Centering Weight Management Clinical Decision Support in Primary Care on Patients With Obesity and Practitioners: A Proof‐Of‐Concept Study
ABSTRACT Background Clinical decision support systems (CDSS) are electronic health record tools that support practitioners' decision‐making at the point‐of‐care. CDSS may aid clinical care but are not often centered on patients or practitioners. Aims To develop and preliminarily test a CDSS des...
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          | Published in | Obesity science & practice Vol. 11; no. 1; pp. e70056 - n/a | 
|---|---|
| Main Authors | , , , , , , , | 
| Format | Journal Article | 
| Language | English | 
| Published | 
        United States
          John Wiley & Sons, Inc
    
        01.02.2025
     John Wiley and Sons Inc Wiley  | 
| Subjects | |
| Online Access | Get full text | 
| ISSN | 2055-2238 2055-2238  | 
| DOI | 10.1002/osp4.70056 | 
Cover
| Abstract | ABSTRACT
Background
Clinical decision support systems (CDSS) are electronic health record tools that support practitioners' decision‐making at the point‐of‐care. CDSS may aid clinical care but are not often centered on patients or practitioners.
Aims
To develop and preliminarily test a CDSS designed to support evidence‐based obesity treatment, promote a patient‐centered experience, and integrate with clinical workflows.
Materials & Methods
The CDSS allowed patients to complete a pre‐visit questionnaire via the patient portal, which activated multiple elements for the primary care practitioner (PCP). A 3‐month proof‐of‐concept study was conducted among 10 PCPs at 5 clinics to determine usefulness, usability, and acceptability through validated surveys (mean score ≥ 2.5 signified positive outcome; max 5). Using t‐tests, pre‐post differences in PCPs' frequency of self‐reported clinical practices (1‐never; 5‐always) were examined.
Results
Most PCPs were physicians with mean experience of 10.8 years (SD 7.5). Overall, mean scores for usefulness, usability, and acceptability were 3.2 (SD 0.8), 3.5 (SD 0.9), and 3.6 (SD 0.9), respectively. PCPs reported significant increases in three key clinical practices—counseling on behavioral interventions (3.1 vs. 3.9 [p < 0.01]), referring to weight‐loss programs (2.8 vs. 3.5 [p < 0.01]), and discussing anti‐obesity medications (3.3 vs. 3.8 [p = 0.02]).
Conclusion
This weight management CDSS was useful and usable for PCPs and improved obesity‐related practice habits. Future studies need to evaluate its impact on patient outcomes. | 
    
