# Testing the Efficacy of a Technology-Assisted Weight Management Intervention within Patient-Centered Medical Homes: The GEM (Goals for Eating and Moving) Study

> **NIH NIH R01** · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · 2020 · $662,121

## Abstract

PROJECT SUMMARY
The United States Preventive Services Task Force (USPSTF) recommends that primary care providers use the
5As framework (Assess, Advise, Agree, Assist, Arrange) to provide counseling to obese patients. Providers
frequently do not counsel patients due to barriers such as competing demands and low perceived competency
which may contribute to poor patient attendance to effective weight management programs. Patient-centered
medical homes can use team-based care to address these barriers, increase attendance to intensive weight
management programs, and provide weight management services to those who do not to attend. We
developed and formatively evaluated an innovative, technology-assisted 5As-based intervention to promote
weight loss, behavior change, and increase enrollment in intensive programs (e.g. the MOVE! program from the
Veteran’s Affairs (VA) and the Diabetes Prevention Program) within medical homes. This intervention, called
GEM (Goals for Eating and Moving), uses 4 components to deliver 5As counseling—the GEM online tool,
health coach counseling, brief primary care team counseling, and follow-up telephone coaching. The GEM tool
is a mobile-friendly software program delivered via tablet computers in the primary care setting to facilitate
counseling by a health coach and primary care staff. Our preliminary data suggest that the GEM intervention is
feasible and acceptable to patients and staff and facilitates 5As counseling. A randomized trial is needed to
examine its impact on weight loss and health outcomes. We will conduct a cluster-randomized controlled trial
at 2 urban health centers: the VA New York Harbor and at sites within the Montefiore Medical Group (MMG) to
assess the efficacy of the GEM intervention compared to Enhanced Usual Care. We will recruit 512 patients
from 16 primary care teams (8 from VA sites, 8 from MMG sites), each with 2 or more primary care providers.
Eligible patients with a Body Mass Index of ≥30 kg/m2 or >25 kg/m2 and comorbidities with upcoming primary
care appointments will be recruited via mail with follow up telephone calls. Patients within primary care teams
randomized to the intervention group will receive the GEM intervention and those in the control group will
receive Enhanced Usual Care. The primary outcome will be weight loss at the end of the 1 year intervention.
We will use the RE-AIM evaluation framework to assess the reach (proportion of eligible patients who enroll),
efficacy (weight loss and other related outcomes), adoption (acceptability to primary care teams),
implementation (intervention fidelity) and maintenance (sustainability of weight change and program
components between 12 and 24 months post-randomization).

## Key facts

- **NIH application ID:** 10000126
- **Project number:** 5R01DK111928-05
- **Recipient organization:** NEW YORK UNIVERSITY SCHOOL OF MEDICINE
- **Principal Investigator:** Melanie Jay
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $662,121
- **Award type:** 5
- **Project period:** 2016-09-20 → 2023-08-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10000126

## Citation

> US National Institutes of Health, RePORTER application 10000126, Testing the Efficacy of a Technology-Assisted Weight Management Intervention within Patient-Centered Medical Homes: The GEM (Goals for Eating and Moving) Study (5R01DK111928-05). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/10000126. Licensed CC0.

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