Obesity, Childhood
Conditions
Brief summary
This study is investigating the impact of a skills training program in stimulus control of meals and snacks on zBMI. Participants will be randomized to a standard family-based obesity treatment intervention with education on child health or a standard family-based obesity treatment intervention with experiential learning about meal stimulus control strategies.
Detailed description
Family-based obesity treatment interventions can successfully reduce weight in children, but are often limited in the practice of skills being taught during treatment sessions. Skills training focused on a particular behavioral strategy can provide parents with an experiential component of learning where the information learned as part of a family-based obesity treatment intervention is also practiced. Health education simply provides knowledge to a family about a topic.
Interventions
BEHAVIORALchild health education
10, 60-minute sessions with a family-based obesity treatment program implemented for the first 40-minutes of each session followed by 20 minutes of education about a child health topic.
BEHAVIORALskills training
10, 60-minute sessions with a family-based obesity treatment program implemented for the first 40-minutes of each session followed by 20 minutes of experiential learning about stimulus control strategies (portion size, energy density, variety).
Sponsors
University of Delaware
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
4 Years to 8 Years
Healthy volunteers
Yes
Inclusion criteria
* caregiver of child is ≥18 years of age; * the caregiver has a child between the ages of 4 and 8 years-old who is classified as overweight (body mass index for age ≥ 85th percentile); * the caregiver and child are able to read, speak and understand English due to delivery of the program in English; * has transportation to the University of Delaware; and * is willing and able to commit to the 3-month study.
Exclusion criteria
* the child has a medical condition impacting physical activity or eating (e.g. Type 1 or Type 2 diabetes); * the child have a medical condition that affects growth (e.g. Prader Willi Syndrome); * the child is currently participating in a weight management program, and/or taking weight loss medication; or * the caregiver or child has an inability to participate in regular physical activity.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| z-BMI | 3-months | Height and weight will be used to calculate BMI (kg/m2) and BMI will be standardized in relation to the population mean and standard deviation for the child's age to sex to determine zBMI. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Energy intake | 3-months | Based upon a 3-day dietary record analyzed using NDS-R, energy intake will be averaged across the three days. |
| Percent Energy from Fat | 3-months | Based upon a 3-day dietary record analyzed using NDS-R, the calories from fat will be divided by total energy intake (calories) to get percentage energy from fat. |
| Food groups servings | 3-months | Based upon a 3-day dietary record analyzed using NDS-R, the number of servings consumed from each food group will be averaged over three days. |
| Physical Activity | 3-months | Minutes spent engaging in moderate-to-vigorous physical activity will be measured using the PD-PAR. |
Countries
United States
Outcome results
None listed