Childhood Obesity
Conditions
Keywords
Mobile Health, Self-Monitoring, Behavioural Treatment
Brief summary
This study aims to evaluate if a web-based support system with daily self-monitoring of weight, use of an activity measuring wrist-band, and communication between the clinic and the parents gives better results on degree of obesity compared with usual care. Changes in BMI standard deviation score (SDS) are compared between usual care (control) and usual care with complementary web-based support system (intervention).
Detailed description
In this study children with obesity will be randomized to either usual care according to regular routine (control) or to usual care plus a web-based support system (intervention). Based on previous reviews on mobile health and obesity in combination with the investigators' experiences of childhood obesity treatment components were identified which the researchers hypothesize are of major importance for a web-based system for childhood obesity treatment: Frequent self-monitoring of weight and physical activity, goals for weight loss, and feedback from the treatment team. The system is based on a smart phone application connected to a scale and an activity measuring wrist-band. Data is automatically transferred from the accessories to the smart phone, where data is presented graphically. The data is further transferred to the clinic for support and communication between the clinic and the parents. The randomization will be done at the start of individual treatment and will last for 12 months. The main aim is to evaluate if use of the web-based support system will give better results on degree of obesity compared with usual care.
Interventions
BEHAVIORALUsual care
The child and parent(s) at regular visits to the pediatric clinic for childhood obesity treatment
BEHAVIORALCLOSS
Usual care plus using mobile applications to register weight and physical activity as well as for communication with the clinic. A web-based support system enables health care professionals to follow the patient's daily objectively measured weight and physical activity online.
Sponsors
Karolinska Institutet
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
5 Years to 12 Years
Healthy volunteers
No
Inclusion criteria
* Obesity according to International Obesity Task Force (IOTF) * Swedish speaking parents * Parents able to use a smart phone * Patients new in treatment or in treatment during the past 9-15 months with a decrease of BMI SDS with ≤0.25
Exclusion criteria
* Diagnosed with or undergoing assessment of neuropsychiatric disorder * Hypothalamic obesity * Pharmacological treatment that could intervene the obesity treatment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in degree of obesity | 6 and 12 months after baseline | Measured by BMI standard deviation score control vs intervention |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Cancelation of physical visits | During the intervention 12 months | Control vs intervention |
| Time consumption for the health care professionals | During the intervention 12 months | Time for physical visits, communication and documentation reported by health care professionals. Control vs intervention |
| Number of physical visits | During the intervention 12 months | Control vs intervention |
| Health care professional's experiences using the web-based support system | During the intervention 3, 6 and 12 months | CLOSS specific questions regarding the application |
| Physical activity level | During the intervention 12 months | Measured by time and intensity through the activity measuring wrist-band. Only intervention |
| Parental experience of treatment | During the intervention 3, 6 and 12 months | Measured by web-based CLOSS specific questions. Control vs intervention |
Countries
Sweden
Outcome results
None listed