Implementation of a Scalable Online Weight Management Programme in Clinical Settings: Protocol for the PROPS 2.0 Programme (Partnerships for Reducing Overweight and Obesity with Patient-Centered Strategies 2.0)

Authors

• JoAnn Cho
• Sarah H Noonan
• Richard Fay
• Caroline M Apovian
• Ashley C McCarthy
• Alexander J Blood
• Lipika Samal
• Naomi Fisher
• John E Orav
• Jorge Plutzky
• Jason P Block
• David Westfall Bates
• Ronen Rozenblum
• Michela Tucci
• Marian McPartlin
• Willam J Gordon
• Katherine D McManus
• Cheryl Morrison-Deutsch
• Benjamin M Scirica
• Heather J Baer

Language

English

Publication Date

12-21-2023

Journal

BMJ Open

DOI

10.1136/bmjopen-2023-077520

PMID

38135330

PMCID

PMC10748868

PubMedCentral® Posted Date

12-21-2023

PubMedCentral® Full Text Version

Post-print

Abstract

           Introduction: There is an urgent need for scalable strategies for treating overweight and obesity in clinical settings. PROPS 2.0 (Partnerships for Reducing Overweight and Obesity with Patient-Centered Strategies 2.0) aims to adapt and implement the combined intervention from the PROPS Study at scale, in a diverse cross-section of patients and providers.

Methods and analysis: We are implementing PROPS 2.0 across a variety of clinics at Brigham and Women's Hospital, targeting enrolment of 5000 patients. Providers can refer patients or patients can self-refer. Eligible patients must be ≥20 years old and have a body mass index (BMI) of ≥30 kg/m² or a BMI of 25-29.9 kg/m² plus another cardiovascular risk factor or obesity-related condition. After enrolment, patients register for the RestoreHealth online programme/app (HealthFleet Inc.) and participate for 12 months. Patients can engage with the programme and receive personalized feedback from a coach. Patient navigators help to enrol patients, enter updates in the electronic health record, and refer patients to additional resources. The RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework is guiding the evaluation.

Ethics and dissemination: The Mass General Brigham Human Research Committee approved this protocol. An implementation guide will be created and disseminated, to help other sites adopt the intervention in the future.

Keywords

Adult, Female, Humans, Young Adult, Body Mass Index, Obesity, Overweight, Patient-Centered Care, Weight Reduction Programs, Obesity, NUTRITION & DIETETICS, Patient-Centered Care, Patient Reported Outcome Measures, Patient Navigation

Comments

Trial registration number: NCT0555925.     

Published Open-Access

yes

Recommended Citation

Cho, JoAnn; Noonan, Sarah H; Fay, Richard; et al., "Implementation of a Scalable Online Weight Management Programme in Clinical Settings: Protocol for the PROPS 2.0 Programme (Partnerships for Reducing Overweight and Obesity with Patient-Centered Strategies 2.0)" (2023). Faculty, Staff and Students Publications. 8452.
https://digitalcommons.library.tmc.edu/baylor_docs/8452