MRWeight: Medical Residents Learning Weight Management Counseling Skills -- A Multi-Modal, Technology-Assisted, Spaced Education Program
MRWeight:住院医生学习体重管理咨询技能——多模式、技术辅助、间隔教育计划
基本信息
- 批准号:10561356
- 负责人:
- 金额:$ 86.69万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2023
- 资助国家:美国
- 起止时间:2023-05-02 至 2028-02-29
- 项目状态:未结题
- 来源:
- 关键词:AddressAdoptionAdultAdvocateAffectAmericanAmerican Heart AssociationAssessment toolBehaviorCaringCharacteristicsChronic DiseaseClinicalCommunicationComparison armComplexCounselingDietDissemination and ImplementationEducationEducational CurriculumEducational process of instructingEffectiveness of InterventionsElectronic MailEpidemicEvaluationFeedbackFutureGuidelinesHealthHeart DiseasesIntentionInternal MedicineInterventionKnowledgeLearningMatched GroupMediatingMediatorMedicalMedical EducationMedical ExaminersMethodsNon-Insulin-Dependent Diabetes MellitusObesityObesity EpidemicObesity associated diseaseOutcomeOverweightPatient CarePatient Self-ReportPatientsPhysical activityPhysiciansPilot ProjectsPlayPost Graduate YearPrimary CareProcessProcess MeasureProgram AppropriatenessPsychological reinforcementPublic HealthPublishingRandomized, Controlled TrialsRecommendationRecording of previous eventsReportingResidenciesRiskSelf-ExaminationSiteStrokeTechnologyTechnology AssessmentTestingTextTimeTrainingTraining ProgramsUnited StatesUnited States National Institutes of HealthVisitWeightWeight maintenance regimenanalogclinical implementationclinical practicecohortcomparison interventioncrowdsourcingdesigneffectiveness evaluationevidence basefollow-upgateway courseinnovative technologiesintervention effectmedical schoolsmultimodalitynovelobesity preventionobesity treatmentpatient orientedprimary care settingprimary care visitprogramsrandomized trialresponsesexskill acquisitionskillssocial cognitive theoryuptake
项目摘要
7. Project Summary/Abstract
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 intervention's 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.
7.项目摘要/摘要
在美国,超重和肥胖已经达到流行病的程度,事实证明,这是一个非常困难的问题
患者和护理他们的医生都面临着健康挑战。超重是导致肥胖的主要原因
心脏病、中风和2型糖尿病。在临床就诊中解决超重和肥胖问题对于
治疗和预防这些与肥胖相关的疾病。然而,体重管理咨询(WMC)
摄取率低,医生报告说,缺乏培训是WMC的关键障碍。住院医师培训是至关重要的
影响医生当前和未来执业的时间,但还没有证据支持的WMC课程
居民。在两项试点研究的启发下,MRWeight将使用间隔教育来培训住院医生提供WMC
使用5AS框架(询问、建议、评估、协助、安排)和以患者为中心的咨询。因此,
MRWeight将以较短的分段交付,并使用四个组件在12个月内相隔一段时间:
第一堂课-WMC基本概念的讨论;3Ps计划(准备、练习、流程)-电子邮件
使用基于视频的通信评估(VCA)的方案,以促进具有挑战性的案例的实践;
授课课程2-讨论实践WMC的主要障碍;并通过电子邮件强化所涵盖的概念
在前面的组件中。在社会认知理论(SCT)的指导下,每个组件都被设计为构建
加强其他组成部分提供的培训。使用随机配对的组
对照试验(RCT)包括8个内科住院医师计划,我们将测试MRWeight干预
对3组研究生1名住院医生进行了为期18个月的跟踪调查。对比ARM居民将收到电子邮件
WMC基础课程的PowerPoint,但与干预中的不同,比较网站不会
包括说教课程或3Ps课程。我们的目标是:目标1将评估
12个月提高居民WMC技能的MRWeight干预;目标2将评估居民的自我
据报道,在18个月的临床实践中,他们在与患者接触时采用了WMC技能;Aim 3将
探索干预对目标1和目标2结果的影响的可能机制(中介者)和调节者
(居民的WMC技能和采用情况)。这项研究将是测试一门课程的第一次大型试验
纳入内科住院医师计划,教授WMC技能。多重PI(Ockene博士和
Sadasivam)将建立在36年来成功进行大型随机试验以评估训练的基础上
项目,包括教授5A和WMC以患者为中心的咨询的项目,在18所医学院,
10个居住点和10个初级保健设施。鉴于公共卫生势头强劲,这项研究是及时的
倡导医生培训和参与世界医学中心,传播和实施临床
肥胖症治疗指南。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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JUDITH K OCKENE其他文献
JUDITH K OCKENE的其他文献
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{{ truncateString('JUDITH K OCKENE', 18)}}的其他基金
RCT for Smoking Cessation in 10 Medical Schools
10 所医学院的戒烟随机对照试验
- 批准号:
8270519 - 财政年份:2009
- 资助金额:
$ 86.69万 - 项目类别:
RCT for Smoking Cessation in 10 Medical Schools
10 所医学院的戒烟随机对照试验
- 批准号:
8071175 - 财政年份:2009
- 资助金额:
$ 86.69万 - 项目类别:
RCT for Smoking Cessation in 10 Medical Schools
10 所医学院的戒烟随机对照试验
- 批准号:
8244668 - 财政年份:2009
- 资助金额:
$ 86.69万 - 项目类别:
RCT for Smoking Cessation in 10 Medical Schools
10 所医学院的戒烟随机对照试验
- 批准号:
8472335 - 财政年份:2009
- 资助金额:
$ 86.69万 - 项目类别:
RCT for Smoking Cessation in 10 Medical Schools
10 所医学院的戒烟随机对照试验
- 批准号:
7731720 - 财政年份:2009
- 资助金额:
$ 86.69万 - 项目类别:
RCT for Smoking Cessation in 10 Medical Schools
10 所医学院的戒烟随机对照试验
- 批准号:
8093099 - 财政年份:2009
- 资助金额:
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Soy Isoflavones for Menopausal Vasomotor Symptoms
大豆异黄酮治疗更年期血管舒缩症状
- 批准号:
6968333 - 财政年份:2005
- 资助金额:
$ 86.69万 - 项目类别:
Soy Isoflavones for Menopausal Vasomotor Symptoms
大豆异黄酮治疗更年期血管舒缩症状
- 批准号:
7140061 - 财政年份:2005
- 资助金额:
$ 86.69万 - 项目类别:
POLICY TO SUPPORT TOBACCO TREATMENT IN HEALTH CARE
支持医疗保健领域烟草治疗的政策
- 批准号:
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6614012 - 财政年份:2000
- 资助金额:
$ 86.69万 - 项目类别:
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