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Training Health Teams to Give Obesity Care to Medicaid Patients

Compares two training approaches for obesity care in community health centers serving people with Medicaid.

Key facts

Who runs it
Washington University School of Medicine
Where
St Louis, United StatesSee the site
Trial code
Registry title
Advancing Biopsychosocial Care Training Initiative
Status
Recruiting
People taking part
6,200 people, planned
Started
14 Jul 2025
Expected to end
15 Dec 2028
Type of study
Interventional, 2 groupsOne group gets an existing treatment, for comparison.
Treatments tested
  • Comprehensive Multidisciplinary Obesity Care
  • Implementation as Usual Control
Record updated
10 August 2026

Who can take part

AI summary

From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.

The trial is looking for primary care providers and clinic staff at participating health centers, and Medicaid patients with obesity aged 5 and older who are seen there.

Age
Patients: 5 years and older (youth 5-20, adults 21+). Provider trainees: no age limit stated.
Sex
All sexes can join.
Disease stage
Patients must have obesity.
Earlier treatment
Primary care doctors must have finished their residency, where this applies.

Main reasons for not taking part

  • Patients without obesity
  • Patients not on Medicaid
  • Youth under 5 years
  • Not a patient or staff member at a participating clinic
  • Resident doctors and doctors in reproductive health

The registry criteria, word for word

Show all 11 criteriaShow less

Who cannot take part

  • Youth under the age of 5
  • 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
  • Not a patient at a participating clinic

Other criteria

  • Study Eligibility Criteria - Provider Trainees:
  • Provider Trainees must be PCPs, BHPs, RDNs, or CHWs who work at participating clinics; 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); 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/PsyD), Psychiatric Nurse Practitioner, Psychiatrist (MD); RDNs that are eligible to participate as Provider Trainees must be Registered Dietitians/Registered Dietitian Nutritionists; CHWs must work as Community Health Workers, or in functionally similar role, within participating clinics; Study Eligibility - EHR Patients: Benefit-Eligible Patients from Participating Clinics
  • 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

Where in United States

  • Washington University School of MedicineSt Louis, United StatesContact: Aubrie Hampp, MScTaking people

About the trial

What the trial wants to find out

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.

The 2 groups in the trial

  • CMOCExisting treatment, for comparison

    The Provider Trainees at the Federally Qualified Health Centers (FQHCs) assigned to the Comprehensive Multidisciplinary Obesity Care (CMOC) condition will receive the CMOC Training during the12-month training period (months 0-12) of the trial, followed by a 12-month (month 13-24) sustainability period.

    Treatment: Comprehensive Multidisciplinary Obesity Care

  • IAUCExisting treatment, for comparison

    The Provider Trainees at the Federally Qualified Health Centers (FQHCs) in the implementation as usual control (IAUC) condition will receive the IAUC Training during the12-month training period (months 0-12) of the trial, followed by a 12-month (month 13-24) sustainability period. Following the 12-month sustainability period, Provider Trainees will be offered the CMOC Training.

    Treatment: Comprehensive Multidisciplinary Obesity Care and Implementation as Usual Control

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?

Contact the study team: see the registry record → Contacts and Locations

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Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
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
Plain-language title
Training Health Teams to Give Obesity Care to Medicaid PatientsGenerated from the registry record. The registry title is the official one.
AI summary
From the trial's eligibility criteria. Read by machine on 12 November 2026.
Record updated
10 August 2026