RE-POWER is an innovative and collaborative multi-site research study comparing three models to treat obesity in primary care practices throughout rural areas of the Midwestern United States.
Why rural America?
Nearly 20% of the U.S. population lives in rural communities. Individuals from rural areas have higher rates of obesity and obesity-related illnesses, including diabetes, heart disease, and arthritis compared with individuals residing in urban areas. Most rural communities have limited health care resources to treat obesity, resulting in local primary care physicians being the primary means for treating obesity.
Targeting a four-state area
Approximately 1440 men and women who receive healthcare from 36 rural primary care clinics in Kansas, Nebraska, Iowa, and Wisconsin will be eligible to participate in the RE-POWER study. Each participating primary care clinic will be randomly assigned one of three possible weight management models:
- Fee for Service
A primary care provider delivers individual weight management counseling that is reimbursed as a fee-for-service individual medical appointment.
- Patient-Centered Medical Home
A specialist trained in weight management from the primary care practice delivers weight management group counseling in the primary care practice and via conference call.
- Disease Management
A specialist in weight management from the University of Kansas Medical Center delivers weight management counseling through group-based conference calls.
The RE-POWER study will compare the effectiveness of the three weight management models
All participants in each of the three groups will be instructed on diet, exercise, and behavioral changes that are necessary for sustainable weight loss. All participants will meet with a healthcare professional at their clinic every 6 months to assess weight loss progress and track changes in blood pressure, glucose levels, and cholesterol levels.