Child Obesity
Conditions
Keywords
obesity, child, weight management, behavioral, social networks, social support
Brief summary
The purpose of this study is to develop a Social Network Engagement (SNE) Intervention that will be integrated into a standard treatment program for childhood overweight. The investigators will conduct a pilot trial of SNE to assess feasibility and to estimate its effectiveness compared with historical controls who received standard treatment. The historical controls will be participants in the FOCUS trial (Family Overweight: Comparing Use of Strategies; NCT00746629).
Interventions
BEHAVIORALSocial Network Engagement+Std Treatment
BEHAVIORALStandard Treatment
Standard Treatment = family-based behavioral pediatric obesity treatment, as per protocol outlined in FOCUS trial (Family Overweight: Comparing Use of Strategies; NCT00746629)
Sponsors
Kaiser Permanente
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
7 Years to 13 Years
Healthy volunteers
No
Inclusion criteria
Children * Age 7-13 years * At or above the 85th percentile for age- and gender-specific BMI Parents • At least one overweight parent (BMI\>25.0) Parents and children * English-speaking and at least at a second-grade reading level * Live \<50 miles from the treatment site. Exclusion Children * Conditions known to promote obesity (e.g., Prader-Willi), * Participation in another weight control program * Recently started taking weight-affecting medications (e.g., stimulants). Parents and children * Disability or illness that would preclude them from engaging in at least moderate-intensity physical activity, * Current or prior diagnosed eating disturbance * Thought disorder, suicidality, or substance abuse disorder
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Child BMI Z-score | 20 weeks after baseline |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Peds QL (child self-report and parent report) | 20 weeks after baseline | Pediatric Quality of Life Score |
| Parent BMI | 20 weeks after baseline | Intervention is aimed at the parent-child dyad, so parent weight status is assessed. |
Other
| Measure | Time frame | Description |
|---|---|---|
| SSQ (Social Support Questionnaire-Short Form) | 20 weeks after baseline | Global social support measure, assessed as possible mediator of effect of intervention on primary and secondary outcomes. |
| Behavioral Skill Assessment | 20 weeks after baseline | Process measure of parental use of skills taught during intervention |
| WMSI (Weight Management Support Index) | 20 weeks after baseline | Measure of parental perceived social support related to weight management, assessed as possible mediator of primary and secondary outcomes. |
| QRI (Quality of the Relationship Index) | 20 weeks after baseline | Relationship-specific social support measure, assessed as possible mediator of effect of intervention on primary and secondary outcomes. |
| SPSI-R (Social Problem-Solving Index-for Research) | 20 weeks after baseline | Measure of parental skill in problem-solving, assessed as possible mediator of effect of intervention on primary and secondary outcomes. |
Outcome results
None listed