Obesity
Conditions
Keywords
Obesity, Children, Adolescents, Attrition
Brief summary
As part of Children's Hospital Association's Focus on a Fitter Future III Obesity Task Force, this project will target patient and family expectations across the domains of nutrition, physical activity and behavior change/family support as a means of patient engagement and retention in pediatric weight management. This will be a prospective, non-randomized, uncontrolled, single-arm trial for children between 2 and 18 years of age and a parent/guardian, who are starting a pediatric weight management program/clinic in one of the participating centers. The parent/guardian and child if 12 years of age or older receive a survey at the first visit, which asks about their expectations and goals for the visit. This information will then be used as part of clinical care to tailor treatment. After 3 months, the parent/guardian and adolescent, if applicable, will receive a follow up survey asking about their progress in these areas.
Interventions
BEHAVIORALPatient Expectations
Baseline Expectations survey (parent/guardian and adolescents 12 and older)
Sponsors
University of Nebraska
Nationwide Children's Hospital
Connecticut Children's Medical Center
Mt. Washington Pediatric Hospital
C.S. Mott Children's Hospital
Children's Hospital Colorado
Children's Hospital of Illinois
Helen DeVos Children's Hospital
OHSU Doernbecher Children's Hospital
Norton Healthcare
Boston Children's Hospital
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
2 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* Subject conversant in English or Spanish * Parent/guardian conversant in English or Spanish * Patient aged 2-18 years
Exclusion criteria
(For Adolescent): • Parent-reported cognitive issues preventing completion of the form, such as in-school aide\>50% of the school day; special education classes \>50% of school day
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Attrition at 3 months | 3 months | Defined for treatment clinics (i.e., no set end point) as attending an initial appointment but no further appointments in a 3 month period. For treatment programs (i.e., set end point), attrition is defined as attending \<25% of visits in a 3 month period |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Congruence of learning needs and achieved outcomes | 3 months | Defined as a match between the identified most important treatment expectation in each of the domains at baseline and the most helpful treatment domains at 3 months. Congruent = at least 4 out 6 possible matches. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Matched expectations between parent and child expectations at baseline | Baseline | match between the identified most important treatment expectation in each of the domains at baseline for the parent and adolescent (age 12+). Matched= at least 4 out 6 possible matches. |
| Child BMI Z-score | Baseline, 3 months | Change in BMI z-score between baseline and 3 month follow-up |
| Provider Satisfaction | 3 months | Providers will complete a brief survey at the end of the recruitment phase to solicit general feedback and to assess the tool's utility and impact on clinical flow. |
| Participation Rate | Baseline | Proportion of patients who enrolled among those invited to participate. |
Countries
United States
Outcome results
None listed