE, DINA H. ; TURNER, CASSIE D. ; HENDERSON, JAMES ; OTHMAN, AMAL ; OSHMAN, LAUREN ; GABISON, JONATHAN ; WALFORD, ERIC ; ARIZACA-DILEO, PATRICIA K. ; BECKIUS, DEENA I. ; KRAFTSON, ANDREW T.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c641-6b491855afd0b181fbb94dcd8ef49aaf4f303c198e7b5e6850a844e8b2814133</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Counseling</topic><topic>Gastrointestinal surgery</topic><topic>Nutrition</topic><topic>Obesity</topic><topic>Patients</topic><topic>Primary care</topic><topic>Quality control</topic><topic>Surgery</topic><topic>Weight</topic><topic>Weight control</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>GRIAUZDE, DINA H.</creatorcontrib><creatorcontrib>TURNER, CASSIE D.</creatorcontrib><creatorcontrib>HENDERSON, JAMES</creatorcontrib><creatorcontrib>OTHMAN, AMAL</creatorcontrib><creatorcontrib>OSHMAN, LAUREN</creatorcontrib><creatorcontrib>GABISON, JONATHAN</creatorcontrib><creatorcontrib>WALFORD, ERIC</creatorcontrib><creatorcontrib>ARIZACA-DILEO, PATRICIA K.</creatorcontrib><creatorcontrib>BECKIUS, DEENA I.</creatorcontrib><creatorcontrib>KRAFTSON, ANDREW T.</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><jtitle>Diabetes (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>GRIAUZDE, DINA H.</au><au>TURNER, CASSIE D.</au><au>HENDERSON, JAMES</au><au>OTHMAN, AMAL</au><au>OSHMAN, LAUREN</au><au>GABISON, JONATHAN</au><au>WALFORD, ERIC</au><au>ARIZACA-DILEO, PATRICIA K.</au><au>BECKIUS, DEENA I.</au><au>KRAFTSON, ANDREW T.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>1692-P: Designing and Testing a Novel Weight Navigation Program to Improve Obesity Treatment in Primary Care Settings</atitle><jtitle>Diabetes (New York, N.Y.)</jtitle><date>2023-06-20</date><risdate>2023</risdate><volume>72</volume><issue>Supplement_1</issue><spage>1</spage><pages>1-</pages><issn>0012-1797</issn><eissn>1939-327X</eissn><abstract>Background: We developed and tested a novel Weight Navigation Program (WNP). The WNP aims to (1) integrate American Board of Obesity Medicine Diplomates into primary care teams, (2) deliver preference-sensitive weight management treatment, and (3) optimize patients’ achievement of ≥5% weight loss through remote weight monitoring with proactive outreach to support patients with <5% weight loss.
Methods: This is a quality improvement program conducted at an academic primary care site from October 2020 to September 2021. WNP inclusion criteria are BMI ≥30 and ≥1 weight-related condition. Primary outcomes were measures of feasibility, including rates of referral to and engagement in the WNP. Secondary outcomes were mean weight loss and percentage of patients achieving ≥5% weight loss. We compared rates of referral to weight management treatment programs (i.e., nutrition counseling, meal replacement (MR), bariatric surgery) and prescribing of weight management medications (WMMs) among WNP-eligible patients at the pilot site and at a nearby clinic (control). Rates are also reported for patients with a completed WNP visit.
Results: Of 1,533 eligible patients, 238 (16%) were referred to the WNP and 135 (9%) completed a WNP visit. Mean percent weight change at 12-months for WNP patients was 5% and 39% achieved ≥5% weight loss. WNP-eligible patients at the WNP site (n=1,533) were referred to WMTs and prescribed WMMs at similar rates to WNP-eligible patients at the control site (n=2,913) (nutrition counseling 4.8% v. 6.8%, MR 1.0% v. 0.6%, WMM 2.0% v. 3.2%, bariatric surgery 1.2% vs. 1.8%). Patients with a completed WNP visit (n=135) received WMTs at substantially higher rates than the pilot and control sites (nutrition counseling 26.7%, MR 13.3%, WMM 11.9%, bariatric surgery 16.3%).
Discussion: A WNP is feasible and may support achievement of ≥5% weight loss. Additional work is needed to compare the efficacy of WNP vs usual care for weight loss.</abstract><cop>New York</cop><pub>American Diabetes Association</pub><doi>10.2337/db23-1692-P</doi></addata></record> |
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| subjects | Counseling Gastrointestinal surgery Nutrition Obesity Patients Primary care Quality control Surgery Weight Weight control |
| title | 1692-P: Designing and Testing a Novel Weight Navigation Program to Improve Obesity Treatment in Primary Care Settings |
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