[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"trial:NCT07049861":3,"trial-entities:NCT07049861":108,"trial-summary:NCT07049861":111},{"id":4,"nct_id":4,"org_study_id":5,"brief_title":6,"official_title":7,"overall_status":8,"completion_date":9,"status_verified_date":10,"last_update_date":11,"start_date":12,"sponsor_name":13,"lead_sponsor_class":14,"has_dmc":15,"brief_summary":16,"detailed_description":17,"conditions":18,"keywords":24,"study_type":30,"primary_purpose":14,"phases":31,"enrollment_info":33,"interventions":36,"primary_outcomes":51,"secondary_outcomes":56,"sex":57,"minimum_age":58,"maximum_age":17,"healthy_volunteers":59,"eligibility_criteria":60,"std_ages":72,"locations":76,"central_contacts":97,"overall_officials":101,"references":103,"see_also_links":104},"NCT07049861","202406146","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","RECRUITING","2028-12-15","2026-08","2026-08-10","2025-07-14","Washington University School of Medicine","OTHER",false,"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.",null,[19,20,21,22,23],"Weight Management","Obesity Prevention","Obesity and Obesity-related Medical Conditions","Obesity and Overweight","Obesity",[25,26,27,28,23,29],"Training","Implementation","Intensive Behavioral Treatment","Family-based Behavioral Treatment","Obesity Care","INTERVENTIONAL",[32],"NA",{"count":34,"type":35},6200,"ESTIMATED",[37,45],{"type":14,"name":38,"description":39,"armGroupLabels":40,"otherNames":43},"Comprehensive Multidisciplinary Obesity Care","CMOC is an innovative approach to obesity care delivery that leverages policy, clinical and community linkages, and digital technology for scalability. CMOC involves training providers (medical providers, registered dietitians, and behavioral health providers) to deliver guideline-based obesity care for youth and adults with obesity who receive Medicaid. Guidelines-based care involves screening, identification, weight counseling, and referral to intensive behavioral treatment by medical providers, and delivery of multicomponent intensive behavioral treatment by behavioral health providers and registered dietitians.",[41,42],"CMOC","IAUC",[44],"Core+",{"type":14,"name":46,"description":47,"armGroupLabels":48,"otherNames":49},"Implementation as Usual Control","The standard of care implemented in FQHCs in the absence of CMOC training.",[42],[50],"Core",[52],{"measure":53,"description":54,"timeFrame":55},"Change in patient percent overweight","Percent over the median body mass index (BMI) for sex and age.","Months 2-29 post-enrollment",[],"ALL","5 Years",true,{"inclusion":61,"exclusion":62,"raw_text":71},[],[63,64,65,66,67,68,69,70],"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)","Patients without obesity","Patients not on Medicaid","Youth under the age of 5","Not a patient at a participating clinic","Study Eligibility Criteria - Provider Trainees:\n\n* Provider Trainees must be PCPs, BHPs, RDNs, or CHWs who work at participating clinics.\n\n  * 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).\n  * 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\u002FPsyD), Psychiatric Nurse Practitioner, Psychiatrist (MD).\n  * RDNs that are eligible to participate as Provider Trainees must be Registered Dietitians\u002FRegistered Dietitian Nutritionists.\n  * CHWs must work as Community Health Workers, or in functionally similar role, within participating clinics\n\nStudy Eligibility - EHR Patients: Benefit-Eligible Patients from Participating Clinics\n\n* 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.\n\nExclusion Criteria - Provider Trainees:\n\n* Not at a participating clinic\n* PCPs who do not have the ability to refer to IBT or MNT\n* Resident Doctors\n* A doctor specializing in reproductive health (or related fields)\n\nExclusion Criteria - Benefit-Eligible Patients from Participating Clinics:\n\n* Patients without obesity\n* Patients not on Medicaid\n* Youth under the age of 5\n* Not a patient at a participating clinic",[73,74,75],"CHILD","ADULT","OLDER_ADULT",[77],{"facility":13,"status":8,"city":78,"state":79,"zip":80,"country":81,"contacts":82,"geoPoint":94},"St Louis","Missouri","63110","United States",[83,88,91],{"name":84,"role":85,"phone":86,"email":87},"Aubrie Hampp, MSc","CONTACT","314-273-9184","ahampp@wustl.edu",{"name":89,"role":85,"email":90},"Corinne McMahon, MS, RDN, LD","cnmcmahon@wustl.edu",{"name":92,"role":93},"Denise Wilfley, Ph.D.","PRINCIPAL_INVESTIGATOR",{"lat":95,"lon":96},38.62727,-90.19789,[98,100],{"name":84,"role":85,"phone":99,"email":87},"314-662-2005",{"name":89,"role":85,"email":90},[102],{"name":92,"affiliation":13,"role":93},[],[105],{"label":106,"url":107},"Alvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine","http:\u002F\u002Fwww.siteman.wustl.edu",{"nct_id":4,"conditions":109,"biomarkers":110},[23],[],{"nct_id":4,"found":59,"summary":112,"prompt_version":122},{"design":113,"status":114,"heading":115,"summary":116,"follow_up":117,"word_count":118,"commitments":119,"compensation":120,"drugs_mentioned":121},"This is an interventional study comparing two training approaches for healthcare providers. It plans to enroll 6200 participants.","completed","Advancing Biopsychosocial Care Training Initiative for Weight Management","This study, called the Advancing Biopsychosocial Care Training Initiative, is looking at different ways to train healthcare providers in Federally Qualified Health Centers (FQHCs) to help patients with weight management and obesity. It compares two approaches: \"Comprehensive Multidisciplinary Obesity Care\" (CMOC), which is a new training program for medical providers, dietitians, and behavioral health providers, and \"Implementation as Usual Control,\" which is the standard care without this new training. The study aims to see if CMOC training leads to better patient weight changes and more patients achieving significant weight loss. It also looks at how many patients use these services, how often providers refer patients for care, and the costs involved. The study plans to include 6200 participants, aged 5 years and older, of all genders. The current status of the study is unclear.","Patient percent overweight will be measured at Months 2-29 post-enrollment.",134,"Not specified in the trial record.","Not stated in the trial record.",[38,46],"v2"]