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A Primary Care-Based Weight Navigation Program.

Dina H Griauzde1,2,3, Cassie D Turner1,2,4, Amal Othman5

  • 1Department of Internal Medicine, University of Michigan Medical School, Ann Arbor.

JAMA Network Open
|May 21, 2024
PubMed
Summary
This summary is machine-generated.

A primary care weight navigation program (WNP) improved weight management treatment (WMT) use and led to significant weight loss in adults with obesity. This program shows promise for increasing patient engagement in effective WMTs.

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Area of Science:

  • Obesity Medicine
  • Primary Care
  • Health Services Research

Background:

  • Evidence-based weight management treatments (WMTs) are underutilized, hindering effective patient weight loss.
  • Strategies to enhance WMT adoption and improve patient outcomes are crucial for obesity management.

Purpose of the Study:

  • To assess the association between a primary care-based weight navigation program (WNP) and WMT utilization.
  • To evaluate the impact of the WNP on patient weight loss outcomes.

Main Methods:

  • Retrospective cohort study of a quality improvement program in a Midwestern US academic health system (October 2020 - September 2021).
  • Propensity matching of adults with obesity and weight-related conditions between WNP intervention and control sites.
  • WNP involved primary care physicians guiding patients toward preference-sensitive WMTs.

Main Results:

  • WNP patients achieved significantly greater weight loss (4.9 kg more) compared to matched controls (P < .001).
  • Higher rates of achieving 5% and 10% weight loss were observed in the WNP group (ORs 2.90 and 7.19, respectively).
  • WNP significantly increased referrals to specific WMTs, including bariatric surgery and a low-calorie meal replacement program.

Conclusions:

  • The primary care-based weight navigation program (WNP) is feasible and effectively increases WMT use.
  • The WNP is associated with superior weight loss outcomes compared to standard care.
  • Further large-scale trials are warranted to validate the WNP's effectiveness in diverse populations.