TY - JOUR
T1 - Satisfaction with primary care provider involvement is associated with greater weight loss
T2 - Results from the practice-based POWER trial
AU - Bennett, Wendy L.
AU - Wang, Nae Yuh
AU - Gudzune, Kimberly A.
AU - Dalcin, Arlene T.
AU - Bleich, Sara N.
AU - Appel, Lawrence J.
AU - Clark, Jeanne M.
N1 - Funding Information:
This work was supported with a grant from the Johns Hopkins University Osler Center for Clinical Excellence at Johns Hopkins. POWER Hopkins was supported by a grant from the National Heart, Lung and Blood Institute (5U01HL087085-05). The original trial's clinical trials.gov registration number was NCT00783315. Dr. Wendy Bennett is supported by a career development award from the National Heart, Lung, and Blood Institute, 5K23HL098476-02. Dr. Nae-Yuh Wang is also supported by grants from the National Center for Advancing Translational Sciences, UL1 TR000424, and National Institute of Diabetes and Digestive and Kidney Diseases, P30DK079637. The original trial involved a collaboration with Healthways, Inc. a disease management company. Healthways provided coaching effort for the transtelephonic intervention and developed the website used in the intervention. Healthways provided some research funding to supplement NIH support. Under an institutional consulting agreement with Healthways, the Johns Hopkins University received fees for advisory services to Healthways during the POWER trial. Faculty members who participated in the consulting services received a portion of the University fees.
Publisher Copyright:
© 2015 Elsevier Ireland Ltd.
PY - 2015/9/1
Y1 - 2015/9/1
N2 - Objective: To evaluate the association between the patient-provider relationship, satisfaction with primary care provider's (PCP) involvement and weight loss in a practice-based weight loss trial. Methods: POWER was a practice-based randomized controlled behavioral weight loss trial. Participants completed questionnaires about patient-provider relationship and satisfaction with their PCPs' involvement in the trial. PCPs completed a demographics and practice survey. The main outcome was the mean weight change from baseline to 24 months. We created mixed-effect models, accounting for the random effects of patients clustering with the PCP and the repeated outcome assessments within patient over time, and adjusted for randomization assignment, age, gender, race and clinical site. Results: 347 (of 415) were included. Mean age was 54.8 years, mean BMI was 36.3kg/m2. Participants reported high quality patient-provider relationships (mean summary score=29.1 [range 14-32]). Patient-provider relationship quality was not associated weight loss in either the intervention or control groups. Among intervention participants, higher ratings of the helpfulness of the PCPs' involvement was associated with greater weight loss (p=0.005). Conclusion: Patient-provider relationship quality was not associated with weight loss in a practice-based weight loss trial but rating PCPs as helpful in the intervention was associated with weight loss. Practice implications: Partnering with PCPs to deliver weight loss programs may promote greater participant satisfaction and weight loss.
AB - Objective: To evaluate the association between the patient-provider relationship, satisfaction with primary care provider's (PCP) involvement and weight loss in a practice-based weight loss trial. Methods: POWER was a practice-based randomized controlled behavioral weight loss trial. Participants completed questionnaires about patient-provider relationship and satisfaction with their PCPs' involvement in the trial. PCPs completed a demographics and practice survey. The main outcome was the mean weight change from baseline to 24 months. We created mixed-effect models, accounting for the random effects of patients clustering with the PCP and the repeated outcome assessments within patient over time, and adjusted for randomization assignment, age, gender, race and clinical site. Results: 347 (of 415) were included. Mean age was 54.8 years, mean BMI was 36.3kg/m2. Participants reported high quality patient-provider relationships (mean summary score=29.1 [range 14-32]). Patient-provider relationship quality was not associated weight loss in either the intervention or control groups. Among intervention participants, higher ratings of the helpfulness of the PCPs' involvement was associated with greater weight loss (p=0.005). Conclusion: Patient-provider relationship quality was not associated with weight loss in a practice-based weight loss trial but rating PCPs as helpful in the intervention was associated with weight loss. Practice implications: Partnering with PCPs to deliver weight loss programs may promote greater participant satisfaction and weight loss.
KW - Obesity
KW - Patient-provider relationship
KW - Primary care provider
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U2 - 10.1016/j.pec.2015.05.006
DO - 10.1016/j.pec.2015.05.006
M3 - Article
C2 - 26026649
AN - SCOPUS:84940956016
VL - 98
SP - 1099
EP - 1105
JO - Patient Education and Counseling
JF - Patient Education and Counseling
SN - 0738-3991
IS - 9
ER -