临床决策支持以改善糖尿病成年人初级保健肥胖管理:临床随机化研究设计
MarySue Beran1, Heidi L Ekstrom1, A Lauren Crain1
1From HealthPartners Institute, and HealthPartners Center for Chronic Care Innovation, Minneapolis, MN, United States of America.
Contemporary clinical trials
|February 3, 2025
概括
本研究评估了减肥临床决策支持 (WL-CDS) 工具,以帮助肥胖和2型糖尿病的成年人对体重管理选择做出明智的选择. 该干预旨在改善共享决策和治疗选择.
科学领域:
- 肥胖医学 肥胖医学
- 临床决策支持系统 临床决策支持系统
- 糖尿病管理 糖尿病管理
背景情况:
- 体重指数 (BMI) ≥35kg/m2和2型糖尿病 (T2D) 的成年人通常需要全面的体重管理策略.
- 生活方式,药物和手术选择存在,但它们的利用可能不够理想.
- 需要有效的决策支持工具来将这些选项纳入初级保健.
研究的目的:
- 实施和评估减肥临床决策支持 (WL-CDS) 干预措施.
- 为初级保健临床医生 (PCC) 和患者提供针对肥胖管理选择的风险和益处的患者具体估计.
- 促进在T2D和肥胖的成年人中使用基于证据的体重管理策略.
主要方法:
- 在38个初级保健诊所进行随机试验,将常规护理 (UC) 与WL-CDS干预进行比较.
- WL-CDS为改变生活方式,药物和代谢性减肥手术 (MBS) 提供了建议.
- 18个月后评估的结果包括MBS转诊,减肥药物启动和体重轨迹;患者报告的结果包括共享决策和参与减肥的意图.
主要成果:
- 该研究旨在评估WL-CDS对关键体重管理指标的影响.
- 它将测量MBS转诊,药物使用和患者体重轨迹的变化.
- 还将评估患者报告的与共享决策和参与相关的结果.
结论:
- 该研究将阐明WL-CDS工具如何影响选择肥胖护理选择.
- 它旨在增强对患者和临床医生的参与与决策支持信息的理解.
- 这些研究结果将有助于为患有T2D和肥胖的成年人整合有效的体重管理策略.
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