Health TrialsbyHealthPanel

Medical Residents Learning Weight Management Counseling Skills

ConditionWeight Management Counseling
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity of Massachusetts, Worcester

About this trial

The goal of this study is to addresses the lack of weight management training physicians receive during their residency training. The main questions it aims to answer are:

* How affective is the MRWeight curriculum at increasing medical residents weight management counseling (WMC) skills. * Evaluate residents' adoption of WMC skills in encounters with their patients * what would be the best way to get residents to adopt the WMC skills Residents in the comparison group will receive a course on obesity and weight management. The residents in the intervention group will have to attend 2 informational sessions and will receive 6 email modules on WMC. Both groups will also take part in 3 assessments over the course of 18 months to see which group has better WMC skills.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

All PGY1 residents in participating sites

The program is willing and able to incorporate the MRWeight program into the PGY1 core curriculum.

The residency director will allow PGY1s to complete surveys and curriculum evaluations online or in class and to complete a standardized assessment of their knowledge and use of WMC, and

The site will allow inclusion of three successive cohorts of PGY1s to ensure more than a sufficient number of residents to adequately test the effect of the intervention

Disqualifiers

None

Trial design

Design model

Parallel

Treatments tested in this trial

  • Didatic Session 1: Core Foundation Course

    Behavioral

    A 45-minute foundational presentation covering key Weight Management Counseling (WMC) concepts, obesity bias, and cultural humility facilitated by a trained clinician-educator at the residency program delivered at baseline.

  • The 3Ps Program

    Behavioral

    6 email modules delivered over months 2-8). Each 3P module will allow the resident to: (1) Prepare: Review relevant concepts and demonstration videos sent via an email to prepare for completing the VCA vignettes; (2) Practice: Respond to brief vignettes of various 5As WMC challenging scenarios by audio recording their spoken response on the VCA tool; and (3) Process: Reflect on actionable expert and crowdsourced analogue patient feedback on the quality of their responses to each VCA vignette.

  • Didactic session 2

    Behavioral

    (months 8-10): This 45-minute session will discuss key barriers to WMC adoption in clinical practice using real-world cases captured from residents facilitated by a trained clinician-educator at the residency program.

  • Email reinforcement

    Behavioral

    2 emails in months 10-12 covering key concepts in the preceding components.

  • PowerPoint of the foundational course

    Behavioral

    Residents will receive a core foundation slides on weight management counselling

Treatment groups

630 Participants
are divided into 2 treatment groups
Group A: Comparison ArmActive comparator 1 intervention
Group B: Intervention ArmExperimental treatment 5 interventions

Trial outcomes

Primary outcomes

1

Change in WMC skills assessment

Description: This measure will be assessed using an online survey administered the end of the first cohort (around the end of the residents' PGY1).

Time frame
Completed during month 1 and again at around 9-12 months post recruitment.
2

WMC skills VCA (video Communications assessment) assessment

Residents in both arms will be asked to complete the assessment VCA vignettes that will include a series of vignettes representing challenging cases. Trained raters blinded to the residents' study arm (intervention vs. comparison) will rate the residents' responses.

Time frame
Completed during months 1 and again at around 9-12 months post recruitment.

Secondary outcomes

1

Change in adoption scale Scores at eighteen months

This measure will be assessed using Adoption scale (7-item checklist assessing resident adoption of WMC skills in their encounters with patients in clinical practice) on a 5-point on a Likert Scale \[never (0) to always (4)\].

Time frame
Completed during months 1, 12 and 18 post recruitment.

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

University of Massachusetts, Worcester

Lead sponsor

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Collaborator

Albert Einstein College of Medicine

Collaborator

Penn State University

Collaborator

The Methodist Hospital Research Institute

Collaborator

Boston University

Collaborator

Stanford University

Collaborator

Temple University

Collaborator

University of California, Davis

Collaborator

Stony Brook University

Collaborator

Source ClinicalTrials.gov
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