Improving Obesity Outcomes Through Interactive Web-Based Clinical Skills Training

描述（由申请人提供）：随着时间的推移，成人肥胖流行病的可怕影响越来越严重。尽管头版报道和普遍同意必须解决体重增加和继发性疾病的流行问题，但问题仍然存在。预期影响：我们建议通过一个名为ImpactObesity.com的PC/移动网络产品来改善肥胖或有肥胖风险的患者的预后，该产品为以下方面提供了协调的工具：提供者通过基于案例的模拟训练，通过刻意练习来提高他们的临床技能和效果实践变化；通过提供基于标准化仪器和现有培训资源的综合工具来跟踪体重、围度、饮食和活动，以及b)随时间变化的图表，c)与提供者沟通这些数据和经验，与他们的提供者合作管理体重和健康问题。临床领导和卫生保健组织实施第一阶段计划成功地证明了产品的可行性和可接受性进行第二阶段：将第一阶段前期评审的意见整合到第一阶段的工作和第二阶段的建议中。2 .完成目标受众需求分析调查和半结构化访谈，与顾问合作，创建课程框架和原型（位于www.ImpactObesity.com）；通过可用性研究和小型试点研究证明pcp的可接受性和可用性。招募II期总结性研究的临床地点。5. 协调专家小组评估，进而表达对项目进行第二阶段的信心，完成项目，最终确定总结性研究的诊所位置，并使用随机等待列表对照设计评估项目。我们将评估干预是否提高了卫生专业人员的核心能力，并通过能力、表现、临床和沟通技巧以及改善与肥胖预防相关的治疗行为来展示更好的培训。一项平行研究将评估患者的预后。通过同步工作，患者和初级保健提供者可以积极参与减缓并最终扭转这一趋势。

DESCRIPTION (provided by applicant): The dire implications of the adult obesity epidemic grow worse over time. Despite front page coverage and universal agreement that the epidemic in weight gain and secondary disease establishment must be addressed, the problem continues. Intended Impact: We propose to improve outcomes of patients with obesity or at risk for obesity via a PC/mobile web-based product called ImpactObesity.com that delivers coordinated tools for: 1. providers to enhance their clinical skills and effect practice change through deliberate practice via case-based simulation training, and, 2. adult patients to work with their providers to manage weight and health issues by providing integrated tools based on standardized instruments and existing training resources to track weight, circumference, diet, and activity, b) graph changes over time, and c) communicate that data as well as experience with the providers 3. clinic leaders and health care organizations to implement the program Phase I successfully demonstrated product feasibility and acceptability of proceeding with Phase II by: 1. Integrating the comments from the prior review of Phase I into the work done in Phase I and the Phase II proposal 2. Completing target audience needs analysis surveys and semi-structured interviews, working with consultants, and creating the curriculum framework and prototype (located at www.ImpactObesity.com), 3. Demonstrating acceptability and usability for PCPs via a usability study and a small pilot study 4. Recruiting clinic locations for the Phase II summative study. 5. Coordinating an expert panel assessment that in turn expressed confidence that the project should proceed Phase II completes the program, finalizes clinic locations for summative study, and evaluates the program using a randomized, wait-list control design. We will assess if the intervention improves health professionals' core competencies and demonstrates better training as shown by competency, performance, clinical, and communication skills and improved treatment behavior related to obesity prevention. A parallel study will assess patient outcomes. Working in sync, patients and primary care providers can be active participants in slowing and eventually reversing the trend. PUBLIC HEALTH RELEVANCE: Approximately 1/3 of American adults are considered obese (body mass index [BMI] >30), and slightly more are overweight (BMI over 25). Obesity increases the risk of a number of chronic diseases, including coronary heart disease, type 2 diabetes, and certain forms of cancer and is associated with disability and premature death. Our ImpactObesity.com PC/mobile web-based product impacts patients with overweight and obesity via: 1) deliberate practice-based training of providers, 2) a data collection tool for patients, an 3) improved communication between patients and providers. Via this unique capability, this project can improve the health and wellness of patients with overweight and obesity and address the growing and enormous public health challenge of adult obesity and its medical consequences.