Primary Care Child Obesity Intervention Targeting Parents
Completed · Not applicable
Conditions studied: Overweight, Obesity
In brief
Child overweight has become one of today's most important public health concerns. Engaged and skilled parenting that models, values, and encourages healthy eating habits and a physically active lifestyle can play a key role in childhood overweight prevention and reduction. Primary care providers are well positioned to intervene with children and their parents, but face many barriers in addressing child overweight. A child overweight treatment approach is proposed for the primary care setting to facilitate parents' active involvement and self-efficacy in promoting healthy eating habits and physical activity for their children. We will test the following hypotheses: Hypothesis I (primary hypothesis): Children assigned to the intervention group will improve more in weight status (measured by BMI percentile) than children in the control group. Hypothesis II: Primary care providers assigned to the intervention group will improve more in their competence in addressing child overweight than the providers in the control group. Hypothesis III: After the intervention, parents in the intervention group will have more involvement and self-efficacy in promoting healthy weight for their children than parents in the control group. Hypothesis IV: Compared to the control group, the intervention group will improve more in family diet and eating, physical activity behaviors, as well as parental attitude and beliefs. Eighty children five to eleven years old who are overweight or obese will be recruited from two pediatric and two family practice clinics in southern Appalachia. Children will be randomly assigned to intervention and control groups based on clinic affiliation. Parents of children in the intervention group will participate in four clinic-based group sessions using the NIH We Can! curriculum moderated by a trained clinic provider, two individual brief motivational interviewing visits with their clinic provider, and four follow-up phone calls with the project coordinator or registered dietician. Parenting behaviors and attitudes, and family eating and activity habits, and children's weight status will be assessed at baseline, at the completion of the intervention, and at six months after the intervention. Changes in the assessments will be compared between treatment and control groups. Changes in provider and parent attitudes and perceptions about this treatment approach,adherence to the program, and estimates of associated time will be measured.
Key facts
- Study ID
- NCT01729910
- Run by
- East Tennessee State University
- People needed
- 67
- Starts
- 2009-09-01
- Expected to finish
- 2011-03-01
- Last updated by the study team
- 2015-11-24
Who can join
Age: 5 and older, up to 11. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- BMI >= 85th percentile
- age 5-11 years
- one parent or other primary care giver agrees to participate in the study
You may not qualify if…
- current participation in another weight management program by child or parent/caregiver
- presence of a diagnosed psychiatric/psychological disorder in the parent or child
- presence of an underlying condition affecting weight status
- current dietary or physical activity limitations
- parents who do not have phone accessibility
Where it is running
- East Tennessee State University — Johnson City, Tennessee, United States
Full record on ClinicalTrials.gov
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