Childhood Obesity, Parenting
Conditions
Keywords
Childhood obesity, Parenting intervention, Video intervention, Healthcare delivery
Brief summary
The purpose of this study is to see if educational videos about how to help children develop healthy behaviors, paired with treatment in a pediatric obesity clinic, can increase caregiver confidence and improve child behaviors and weight. Caregivers of children between the ages of 4 and 11 years old who are new patients to a pediatric obesity clinic will be invited to take part in the study. All families will receive the standard treatment provided in the pediatric obesity clinic. Half of the caregivers will be assigned to also watch a few educational videos every month for 3 months in between clinic visits.
Interventions
BEHAVIORALParenting videos
Brief online videos, featuring families of children with obesity of diverse backgrounds, to provide education on parenting skills and motivate families to adopt healthy lifestyle behaviors as a family. Videos will be delivered monthly for three months in between pediatric obesity clinic visits.
BEHAVIORALStandard pediatric obesity treatment
Standard treatment in a hospital-based pediatric obesity clinic with a team of medical providers, dietitians, exercise specialists, and behavioral health specialists. Treatment includes management of obesity-related medical conditions, nutrition education, physical activity counseling, and discussion of behavioral strategies such as goal-setting and self-monitoring, with elements of motivational interviewing used to encourage behavior change and adoption of healthy lifestyle behaviors by the entire family.
Sponsors
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Nemours Children's Health System
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 100 Years
Healthy volunteers
Yes
Inclusion criteria
* Legal guardian of a new patient to the Nemours pediatric obesity clinic * Child with body mass index (BMI) greater than the 95th percentile for age and sex * Child 4-11 years of age
Exclusion criteria
* Not proficient in English or Spanish * Not able to access the internet on any type of device * Child has a genetic syndrome or primary endocrine disorder associated with obesity * Child is taking a medication known to impact weight
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in child weight status | 6 months | Change in child BMI-z score |
| Change in caregiver confidence managing child lifestyle behaviors | 6 months | Change in Lifestyle Behavior Checklist Confidence score |
| Change in child lifestyle behaviors | 6 months | Change in Lifestyle Behavior Checklist Problem score |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Discussion of parenting topics during visits to the pediatric obesity clinic | 1 month, 2 months, 3 months, 6 months | Discussion helpfulness ratings at each visit |
| Change in child lifestyle behaviors | 3 months | Change in Lifestyle Behavior Checklist Problem score |
| Change in child weight status | 3 months | Change in child BMI-z score |
| Change in caregiver confidence managing child lifestyle behaviors | 3 months | Change in Lifestyle Behavior Checklist Confidence score |
Countries
United States
Outcome results
None listed