Virtual Weight Management Shared Medical Visit

Sponsor

Boston Medical Center (Other)

Overall Status

Withdrawn

CT.gov ID

NCT04784338

Collaborator

(none)

Enrollment

Arm

Anticipated Duration (Months)

Study Details

Study Description

Brief Summary

Culinary medicine has emerged which provides the practical application of nutrition education through experiential learning. Studies have shown that patients with metabolic syndrome who underwent a series of classes that featured nutrition recommendations and cooking classes had weight loss, and improved cardiac health and blood sugar management.

Given the increasing focus on providing remote experiences to minimize contact and risk of infection with Sars-COV2, this pilot study at Boston Medical Center (BMC) will integrate a physician consultation, interactive didactic presentations, nutritious cooking and mind- body exercises. Patients with obesity and metabolic syndrome can attend a virtual shared medical visit series co-taught by a registered dietician and chef and an endocrinologist and weight management specialist. Data will be collected in the form of surveys, phone interviews, chart review, and home monitoring to test both the feasibility of running such an intervention virtually and to explore whether attending this one month program with weekly remote classes/visits improves vitals including weight and blood blood pressure and other small habit changes in patients.

Condition or Disease	Intervention/Treatment	Phase
Metabolic Syndrome Obesity	Behavioral: Virtual shared medical visit Behavioral: Nutritional classes	N/A

Study Design

Study Type:

Interventional

Actual Enrollment :

0 participants

Allocation:

N/A

Intervention Model:

Single Group Assignment

Masking:

None (Open Label)

Primary Purpose:

Health Services Research

Official Title:

A Virtual Weight Management Shared Medical Appointment: a Feasibility Study

Anticipated Study Start Date :

Aug 1, 2021

Anticipated Primary Completion Date :

Apr 1, 2022

Anticipated Study Completion Date :

Oct 1, 2022

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Virtual shared teaching kitchen program Participants will participate in virtual shared medical appointments that utilize the teaching kitchen	Behavioral: Virtual shared medical visit a shared medical visit done by zoom in a group, 1.5 hours Behavioral: Nutritional classes A cooking class done by the teaching kitchen demonstrating cooking skills

Arm

Intervention/Treatment

Experimental: Virtual shared teaching kitchen program

Participants will participate in virtual shared medical appointments that utilize the teaching kitchen

Behavioral: Virtual shared medical visit

a shared medical visit done by zoom in a group, 1.5 hours

Behavioral: Nutritional classes

A cooking class done by the teaching kitchen demonstrating cooking skills

Outcome Measures

Primary Outcome Measures

Recruitment rates [1 month]
Recruitment rates will be calculated by taking the number of participants enrolled over the number eligible to participate in the program
Retention of participants [1 month]
Attendance at each of the sessions will be documented to assess retention of participants.
Facilitators for program participation [1 month]
An investigator created questionnaire will be used to collect information about facilitators for program participation
Barriers to program participation [1 month]
An investigator created questionnaire will be used to collect information about barriers to program participation

Secondary Outcome Measures

Change in knowledge of healthy foods [baseline, 1 month]
An investigator created questionnaire will be used to collect information about knowledge of healthy foods
Change in nutritional food intake behaviours [baseline, 1 month]
An investigator created questionnaire will be used to collect information about nutritional food intake behaviours
Change in blood pressure [baseline, 1 month]
Participants will check blood pressure at home with home blood pressure cuff and record the systolic and diastolic results on home diary
Change in fasting blood glucose level [baseline, 1 month]
Participants diagnosed with diabetes will use a home glucometer to measure fasting blood glucose levels
Change in body mass index [BMI] [baseline, 1 month]
Participants will weigh themselves at home and record their weight in a study diary. The BMI will be calculated using the formula BMI= kg/m2 where kg is a person's weight in kilograms and m2 is a person's height in meters squared.

Eligibility Criteria

Criteria

Ages Eligible for Study:

21 Years and Older

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

English speaking
BMI => 30
Must have documented measured blood pressure, weight, height in the 12 months prior to the intervention
Enrolled in Boston Medical Center's (BMC's) Food Pantry Program

Exclusion Criteria:

Patients with advanced dementia or uncontrolled psychiatric disease
Uncontrolled medical illness including severe hypertension, recent acute coronary syndrome, active malignancy or other condition that would make the subject unable to complete the study procedures