|---|---|
| AbstractList | Clinical decision support systems (CDSS) are electronic health record tools that support practitioners' decision-making at the point-of-care. CDSS may aid clinical care but are not often centered on patients or practitioners.
To develop and preliminarily test a CDSS designed to support evidence-based obesity treatment, promote a patient-centered experience, and integrate with clinical workflows.
The CDSS allowed patients to complete a pre-visit questionnaire via the patient portal, which activated multiple elements for the primary care practitioner (PCP). A 3-month proof-of-concept study was conducted among 10 PCPs at 5 clinics to determine usefulness, usability, and acceptability through validated surveys (mean score ≥ 2.5 signified positive outcome; max 5). Using t-tests, pre-post differences in PCPs' frequency of self-reported clinical practices (1-never; 5-always) were examined.
Most PCPs were physicians with mean experience of 10.8 years (SD 7.5). Overall, mean scores for usefulness, usability, and acceptability were 3.2 (SD 0.8), 3.5 (SD 0.9), and 3.6 (SD 0.9), respectively. PCPs reported significant increases in three key clinical practices-counseling on behavioral interventions (3.1 vs. 3.9 [
 < 0.01]), referring to weight-loss programs (2.8 vs. 3.5 [
 < 0.01]), and discussing anti-obesity medications (3.3 vs. 3.8 [
 = 0.02]).
This weight management CDSS was useful and usable for PCPs and improved obesity-related practice habits. Future studies need to evaluate its impact on patient outcomes. BACKGROUND: Clinical decision support systems (CDSS) are electronic health record tools that support practitioners' decision‐making at the point‐of‐care. CDSS may aid clinical care but are not often centered on patients or practitioners. AIMS: To develop and preliminarily test a CDSS designed to support evidence‐based obesity treatment, promote a patient‐centered experience, and integrate with clinical workflows. MATERIALS & METHODS: The CDSS allowed patients to complete a pre‐visit questionnaire via the patient portal, which activated multiple elements for the primary care practitioner (PCP). A 3‐month proof‐of‐concept study was conducted among 10 PCPs at 5 clinics to determine usefulness, usability, and acceptability through validated surveys (mean score ≥ 2.5 signified positive outcome; max 5). Using t‐tests, pre‐post differences in PCPs' frequency of self‐reported clinical practices (1‐never; 5‐always) were examined. RESULTS: Most PCPs were physicians with mean experience of 10.8 years (SD 7.5). Overall, mean scores for usefulness, usability, and acceptability were 3.2 (SD 0.8), 3.5 (SD 0.9), and 3.6 (SD 0.9), respectively. PCPs reported significant increases in three key clinical practices—counseling on behavioral interventions (3.1 vs. 3.9 [p < 0.01]), referring to weight‐loss programs (2.8 vs. 3.5 [p < 0.01]), and discussing anti‐obesity medications (3.3 vs. 3.8 [p = 0.02]). CONCLUSION: This weight management CDSS was useful and usable for PCPs and improved obesity‐related practice habits. Future studies need to evaluate its impact on patient outcomes. Clinical decision support systems (CDSS) are electronic health record tools that support practitioners' decision-making at the point-of-care. CDSS may aid clinical care but are not often centered on patients or practitioners.BackgroundClinical decision support systems (CDSS) are electronic health record tools that support practitioners' decision-making at the point-of-care. CDSS may aid clinical care but are not often centered on patients or practitioners.To develop and preliminarily test a CDSS designed to support evidence-based obesity treatment, promote a patient-centered experience, and integrate with clinical workflows.AimsTo develop and preliminarily test a CDSS designed to support evidence-based obesity treatment, promote a patient-centered experience, and integrate with clinical workflows.The CDSS allowed patients to complete a pre-visit questionnaire via the patient portal, which activated multiple elements for the primary care practitioner (PCP). A 3-month proof-of-concept study was conducted among 10 PCPs at 5 clinics to determine usefulness, usability, and acceptability through validated surveys (mean score ≥ 2.5 signified positive outcome; max 5). Using t-tests, pre-post differences in PCPs' frequency of self-reported clinical practices (1-never; 5-always) were examined.Materials & MethodsThe CDSS allowed patients to complete a pre-visit questionnaire via the patient portal, which activated multiple elements for the primary care practitioner (PCP). A 3-month proof-of-concept study was conducted among 10 PCPs at 5 clinics to determine usefulness, usability, and acceptability through validated surveys (mean score ≥ 2.5 signified positive outcome; max 5). Using t-tests, pre-post differences in PCPs' frequency of self-reported clinical practices (1-never; 5-always) were examined.Most PCPs were physicians with mean experience of 10.8 years (SD 7.5). Overall, mean scores for usefulness, usability, and acceptability were 3.2 (SD 0.8), 3.5 (SD 0.9), and 3.6 (SD 0.9), respectively. PCPs reported significant increases in three key clinical practices-counseling on behavioral interventions (3.1 vs. 3.9 [p < 0.01]), referring to weight-loss programs (2.8 vs. 3.5 [p < 0.01]), and discussing anti-obesity medications (3.3 vs. 3.8 [p = 0.02]).ResultsMost PCPs were physicians with mean experience of 10.8 years (SD 7.5). Overall, mean