Evaluation of a Primary Care Based Lifestyle Medicine Clinic at UAB

The University of Alabama at Birmingham

Status: Invitation-only

Conditions: Obesity and Obesity-related Medical Conditions

Treatments: Behavioral: FLOW Lifestyle Medicine Clinic

Study type: Interventional

Funder types: Other

Identifiers

NCT06989281

IRB-300013918

Details and patient eligibility

About

This is a randomized quality improvement project (i.e., not a research study) that will test the implementation and effectiveness of a lifestyle medicine clinic at the University of Alabama at Birmingham.

Full description

This is a randomized quality improvement project that has received a non-human subjects research determination from the IRB at the University of Alabama at Birmingham. This study will use a randomized encouragement trial design to test whether a lifestyle medicine clinic at UAB (FLOW: Fitness, Lifestyle, and Optimum Wellness) is implementable and effective for improving cardiometabolic health (e.g., body weight, body composition, blood pressure, blood glucose, and blood lipids). Only patients of the UAB Family and Community Clinic are included in this project (i.e., no outside recruitment/enrollment).

Enrollment: 1,000 estimated patients

Sex: All

Ages: 18 to 89 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Current patient of the UAB Family & Community Medicine Clinic
• BMI: greater than or equal to 25 kg/m2
• Previous diagnosis of at least one of the following conditions:
• prediabetes or type 2 diabetes
• prehypertension or hypertension
• dyslipidemia

Exclusion criteria

• Not a current patient of the UAB Family & Community Medicine Clinic

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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1,000 participants in 2 patient groups

Encouraged to Enroll in FLOW

Experimental group

Description:

Patients randomized to this condition receive extra encouragement to consider enrolling in the FLOW lifestyle medicine clinic. This encouragement includes the addition of 2 questions added to their patients' pre-visit intake process regarding their interest in making healthy lifestyle changes to improve their cardiometabolic health. If affirmative, the Certified Medical Assistant will provide the patient with a FLOW brochure and make a note for the provider to follow-up with the patient and consider referral to the FLOW clinic.

Treatment:

Behavioral: FLOW Lifestyle Medicine Clinic

Not Encouraged to Enroll in FLOW

Active Comparator group

Description:

Patients randomized to this condition do not receive extra encouragement to enroll in the FLOW lifestyle medicine clinic. They are still able to access to the FLOW clinic via brochures placed in the waiting area and exam rooms or direct referral by their healthcare provider (without having been "encouraged.")

Treatment:

Behavioral: FLOW Lifestyle Medicine Clinic