Obesity

Mediators and moderators of successful population-level weight management in primary care: results from the PATHWEIGH cluster-randomized pragmatic trial

Int J Obes (Lond)Published Secondary analysis of the PATHWEIGH cluster-randomised pragmatic trial

Authors' conclusion

Altogether, the intervention had favorable effects on patient weight across the subgroups, particularly when a patient or provider used ≥1 EHR component of PATHWEIGH.

Study context

Population
Primary care patients, 56 primary care clinics in Colorado, USA
Participants
274,182 patients56 clinics
Comparison
PATHWEIGH intervention vs usual care
Primary endpoint
Mediators and moderators associated with successful population-level weight management
Methodological detailsstepped-wedge, cluster-randomized, one-way crossover from usual care to intervention
  • Stepped-wedge
  • Cluster-randomized
  • One-way crossover from usual care to intervention

Primary result

As reported in the abstract

18 months
Proportion of additional patient weight loss mediated by patient and/or provider use of an electronic health record (EHR) component
37%
Proportion of additional patient weight loss mediated by anti-obesity medication use
4%
P for all comparisons
p < 0.001

Original publication

Mediators and moderators of successful population-level weight management in primary care: results from the PATHWEIGH cluster-randomized pragmatic trial. Int J Obes (Lond). Published 2 April 2026. doi:10.1038/s41366-026-02072-9

Composed by AI from the published abstract and checked against it. How Briefs are made →

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