scores for usefulness, usability, and acceptability were 3.2 (SD 0.8), 3.5 (SD 0.9), and 3.6 (SD 0.9), respectively. PCPs reported significant increases in three key clinical practices-counseling on behavioral interventions (3.1 vs. 3.9 [p < 0.01]), referring to weight-loss programs (2.8 vs. 3.5 [p < 0.01]), and discussing anti-obesity medications (3.3 vs. 3.8 [p = 0.02]).This weight management CDSS was useful and usable for PCPs and improved obesity-related practice habits. Future studies need to evaluate its impact on patient outcomes.ConclusionThis weight management CDSS was useful and usable for PCPs and improved obesity-related practice habits. Future studies need to evaluate its impact on patient outcomes. ABSTRACT Background Clinical decision support systems (CDSS) are electronic health record tools that support practitioners' decision‐making at the point‐of‐care. CDSS may aid clinical care but are not often centered on patients or practitioners. Aims To develop and preliminarily test a CDSS designed to support evidence‐based obesity treatment, promote a patient‐centered experience, and integrate with clinical workflows. Materials & Methods The CDSS allowed patients to complete a pre‐visit questionnaire via the patient portal, which activated multiple elements for the primary care practitioner (PCP). A 3‐month proof‐of‐concept study was conducted among 10 PCPs at 5 clinics to determine usefulness, usability, and acceptability through validated surveys (mean score ≥ 2.5 signified positive outcome; max 5). Using t‐tests, pre‐post differences in PCPs' frequency of self‐reported clinical practices (1‐never; 5‐always) were examined. Results Most PCPs were physicians with mean experience of 10.8 years (SD 7.5). Overall, mean scores for usefulness, usability, and acceptability were 3.2 (SD 0.8), 3.5 (SD 0.9), and 3.6 (SD 0.9), respectively. PCPs reported significant increases in three key clinical practices—counseling on behavioral interventions (3.1 vs. 3.9 [p < 0.01]), referring to weight‐loss programs (2.8 vs. 3.5 [p < 0.01]), and discussing anti‐obesity medications (3.3 vs. 3.8 [p = 0.02]). Conclusion This weight management CDSS was useful and usable for PCPs and improved obesity‐related practice habits. Future studies need to evaluate its impact on patient outcomes. ABSTRACT Background Clinical decision support systems (CDSS) are electronic health record tools that support practitioners' decision‐making at the point‐of‐care. CDSS may aid clinical care but are not often centered on patients or practitioners. Aims To develop and preliminarily test a CDSS designed to support evidence‐based obesity treatment, promote a patient‐centered experience, and integrate with clinical workflows. Materials & Methods The CDSS allowed patients to complete a pre‐visit questionnaire via the patient portal, which activated multiple elements for the primary care practitioner (PCP). A 3‐month proof‐of‐concept study was conducted among 10 PCPs at 5 clinics to determine usefulness, usability, and acceptability through validated surveys (mean score ≥ 2.5 signified positive outcome; max 5). Using t‐tests, pre‐post differences in PCPs' frequency of self‐reported clinical practices (1‐never; 5‐always) were examined. Results Most PCPs were physicians with mean experience of 10.8 years (SD 7.5). Overall, mean scores for usefulness, usability, and acceptability were 3.2 (SD 0.8), 3.5 (SD 0.9), and 3.6 (SD 0.9), respectively. PCPs reported significant increases in three key clinical practices—counseling on behavioral interventions (3.1 vs. 3.9 [p < 0.01]), referring to weight‐loss programs (2.8 vs. 3.5 [p < 0.01]), and discussing anti‐obesity medications (3.3 vs. 3.8 [p = 0.02]). Conclusion This weight management CDSS was useful and usable for PCPs and improved obesity‐related practice habits. Future studies need to evaluate its impact on patient outcomes. ABSTRACT Background Clinical decision support systems (CDSS) are electronic health record tools that support practitioners' decision‐making at the point‐of‐care. CDSS may aid clinical care but are not often centered on patients or practitioners. Aims To develop and preliminarily test a CDSS designed to support evidence‐based obesity treatment, promote a patient‐centered experience, and integrate with clinical workflows. Materials & Methods The CDSS allowed patients to complete a pre‐visit questionnaire via the patient portal, which activated multiple elements for the primary care practitioner (PCP). A 3‐month proof‐of‐concept study was conducted among 10 PCPs at 5 clinics to determine usefulness, usability, and acceptability through validated surveys (mean score ≥ 2.5 signified positive outcome; max 5). Using t‐tests, pre‐post differences in PCPs' frequency of self‐reported clinical practices (1‐never; 5‐always) were examined. Results Most PCPs were physicians with mean experience of 10.8 years (SD 7.5). Overall, mean scores for usefulness, usability, and acceptability were 3.2 (SD 0.8), 3.5 (SD 0.9), and 3.6 (SD 0.9), respectively. PCPs reported significant increases in three key clinical practices—counseling on behavioral interventions (3.1 vs. 3.9 [p < 0.01]), referring to weight‐loss programs (2.8 vs. 3.5 [p < 0.01]), and discussing anti‐obesity medications (3.3 vs. 3.8 [p = 0.02]). Conclusion This weight management CDSS was useful and usable for PCPs and improved obesity‐related practice habits. Future studies need to evaluate its impact on patient outcomes.  | 
    
