Adolescent Obesity, Body Weight, Body Weight Changes, Childhood Obesity, Nutrition Disorders, Obesity, Childhood, Overnutrition, Overweight, Overweight Adolescents, Overweight and Obesity, Overweight or Obesity, Pediatric Obesity, Weight Gain
Conditions
Keywords
Weight Management, Child, Intervention, Weight Loss, Behavior Therapy, Nutrition
Brief summary
The US Preventive Services Task Force (USPSTF) recommends that providers screen children aged 6 years and older for obesity and offer or refer them to a comprehensive behavioral intervention (≥26 hours over a period of up to 12 months) to promote improvement in weight status. Family-based behavioral treatment (FBT) is an effective treatment that targets both child and parents and meets the USPSTF recommendations. By contrast, the American Medical Association (AMA) recommends a staged approach to childhood obesity screening and counseling, which begins with prevention counseling by the primary care provider (PCP) and includes assessment of weight status, patient/family motivation and readiness to change, promotion of healthy eating and activity habits, and use of health behavior change strategies. Our study compares a staged approach enhanced standard of care (eSOC) vs. eSOC + FBT, to provide families and PCPs with information on the best intervention approach for the behavioral treatment of childhood obesity. Our project seeks to fill the gap in the evidence on family-based weight management in primary care settings among diverse and underserved populations with a special focus on Black children, families insured by Medicaid, and sex differences.
Detailed description
Note: our enrollment number includes two participants (one child and one parent) from each enrolled family.
Interventions
BEHAVIORALeSOC program
American Medical Association (AMA) recommended staged approach to childhood obesity screening and counseling
BEHAVIORALFBT program
An intensive,comprehensive, behavioral intervention aligned with the US Preventive Services Task Force recommendations for childhood obesity screening and counseling.
Sponsors
Patient-Centered Outcomes Research Institute
Blue Cross and Blue Shield of Louisiana
American Academy of Pediatrics
Pennington Biomedical Research Center
Louisiana Healthcare Connections
Nationwide Children s Hospital in Columbus, Ohio
University of Rochester
Washington University School of Medicine
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
6 Years to 15 Years
Healthy volunteers
Yes
Inclusion criteria
for children include: * have a BMI percentile ≥95th for age and sex; * comfortable speaking English language; * able to provide written or verbal (based on age) informed assent; * willing to change diet, physical activity, and/or weight; * patient of a participating clinic/practice; and * able to participate in scheduled sessions. Inclusion Criteria for parents include: • comfortable speaking and reading English language.
Exclusion criteria
include: * families who plan to no longer have the child be a patient of any participating clinic/practice during any point in the 18-month study period; * children with chronic conditions or on medications that substantially impact or interfere with growth, appetite, weight, or physical activity participation; * families for whom the Primary Care Provider (PCP) or site PI thinks the intervention is clinically/medically inappropriate (e.g., developmental delay, or emotional or cognitive difficulties, if the PI/PCP believes these factors will interfere with study/intervention participation); and * families in whom the parent or child exhibits eating disorder symptomatology.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Child percent overweight | 1 year |
Countries
United States
Outcome results
None listed