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Geisinger Education Intervention Study in Obesity Protocol (GEISO)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01160146
Recruitment Status : Completed
First Posted : July 12, 2010
Last Update Posted : August 17, 2015
Ethicon Endo-Surgery
Information provided by (Responsible Party):
Geisinger Clinic

Brief Summary:
Overweight and obesity has become an epidemic which warrants more aggressive treatment. However, few primary care physicians (PCPs) address this issue or do not possess adequate education regarding treatment modalities such as nutrition counseling or bariatric surgery. The primary goal of this study will be to determine whether the referrals for weight management can be influenced through obesity education.

Condition or disease

Detailed Description:

Evaluation of educational interventions focusing on the treatment of obesity will include in person CME sessions, interactive game/virtual patient computer software and two 30 minute DVD/Web-based CME opportunities that the physicians can review at their leisure. These educational interventions were not completed as part of this research.

A control group will be comprised of those healthcare professionals who did not complete the CME survey.

Completion of the post education survey would be completed even if there was no study. The reward given to PCP's (free enrollment in CME session and either lab coat or $40 CME credit) was given for clinical purposes only and not for research. The study consists of the collection of PCP referral rates prior to the educational opportunity and then after the CME looking for a change to referral rates.

In June of 2009, an Obesity Educational Intervention Summit was attended by PCPs. This research seeks approval to perform data pulls consisting of referrals from their practice to the GI/Nutrition Clinic for potential bariatric surgery evaluation.

The information to be collected regarding the primary care providers' referral rates will be collected by a CDIS data pull by a data broker. The biostatistician will link survey responses to referral patterns and education type and will be true, only individual to have access to direct identifiers and in turn will provide PI and study team with de-identified summary data.

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Study Type : Observational
Actual Enrollment : 289 participants
Observational Model: Case Control
Time Perspective: Retrospective
Official Title: Geisinger Education Intervention Study in Obesity Protocol
Study Start Date : August 2011
Actual Primary Completion Date : July 2015
Actual Study Completion Date : July 2015

Lifestyle counseling

Clinicians provide lifestyle management counseling regarding healthful lifestyle behaviors and daily physical activity.

  1. Logging foods for accountability and counting calories
  2. Close attention to portion control and appropriate serving sizes of foods consumed
  3. Consumption of appropriate calorie and sugar free beverages
  4. Good meal distribution and avoidance of meal skipping
  5. Balance of food groups using the MyPlate concept (USDA Choose My Plate)-inclusion of all food groups with emphasis on fruits, vegetables, whole grains, low-fat dairy products and lean meat/fish/poultry
  6. Increasing physical activity with reasonable, sustainable exercise or activity. Working toward a goal of at least 30 minutes, 5 days per week

Primary Outcome Measures :
  1. Correlation of weight management referral rates and attitudes/barriers towards obesity [ Time Frame: Referral rates are calculated over the course of one year ]
    Referral rates to a weight management clinic will be evaluated and correlated with clinicians attitudes towards treatment of obesity (as assessed by questionnaire).

Secondary Outcome Measures :
  1. Change in referral rate by Continuing Medical Education and change in referral rate by clinician characteristic [ Time Frame: Compare rates of referral in year prior to Continuing Medical Education versus one year after Continuing Medical Education and compare rates of referral in consecutive years ]
    Compare change in Weight Management clinic referral rates between clinicians that attend in-person Continuing Medical Education versus those that complete an innovative gaming system Continuing Medical Education versus those that complete a web-based Continuing Medical Education and evaluate the correlation between changing Weight Management clinic referral rates and clinician characteristics such as attitudes towards obesity, clinician age/gender, number of patients, age/gender of patients, and percent of patients that are obese.

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population
Geisinger's General Internal Medicine Primary Care Clinic Geisinger's Family Medicine Primary Care Clinic

Inclusion Criteria:

Geisinger General Internal and Family Medicine PCPs (include physician, physical assistants and CRNP):

  • PCP must be active between May 2008 - May 2009
  • Average patient age between 30-60 (no individual patients will be identified using personal identification)
  • Minimum of 100 patients assigned to PC

Exclusion Criteria:

  • PCPs from clinics/departments other than General Internal Medicine or Family Medicine will be excluded from the analysis

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01160146

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United States, Pennsylvania
Geisinger Health System
Danville, Pennsylvania, United States, 17822
Sponsors and Collaborators
Geisinger Clinic
Ethicon Endo-Surgery
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Principal Investigator: Christopher D Still, DO Geisinger Clinic
Additional Information:
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Responsible Party: Geisinger Clinic Identifier: NCT01160146    
Other Study ID Numbers: 2009-0296
First Posted: July 12, 2010    Key Record Dates
Last Update Posted: August 17, 2015
Last Verified: July 2015
Keywords provided by Geisinger Clinic:
Over weight
referral patterns
Continuing Medical Education
Additional relevant MeSH terms:
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Nutrition Disorders
Body Weight
Signs and Symptoms