| Author | Ghosh, Jyotsna Bennett, Wendy L. Clark, Jeanne M. Schwartz, Jessica L. Olsson, Kelly Almazan, Erik Beck, Thomas Grader Gudzune, Kimberly A.  | 
    
| AuthorAffiliation | 5 Department of Medicine Brigham and Women's Hospital Boston Massachusetts USA 1 Division of General Internal Medicine Johns Hopkins University School of Medicine Baltimore Maryland USA 4 Clinical Data Science and Evidence Novo Nordisk Inc. Plainsboro New Jersey USA 2 Welch Center for Prevention, Epidemiology, and Clinical Research Johns Hopkins Medical Institution Baltimore Maryland USA 3 Division of Hospital Medicine Johns Hopkins University School of Medicine Baltimore Maryland USA 6 Division of Rheumatology Johns Hopkins University School of Medicine Baltimore Maryland USA  | 
    
| AuthorAffiliation_xml | – name: 1 Division of General Internal Medicine Johns Hopkins University School of Medicine Baltimore Maryland USA – name: 4 Clinical Data Science and Evidence Novo Nordisk Inc. Plainsboro New Jersey USA – name: 2 Welch Center for Prevention, Epidemiology, and Clinical Research Johns Hopkins Medical Institution Baltimore Maryland USA – name: 6 Division of Rheumatology Johns Hopkins University School of Medicine Baltimore Maryland USA – name: 3 Division of Hospital Medicine Johns Hopkins University School of Medicine Baltimore Maryland USA – name: 5 Department of Medicine Brigham and Women's Hospital Boston Massachusetts USA  | 
    
| Author_xml | – sequence: 1 givenname: Kimberly A. orcidid: 0000-0002-7782-1769 surname: Gudzune fullname: Gudzune, Kimberly A. organization: Johns Hopkins Medical Institution – sequence: 2 givenname: Jessica L. surname: Schwartz fullname: Schwartz, Jessica L. email: jschwa64@jhmi.edu organization: Johns Hopkins University School of Medicine – sequence: 3 givenname: Kelly surname: Olsson fullname: Olsson, Kelly organization: Novo Nordisk Inc – sequence: 4 givenname: Erik surname: Almazan fullname: Almazan, Erik organization: Brigham and Women's Hospital – sequence: 5 givenname: Thomas Grader surname: Beck fullname: Beck, Thomas Grader organization: Johns Hopkins University School of Medicine – sequence: 6 givenname: Jyotsna surname: Ghosh fullname: Ghosh, Jyotsna organization: Johns Hopkins University School of Medicine – sequence: 7 givenname: Wendy L. surname: Bennett fullname: Bennett, Wendy L. organization: Johns Hopkins Medical Institution – sequence: 8 givenname: Jeanne M. surname: Clark fullname: Clark, Jeanne M. organization: Johns Hopkins Medical Institution  | 
    
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| Copyright | 2025 The Author(s). published by World Obesity and The Obesity Society and John Wiley & Sons Ltd. 2025 The Author(s). Obesity Science & Practice published by World Obesity and The Obesity Society and John Wiley & Sons Ltd. 2025. This work is published under http://creativecommons.org/licenses/by/4.0/ (the "License"). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.  | 
    
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| Snippet | ABSTRACT
Background
Clinical decision support systems (CDSS) are electronic health record tools that support practitioners' decision‐making at the... Clinical decision support systems (CDSS) are electronic health record tools that support practitioners' decision-making at the point-of-care. CDSS may aid... ABSTRACT Background Clinical decision support systems (CDSS) are electronic health record tools that support practitioners' decision‐making at the... BACKGROUND: Clinical decision support systems (CDSS) are electronic health record tools that support practitioners' decision‐making at the point‐of‐care. CDSS...  | 
    
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| SubjectTerms | Adults Automation Body mass index Body weight Clinical decision making clinical decision support systems Clinical medicine Clinics Counseling Decision making Electronic health records Electronic medical records Intervention Literature reviews Medical records Obesity Original Patients point-of-care systems Primary care primary health care Questionnaires Self-efficacy Systematic review t-test telemedicine Usability Weight control weight loss  | 
    
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| Title | Centering Weight Management Clinical Decision Support in Primary Care on Patients With Obesity and Practitioners: A Proof‐Of‐Concept Study | 
    
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