Keyword: "obesity"

11 items were found with the keyword "obesity".

  • Improving Patient Decisions about Bariatric Surgery

    New

    PI: Nancy J. Birkmeyer, PhD , Amir A. Ghaferi, MD, MS

    Obesity is increasingly considered among the most important public health problems of our times. Bariatric surgery is arguably the only treatment that has proven effective in producing long-term weight loss for patients with morbid obesity. Bariatric surgery also results in resolution of obesity related co-morbid conditions, improvements in quality of life, and increased survival. There are currently four different bariatric surgical procedures in use: adjustable gastric banding, gastric bypass, sleeve gastrectomy, and duodenal switch. Bariatric surgery is considered a highly preference sensitive medical issue. Existing decision aids in bariatric surgery are limited in that they provide information about the average comparative risks and benefits of the treatment options, but do not provide customized estimates of the risks and benefits of the different procedures for individual patients. As a result of these draw-backs, decision aids are not frequently used in making treatment decisions in bariatric surgery. Our proposal is highly innovative in that our decision support tool integrates data from a large clinical registry with individual patient data to provide patients with real-time, customized, accurate information regarding the risks and benefits of the treatment options to better inform decision making. This tool will be continuously updated to ensure that the data on risks and benefits that it provides are accurate and current. Our tool also provides information about other attributes of the treatment options that bariatric surgery patients and other relevant stakeholders feel are important for patients to consider in deciding whether and what type of bariatric surgery to have. The proposed research promotes shared medical decision making for patients who are considering bariatric surgery for the treatment of morbid obesity. If our intervention proves effective, it will result in improved decision quality and outcomes of care for patients. It may also result in improved efficiency of care to the extent that it serves to augment or guide communication between the patient and physician to promote shared medical decision-making. (09/01/2013 - 08/31/2016)

  • Families Improving Together (FIT) For Weight Loss

    PI: Dawn K. Wilson, PhD

    The increasing rate of obesity has become a major public health concern in the United States. Recent reports indicate that 40% of African American adolescents are considered overweight or obese. Although effective lifestyle approaches for weight loss have been demonstrated in Caucasian youth, little is known about effective weight loss interventions in ethnic minority adolescents. In part, this is because research has shown that ethnic minorities attend fewer intervention sessions, have higher attrition rates and lose less weight compared to Caucasians. Two fundamental problems related to this lack of progress are addressed in this proposal and include 1) the lack of appropriate content of weight loss interventions for African American adolescents that integrate cultural issues, parenting skills, and motivational strategies for increasing long-term change and, 2) the poor dose of weight loss interventions because of participant fatigue, drop out and barriers faced by underserved families. The goal of this project is to conduct a randomized controlled efficacy trial to address the problems with past intervention studies by 1) making the face-to-face group intervention shorter, 2) using an on-line program to compliment the group-based intervention for increasing dose, and by 3) tailoring a motivational and parenting skills program directly to parents' and adolescents' skill levels and cultural background. (07/16/2013 - 06/30/2018)

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  • Storyteller Project

    PI: Rachel E. Davis, PhD, MPH , Suzanne M. Cole, PhD , Karen E. Peterson, DSc

    The goal of this study is to identify key ingredients of tailored narratives to promote childhood obesity prevention behaviors among mothers of preschool-aged Mexican American children. (09/01/2011 - 08/31/2012)

  • Neural predictors of synergy between self-affirmation and message tailoring

    PI: Emily B. Falk, PhD

    We propose self-affirmation as a theory driven intervention to improve self-efficacy for physical activity in sedentary, overweight adults. In particular, we hypothesize that self-affirmation manipulations that focus on a participantís strengths, delivered prior to exposure to a targeted health communication, will reduce defensive processing of messages (e.g. counter arguing), increase self-efficacy to perform the target health behavior, and may lead to increased behavior change, compared to a non-affirmation control. (09/01/2011 - 08/31/2012)

  • ChemoDosing

    PI: Tunghi May Pini, MD, MPH , Jennifer J. Griggs, MD, MPH

    Approximately 40% of obese patients with breast cancer undergoing chemotherapy receive reduced doses of chemotherapy despite nearly two decades of evidence supporting full weight-based dosing. This project aims to share evidence that supports full dosing for obese breast cancer patients with physicians. (01/01/2010 - 12/31/2010)

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  • MPOWERed 2

    PI: Susan J. Woolford, MD, MPH

    This project expands the existing MPOWER text message library to include tailored exercise messages, weekly photovoice activity, and feedback messages. New messages are tested with focus groups before use in the program. (05/01/2009 - 04/30/2014)

  • MPOWERed

    PI: Susan J. Woolford, MD, MPH

    Short, tailored text messages are sent to obese adolescents that address five evidence-based weight-related behavioral domains: reduction of screen time, regular consumption of a healthy breakfast, decreased consumption of sweetened beverages, decreased consumption of fast food, and increased consumption of fruit and vegetable. Texts include highly tailored messages, targeted messages and reminders. (09/01/2007 - 03/31/2010)

  • Childhood Obesity MI for Pediatricians

    PI: Kenneth A. Resnicow, PhD

    There remains a compelling need for evidenced-based intervention models to assist primary care practitioners to treat their overweight pediatric patients. This project is an efficacy trial to test two potentially generalizable interventions that address many of the key barriers to obesity counseling in pediatric primary care. (04/01/2007 - 01/31/2013)

  • BMi2

    PI: Kenneth A. Resnicow, PhD

    BMi2 is a DVD for pediatricians and dietitians that have completed a 2-day intensive motivational interviewing (MI) training session. The DVD is a take-home resource that offers additional practice in the core MI skills of reflective listening, building motivation, and eliciting change talk. In this DVD, the application of MI is used to help prevent and treat pediatric obesity, including nuances of working with parents of young children as well as working directly with older children. (02/01/2007 - 08/31/2008)

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  • Better Health

    PI: Victor J. Strecher, PhD, MPH

    This projects uses longitudinally-tailored print materials and telecounseling interventions and compares their effectiveness, individually and in combination, among individuals with one or more risks, including smoking, poor diet, and sedentary behavior. (04/01/1999 - 12/31/2004)

  • Personal Wellness Plan

    PI: John E. Billi, MD

    This project adapts the M-CARE Health Risk Appraisal for Ford Motor Company employees. (02/01/1998 - 07/31/1998)