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Advancing Biopsychosocial Care Training Initiative

Increasing Access to USPSTF-Recommended Obesity Care for Youth and Adults Who Are Recipients of Medicaid: Evaluation of a Comprehensive Multidisciplinary Obesity Care Training Program in FQHCs

Who can join

As published by the study on ClinicalTrials.gov. "Not stated" means the study hasn't said — ask the study team.

Age
5 Years and older
Sex
All sexes
Healthy volunteers
Accepted
Compensation
Not stated

Other requirements are listed under Eligibility below. Only the study team can confirm whether you can join.

What to expect

No one can promise a trial will help you personally — that is what the research is trying to find out.

What participation involves

Not stated in the study description — ask the study team about visits and procedures.

Compensation
Not stated
  • Study-related exams and procedures are typically provided at no cost. This is how many trials work in general — confirm the details for this study with the study team.
  • Participants are monitored closely by the research team throughout the study.
  • Some participants may receive access to an investigational treatment, which is still being studied.
  • Your participation helps researchers learn whether this approach could help future patients.

About this study

In plain language

This study compares two ways to train clinic staff to provide recommended obesity care at community health centers. It looks at patient weight loss, use of care, staff skills and referrals, and costs. It includes staff at participating clinics and Medicaid patients ages 5 and older who have obesity.

This project will compare two training approaches for US Preventive Services Task Force recommended obesity care in Federally Qualified Health Centers (FQHC) across four aims. Aim 1 compares patient-level effectiveness \[i.e., patient relative weight change and the proportion of patients who achieve clinically significant weight loss\]. Aim 2 compares reach (patient treatment utilization). Aim 3 compares primary care provider (PCP) referrals to USPSTF-recommended care at 12 (adoption) and 24 months (maintenance) and short- and long-term changes in provider obesity care competencies . Aim 4 compares implementation and service costs.

Compensation is read from the study's own description and may be missing — always confirm with the study team.

Eligibility

Who can join

  • Staff must work at a participating clinic as a primary care provider, mental health provider, registered dietitian, or community health worker.
  • Primary care providers may be doctors, physician assistants, or nurse practitioners. They must see primary care patients and have finished residency training, if needed.
  • Primary care providers must be able to refer patients for intensive behavior therapy and medical nutrition therapy—help with habits and food choices.
  • Mental health providers must be licensed clinical social workers, licensed counselors, licensed marriage and family therapists, psychologists, psychiatric nurse practitioners, or psychiatrists.
  • Dietitians must be registered dietitians or registered dietitian nutritionists.
  • Community health workers must work in that role or a similar role at a participating clinic.
  • Patients must be age 5 or older, have obesity, receive Medicaid, and qualify for the Missouri Medicaid obesity care benefit.
  • Patients must have been seen at a participating community health center.

Who can't join

  • Staff who do not work at a participating clinic.
  • Primary care providers who cannot refer patients for intensive behavior therapy or medical nutrition therapy.
  • Doctors still in residency training.
  • Doctors who specialize in reproductive health or related fields.
  • Patients who do not have obesity.
  • Patients who do not receive Medicaid.
  • Children younger than age 5.
  • Patients who do not receive care at a participating clinic.

Simplified for readability. The official criteria below are what the study team uses.

Official eligibility criteria

Study Eligibility Criteria - Provider Trainees: * Provider Trainees must be PCPs, BHPs, RDNs, or CHWs who work at participating clinics. * PCPs that are eligible to participate as Provider Trainees can be any of the following: Medical Doctors (MD), Doctor of Osteopathic Medicine (DO), Physician Assistants (PA), or Nurse Practitioners (NP). PCPs must see patients in a primary care setting and be capable of referring patients to IBT and MNT. PCPs must have already completed their residency (when applicable). * BHPs that are eligible to participate as Provider Trainees must be at least one of the following categories (listed with typical credentials): Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), Licensed Marriage and Family Therapist (LMFT), Psychologist (PhD/PsyD), Psychiatric Nurse Practitioner, Psychiatrist (MD). * RDNs that are eligible to participate as Provider Trainees must be Registered Dietitians/Registered Dietitian Nutritionists. * CHWs must work as Community Health Workers, or in functionally similar role, within participating clinics Study Eligibility - EHR Patients: Benefit-Eligible Patients from Participating Clinics * Benefit-Eligible Patients from Participating Clinics can either be youth (ages 5-20) or adults (ages 21+) and must be recipients of Medicaid, eligible for the MO Medicaid benefit (i.e., Medicaid recipients with obesity), and have been seen at participating FQHC clinics. Exclusion Criteria - Provider Trainees: * Not at a participating clinic * PCPs who do not have the ability to refer to IBT or MNT * Resident Doctors * A doctor specializing in reproductive health (or related fields) Exclusion Criteria - Benefit-Eligible Patients from Participating Clinics: * Patients without obesity * Patients not on Medicaid * Youth under the age of 5 * Not a patient at a participating clinic

Study sites (1)

MO