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Advisor: Rickie Brawer, PhD, MPH--Thomas Jefferson University.


Obesity is currently a major problem in the United States that has both health and financial consequences. Thomas Jefferson University received grant funding from 2006 to 2010 for a project whose goal is to reduce the health burden of obesity in Pennsylvania. One specific objective, known as the Clinic-Community Intervention Program (CCIP), applied interrelated components of the Chronic Care Model (CCM) to obese adults from low-income urban minority communities to address their obesity and obesity related co-morbidities. The obesity care team was comprised of Primary Care Providers, Lifestyle Counselors, and Community Health Educators who helped patients develop personal action plans and educate them on developing healthier lifestyle habits. A process evaluation was developed and implemented to assess personnel and participant satisfaction with the program as well as opportunities for improvement. The process evaluation had three components: patient telephone surveys, health care provider and project staff surveys, and telephone or in-person interviews with providers and staff. In addition, chart reviews were conducted to determine how often health care providers recorded height, weight, and BMI in patient charts. Of the 31 participants surveyed, the majority were satisfied with the lifestyle counselor sessions and the community education classes. Over half (51.61%) of the participants lost weight and the majority were satisfied with the overall program. Areas of concern reflected the need for more frequent follow-up sessions and issues related to relationships with lifestyle counselors. The 31 providers who were interviewed agreed that the program was somewhat effective but cited the need for better communication with CCIP lifestyle counselors. The chart review indicated an improved documentation of BMI measurements for overweight and obese patients. Overall, the weight management program was successful but specific issues, such as more efficient communication, need to be addressed if the program were to start again.