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CompletedNCT02364128PCORIUpdated Sep 26, 2018

Improving Patient Decisions About Bariatric Surgery

A Phase 2 interventional study of Decider Guider: Weight Loss in Morbid Obesity and Weight Reduction, sponsored by University of Michigan. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2018-09-26.

Sponsored by University of Michigan · Phase 2, Interventional, and Other

From the registry’s dates

  • Registered 1 year after the study started (first participant enrolled Jan 2014, registered Jan 2015).
Phase
Phase 2
Study type
Interventional
Enrollment
1,000
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

At least 15 million Americans are morbidly obese, or more than 100 pounds overweight. Medical treatments including drugs and behavior modification have proven ineffective in producing significant and lasting weight loss in this group. While bariatric surgery is extremely effective for most patients, it also carries risks for both short and long-term complications. There are currently four different types of bariatric surgery available and the risks and benefits of these procedures vary widely and are strongly affected by patient and clinical characteristics.

Decision making under these circumstances should reflect informed patient's values and preferences regarding these trade-offs. Instead, the choice of bariatric procedure is more often driven by the beliefs and experiences of the bariatric surgeon that a patient happens to see. Variability in the type of surgery recommended to patients likely results from some combination of surgeons' subjective opinions and personal experiences with regard to the risks and benefits of the treatment options and delegated decision making on the part of patients.

The goals of this research proposal are to develop, implement, and evaluate an informed decision support tool for treatment of morbid obesity. This project will be conducted within the context of the Michigan Bariatric Surgery Collaborative (MBSC), which is a statewide clinical registry and quality improvement program that has the participation of virtually every bariatric surgeon and program in the state of Michigan. The MBSC registry now includes externally audited clinical data for more than 80,000 consecutive bariatric surgery patients. MBSC outcome measures include complications occurring within 30 days as well as weight loss, comorbidity resolution, quality of life and satisfaction at 1, 2, and 3 years after bariatric surgery.

Read the detailed description

Our specific aims are:

  1. To develop a web-based interactive decision support tool to incorporate tailored information regarding risks and benefits of the treatment options (from regression-based prediction models derived on the 35,000 patients already in the MBSC registry) with information regarding other salient attributes of the treatment options (derived from focus groups and semi-structured interviews with stakeholders including bariatric surgery patients, bariatric program staff, and surgeons).
  2. To perform a quasi-experimental study comparing the decision support tool with usual care to determine its effects on patient decisions (treatment choice, knowledge, treatment-preference concordance, and decisional conflict) and on patient outcomes including weight loss, patient satisfaction, and improvements in quality of life after surgery.

This research is closely aligned with the goals of PCORI and will have direct impacts on patients and caregivers by providing information that is required to improve healthcare decision-making for this prevalent, damaging, and costly condition.

02

Conditions studied

  • Morbid Obesity
  • Weight Reduction
03

In context

Obesity, Morbid

922 studies on the registry are indexed under Obesity, Morbid; 172 are open to participants now.

This study's planned enrollment of 1,000 is above the median of 60 across 590 interventional studies indexed under Obesity, Morbid.

Browse Obesity, Morbid studies →

Lead sponsor

University of Michigan is the lead sponsor of 1,475 studies on the registry; 196 are open to participants now.

Of its 162 completed or terminated interventional studies of FDA-regulated products, 128 (79%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • All patients considering undergoing bariatric surgery in the state of Michigan who are 18 or older.
  • All patients, regardless of gender or racial/ethnic background, will be recruited to participate in the study in the same way.

Exclusion criteria

Exclusion Criteria:

  • Patients under the age of 18
05

Study design

Phase
Phase 2
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
1,000 participants (estimated)

Study arms

  • No intervention
    Control

    Potential bariatric surgery patients who receive both the baseline questionnaire and follow-up questionnaire.

  • Other
    Decision Aid

    Potential bariatric surgery patients who receive both the baseline questionnaire decision aid/conjoint analysis and follow-up questionnaire.

    Behavioral: Decider Guider: Weight Loss

Interventions

  • BehavioralDecider Guider: Weight Loss

    Decision aid tool about weight loss treatment

06

What researchers measure

Primary outcomes

  1. Decision outcome by Decider Guider Questionnaire

    Decisional measures

    Time frame: 24 months

  2. Patient specific outcome by Decider Guider Questionnaire

    Time frame: 24 months

Secondary outcomes

  1. Knowledge, as measured by a follow-up Decider Guider questionnaire to test knowledge

    Time frame: 24 months

  2. Preferences as measured by Decider Guider Questionnaire

    Time frame: 24 months

  3. Weight

    Time frame: 24 months

  4. Quality of Life as measured by Decider Guider Questionnaire

    Time frame: 24 months

  5. Comorbidity Resolution as measured by Decider Guider Questionnaire

    Time frame: 24 months

  6. Patient Satisfaction as measured by Decider Guider Questionnaire

    Time frame: 24 months

07

Study locations

1 site
  • University of Michigan
    Ann Arbor, Michigan 48109, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 26, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02364128
Lead sponsor
University of Michigan
Collaborators
Patient-Centered Outcomes Research Institute
Responsible party
Amir Ghaferi (Assistant Professor of Surgery, University of Michigan) — Principal investigator
First posted
Feb 16, 2015
Start date
Jan 1, 2014
Primary completion
Sep 15, 2018
Completion
Sep 15, 2018
Last update
Sep 26, 2018

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2018. You cannot join it, but the record below documents what was studied.

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