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)

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...

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Main Authors: David Westfall Bates, Jason P Block, Lipika Samal, Ronen Rozenblum, Caroline M Apovian, Benjamin M Scirica, Heather J Baer, John E Orav, JoAnn Cho, Sarah H Noonan, Richard Fay, Ashley C McCarthy, Alexander J Blood, Naomi Fisher, Jorge Plutzky, Michela Tucci, Marian McPartlin, Willam J Gordon, Katherine D McManus, Cheryl Morrison-Deutsch
Format: Article
Language:English
Published: BMJ Publishing Group 2023-12-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/13/12/e077520.full
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author David Westfall Bates
Jason P Block
Lipika Samal
Ronen Rozenblum
Caroline M Apovian
Benjamin M Scirica
Heather J Baer
John E Orav
JoAnn Cho
Sarah H Noonan
Richard Fay
Ashley C McCarthy
Alexander J Blood
Naomi Fisher
Jorge Plutzky
Michela Tucci
Marian McPartlin
Willam J Gordon
Katherine D McManus
Cheryl Morrison-Deutsch
author_facet David Westfall Bates
Jason P Block
Lipika Samal
Ronen Rozenblum
Caroline M Apovian
Benjamin M Scirica
Heather J Baer
John E Orav
JoAnn Cho
Sarah H Noonan
Richard Fay
Ashley C McCarthy
Alexander J Blood
Naomi Fisher
Jorge Plutzky
Michela Tucci
Marian McPartlin
Willam J Gordon
Katherine D McManus
Cheryl Morrison-Deutsch
author_sort David Westfall Bates
collection DOAJ
description 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.Trial registration number NCT0555925.
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spelling doaj-art-c7afe8c6dd0b4f70a7e55674107e40ab2025-08-20T03:48:42ZengBMJ Publishing GroupBMJ Open2044-60552023-12-01131210.1136/bmjopen-2023-077520Implementation 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)David Westfall Bates0Jason P Block1Lipika Samal2Ronen Rozenblum3Caroline M Apovian4Benjamin M Scirica5Heather J Baer6John E Orav7JoAnn Cho8Sarah H Noonan9Richard Fay10Ashley C McCarthy11Alexander J Blood12Naomi Fisher13Jorge Plutzky14Michela Tucci15Marian McPartlin16Willam J Gordon17Katherine D McManus18Cheryl Morrison-Deutsch19Harvard Medical School, Boston, MA, USADivision of General Internal Medicine and Primary Care, Brigham and Women`s Hospital, Boston, Massachusetts, USADivision of General Internal Medicine and Primary Care, Brigham and Women`s Hospital, Boston, Massachusetts, USADepartment of Medicine, Division of General Internal Medicine, Brigham and Women`s Hospital, Boston, Massachusetts, USADivision of Endocrinology, Diabetes and Hypertension, Brigham and Women`s Hospital, Boston, Massachusetts, USAHarvard Medical School, Boston, MA, USAHarvard T H Chan School of Public Health, Boston, Massachusetts, USA6 Department of Biostatistics, Harvard University T H Chan School of Public Health, Boston, Massachusetts, USADivision of General Internal Medicine and Primary Care, Brigham and Women`s Hospital, Boston, Massachusetts, USADivision of General Internal Medicine and Primary Care, Brigham and Women`s Hospital, Boston, Massachusetts, USADivision of General Internal Medicine and Primary Care, Brigham and Women`s Hospital, Boston, Massachusetts, USADivision of Endocrinology, Diabetes and Hypertension, Brigham and Women`s Hospital, Boston, Massachusetts, USAHarvard Medical School, Boston, MA, USADivision of Endocrinology, Diabetes and Hypertension, Brigham and Women`s Hospital, Boston, Massachusetts, USAHarvard Medical School, Boston, MA, USAAccelerator for Clinical Transformation, Mass General Brigham, Boston, Massachusetts, USAAccelerator for Clinical Transformation, Mass General Brigham, Boston, Massachusetts, USADivision of General Internal Medicine and Primary Care, Brigham and Women`s Hospital, Boston, Massachusetts, USADepartment of Nutrition, Brigham and Women`s Hospital, Boston, Massachusetts, USAHealthfleet Inc, Needham, Massachusetts, USAIntroduction 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.Trial registration number NCT0555925.https://bmjopen.bmj.com/content/13/12/e077520.full
spellingShingle David Westfall Bates
Jason P Block
Lipika Samal
Ronen Rozenblum
Caroline M Apovian
Benjamin M Scirica
Heather J Baer
John E Orav
JoAnn Cho
Sarah H Noonan
Richard Fay
Ashley C McCarthy
Alexander J Blood
Naomi Fisher
Jorge Plutzky
Michela Tucci
Marian McPartlin
Willam J Gordon
Katherine D McManus
Cheryl Morrison-Deutsch
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)
BMJ Open
title 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)
title_full 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)
title_fullStr 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)
title_full_unstemmed 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)
title_short 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)
title_sort 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
url https://bmjopen.bmj.com/content/13/12/e077520.full
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