Ignite Creation Date:
2024-10-26 @ 3:36 PM
Last Modification Date:
2024-10-26 @ 3:36 PM
Study NCT ID:
NCT06529666
Status:
RECRUITING
Last Update Posted:
None
First Post:
2024-07-26
Brief Title:
Medical Residents Learning Weight Management Counseling Skills
Sponsor:
None
Organization:
None
Study Overview
Official Title:
MRWeight Medical Residents Learning Weight Management Counseling Skills -- A Multi-Modal Technology-Assisted Spaced Education Program
Status:
RECRUITING
Status Verified Date:
2024-07
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
MRWeight
Brief Summary:
The goal of this study is to addresses the lack of weight management training physicians receive during their residency training The main questions it aims to answer are
How affective is the MRWeight curriculum at increasing medical residents weight management counseling WMC skills
Evaluate residents adoption of WMC skills in encounters with their patients
what would be the best way to get residents to adopt the WMC skills Residents in the comparison group will receive a course on obesity and weight management The residents in the intervention group will have to attend 2 informational sessions and will receive 6 email modules on WMC Both groups will also take part in 3 assessments over the course of 18 months to see which group has better WMC skills
How affective is the MRWeight curriculum at increasing medical residents weight management counseling WMC skills
Evaluate residents adoption of WMC skills in encounters with their patients
what would be the best way to get residents to adopt the WMC skills Residents in the comparison group will receive a course on obesity and weight management The residents in the intervention group will have to attend 2 informational sessions and will receive 6 email modules on WMC Both groups will also take part in 3 assessments over the course of 18 months to see which group has better WMC skills
Detailed Description:
Overweight and obesity have reached epidemic proportions in the United States proving to be a very difficult health challenge for both patients and the physicians who care for them Excess weight is a major contributor to heart disease stroke and type 2 diabetes Addressing overweight and obesity in clinical visits is critical to treating and preventing these obesity-associated diseases However Weight Management Counseling WMC uptake is low and physicians report lack of training as a critical barrier to WMC Residency training is a crucial time to influence physicians current and future practice yet there is no evidence-supported WMC curriculum for residents Informed by two pilot studies MRWeight will use spaced-education to train residents to deliver WMC using the 5As framework Ask Advise Assess Assist Arrange and patient-centered counseling As such MRWeight will be delivered in short segments and spaced over 12 months using four components didactic session 1 - a discussion of WMC foundational concepts 3Ps program Prepare Practice Process - an email program using the Video-based Communication Assessment VCA to facilitate practice of challenging cases didactic session 2 - a discussion of key barriers to practicing WMC and email reinforcement of concepts covered in the preceding components Each component guided by Social Cognitive Theory SCT is designed to build on and reinforce the training provided by the other components Using a pair-matched group randomized controlled trial RCT including 8 Internal Medicine residency programs we will test the MRWeight intervention with 3 cohorts of postgraduate year 1 residents followed for 18 months Comparison arm residents will be emailed the PowerPoint of a foundational course on WMC but unlike those in the Intervention comparison sites will not include the didactic sessions or the 3Ps program Our aims are Aim 1 will evaluate the effectiveness of the MRWeight Intervention for increasing residents WMC skills at 12 months Aim 2 will evaluate residents self-reported adoption of WMC skills in their encounters with patients in clinical practice at 18 months Aim 3 will explore possible mechanisms mediators and moderators of the interventions effect on Aim 1 and 2 outcomes residents WMC skills and adoption The study will be the first large trial to test a curriculum that has been integrated into Internal Medicine residency programs for teaching WMC skills The multi-PIs Drs Ockene and Sadasivam will build on 36-years of successfully conducting large randomized trials to evaluate training programs including those that taught the 5As and patient-centered counseling for WMC in 18 medical schools 10 residency sites and 10 primary care settings This study is timely given public health momentum strongly advocating for physician training and involvement in WMC and the dissemination and implementation of clinical guidelines for obesity treatment
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None