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Research ArticleOriginal Research

The Effect of an Automated Clinical Reminder on Weight Loss in Primary Care

Jason S. O'Grady, Tom D. Thacher and Rajeev Chaudhry
The Journal of the American Board of Family Medicine November 2013, 26 (6) 745-750; DOI: https://doi.org/10.3122/jabfm.2013.06.120340
Jason S. O'Grady
the Department of Family Medicine (JSO, TDT) and the Division of Primary Care, Department of Internal Medicine (RC), Mayo Clinic, Rochester, MN.
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Tom D. Thacher
the Department of Family Medicine (JSO, TDT) and the Division of Primary Care, Department of Internal Medicine (RC), Mayo Clinic, Rochester, MN.
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Rajeev Chaudhry
the Department of Family Medicine (JSO, TDT) and the Division of Primary Care, Department of Internal Medicine (RC), Mayo Clinic, Rochester, MN.
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    Figure 1.

    Generic Disease Management System output with obesity prompt highlighted.

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    Table 1. Characteristics of Study Participants (n = 1600)
    CharacteristicsNo PromptPrompt
    Sex
        Male634 (39.6)659 (41.2)
        Female966 (60.4)941 (58.8)
    Age (years)
        18–29168 (10.5)113 (7.1)
        30–44289 (18.1)273 (17.1)
        45–59611 (38.2)660 (41.2)
        60–75532 (33.2)554 (34.6)
    Smoking
        Yes156 (9.8)157 (9.8)
        No1344 (84)1345 (84)
        Unknown100 (6.2)98 (6.2)
    Diabetes
        Yes299 (18.7)310 (19.4)
        No1301 (81.3)1290 (80.6)
    Hyperlipidemia
        Yes713 (44.6)720 (45)
        No887 (55.4)880 (55)
    Obesity diagnosis
        Yes185 (11.6)198 (12.4)
        No1415 (88.4)1402 (87.6)
    Psychiatric illness
        Yes89 (5.6)100 (6.3)
        No1511 (94.4)1500 (93.7)
    Baseline BMI (kg/m2)
        Mean ± SD32.3 ± 7.432.6 ± 7.2
        25.0–29.9706 (44.1)663 (41.4)
        30.0–34.9476 (29.8)498 (31.1)
        ≥35.0417 (26.1)439 (27.4)
    Time interval (mean days ± SD)*203 ± 44205 ± 42
    • Data are n (%) unless otherwise indicated.

    • ↵* Between initial and follow-up visits.

    • BMI, body mass index; SD, standard deviation.

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    Table 2. Results of Multiple Linear Regression Analysis of Factors Associated With a Change in Body Mass Index (BMI)
    VariablesEffect Coefficient95% Confidence IntervalP Value
    Clinical reminder−0.0074−0.060 to 0.045.78
    Baseline BMI (kg/m2)−0.014−0.022 to −0.0062.0004*
    Diabetes diagnosis−0.017−0.087 to 0.054.64
    Hyperlipidemia diagnosis−0.069−0.13 to −0.011.02*
    Obesity diagnosis−0.20−0.28 to −0.11<.0001*
    Age (years)−0.0069−0.011 to −0.0027.0012*
    • ↵* Statistically significant, P < .05.

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The Journal of the American Board of Family     Medicine: 26 (6)
The Journal of the American Board of Family Medicine
Vol. 26, Issue 6
November-December 2013
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The Effect of an Automated Clinical Reminder on Weight Loss in Primary Care
Jason S. O'Grady, Tom D. Thacher, Rajeev Chaudhry
The Journal of the American Board of Family Medicine Nov 2013, 26 (6) 745-750; DOI: 10.3122/jabfm.2013.06.120340

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The Effect of an Automated Clinical Reminder on Weight Loss in Primary Care
Jason S. O'Grady, Tom D. Thacher, Rajeev Chaudhry
The Journal of the American Board of Family Medicine Nov 2013, 26 (6) 745-750; DOI: 10.3122/jabfm.2013.06.120340
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Keywords

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