Managing Obesity--Cost, Quality of Life,& Interventions

描述（由申请人提供） Wee博士的长期目标是成为一名独立的临床和健康 服务研究人员在肥胖，重点是改善管理 初级保健中的肥胖患者。 在初级保健实践中看到的许多常见疾病都是肥胖的后果。 然而，肥胖仍然在很大程度上被初级保健医生忽视。原因 包括时间限制，缺乏培训， 和怀疑的可行性，有效性，和成本效益的 肥胖治疗此外，肥胖患者可能接受较低的 护理质量。例如，肥胖患者似乎不太可能 接受乳腺癌和宫颈癌筛查。 本申请提出了三项研究，解决重要问题， 肥胖研究首先，Wee博士计划测试 她开发的一份调查问卷， 减肥的地方。患者偏好的定量评估或 健康价值观是衡量生活质量的一种方法，对临床 决策、政策制定和正式的成本效益分析 体重控制策略和建议。然后Wee博士提出了一个决定 分析，检查各种体重控制的成本效益 战略和估计的最低效益和最大成本相关联 成本效益的治疗。最后，Wee博士提议领导 开发一种患者和医生指导的基于网络的肥胖评估 和教育工具，为随后的全规模随机 对照试验她将研究干预的可行性，并在 一项试点研究，确定它是否通过提高利率显示出希望， 关于体重控制和体育活动的医生咨询质量。她 还将研究其对患者饮食和身体活动的影响， 体重控制行为的变化阶段和癌症筛查率。 这个职业发展奖将允许Wee博士获得更多的研究 在国家和国际指导下的技能和经验 在支持性的学术环境中的知名研究人员。完成这些 目标将提高她进行以患者为中心的研究的能力， 实现她的职业目标，成为一个独立的病人为导向的研究人员 肥胖症。

DESCRIPTION (provided by applicant) Dr. Wee's long-term goal is to become an independent clinical and health services researcher in obesity, with a focus on improving the management of patients with obesity in primary care. Many common diseases seen in primary care practice are consequences of obesity. Yet obesity continues to be largely ignored by primary care physicians. Reasons for this lack of physician effort include time constraints, lack of training, and skepticism about the feasibility, effectiveness, and cost-effectiveness of obesity treatment. Additionally, patients with obesity may receive lower quality of care. For example, patients with obesity appear to be less likely to undergo screening for breast and cervical cancer. This application proposes three studies that address important issues in obesity research. First, Dr. Wee plans to test the reliability and validity of a questionnaire she developed that examines the value primary care patients place on weight loss. The quantitative assessment of patient preferences or health values is a way to measure quality of life and is important for clinical decision-making, policy formulation, and formal cost-effectiveness analyses of weight control strategies and recommendations. Dr. Wee then proposes a decision analysis that examines the cost-effectiveness of various weight control strategies and estimates the minimum effectiveness and maximum cost associated with cost-effective treatment. Finally, Dr. Wee proposes to lead the development of a patient and physician directed web-based obesity assessment and education tool in preparation for a subsequent full scale randomized controlled trial. She will examine the feasibility of the intervention, and in a pilot study, determine whether it shows promise by improving the rate and quality of physician counseling about weight control and physical activity. She will also examine its effect on patients' diet and physical activity, patients' stage of change for weight control behaviors, and the rate of cancer screening. This career development award will allow Dr. Wee to acquire additional research skills and experience under the mentorship of nationally and internationally known researchers in a supportive academic environment. Completing these objectives will enhance her ability to conduct patient-centered research and to achieve her career goal of becoming an independent patient-oriented researcher in obesity.