Obesity, Overweight
Conditions
Brief summary
Mass in Motion Kids is a whole-of-community intervention in Fitchburg and New Bedford, Massachusetts that incorporates evidence-based interventions across multiple sectors and at multiple levels. The overall goal of the study is to examine the extent to which the comprehensive, systematic intervention reduces childhood obesity among underserved children. The clinical intervention implements evidence-based interventions each city's federally-qualified community health center. Intervention components aim to improve primary and secondary prevention of childhood obesity and implement changes at four levels: clinician; parent-family; organizational; and environmental. We additionally provide training and educational materials to other pediatric clinicians in the two communities. The clinical intervention components include (1) advanced training on clinical quality improvement and obesity prevention, assessment, management; (2) computerized, point-of-care decision support tools for clinicians; (3) implementation of multi-disciplinary weight management programs within the community health centers, e.g. Healthy Weight Clinics (HWC); (4) integrating community health workers into the primary care and HWC teams; and (5) health center environmental changes to support behavior change modification.
Interventions
OTHERPrimary Care Practice Changes
The clinical intervention components included (1) advanced training on clinical quality improvement and obesity prevention, assessment, management; (2) computerized, point-of-care decision support tools for clinicians; (3) implementation of multi-disciplinary weight management programs within the community health centers, e.g. Healthy Weight Clinics (HWC); (4) integrating community health workers into the primary care and HWC teams; and (5) health center environmental changes to support behavior change modification.
Sponsors
Massachusetts Department of Health
Harvard School of Public Health (HSPH)
National Initiative for Children's Healthcare Quality
Texas Institute for Measurement, Evaluation and Statistics
Centers for Disease Control and Prevention
Massachusetts General Hospital
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
2 Years to 12 Years
Healthy volunteers
No
Inclusion criteria
* Children aged 2-12 years * Patient of the community's federally qualified health center
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline Body Mass Index at 2 years | 2 years prior to intervention start through study end (expected average of 4 years) | Longitudinal medical record data |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline Obesogenic Behaviors at 2 years | Baseline, 2 year | Measures include diet (fruit and vegetable consumption, sugar sweetened beverage intake), physical activity, screen time, television in child's bedroom and sleep. |
| Change from baseline Child Quality of Life at 2 years | Baseline, 2 year | Measured using scales from the Pediatric Quality of Life Inventory (PedsQL) TM, parent report for child. |
| Change from baseline Healthcare Satisfaction at 2 years | Baseline, 2 year | Questions adapted from the Patient Assessment of Chronic Care (PACIC) tool |
Other
| Measure | Time frame |
|---|---|
| Change from baseline Healthcare Utilization at 2 years | Baseline, 2 year |
Countries
United States
Outcome results
None listed