Obesity, Childhood
Conditions
Brief summary
Childhood obesity is still a major global health issue. The preschool age (2-5 years) has been identified as a critical period to intervene, Mobile technology (mHealth) has been successful for weight loss and behavior changes in adults. This proposed randomized controlled trial aims to assess the effectiveness of an 6-month intervention program, the Mobile-based intervention to stop obesity in preschoolers (MINISTOP) 2.0 mobile phone app integrated in primary child health care for parents of children aged 2.5 years. The MINISTOP 2.0 app is built on the previous MINISTOP 1.0 app. Five hundred children will be recruited at their routine visit at 2.5 years of age and after baseline measures randomized to the intervention or control group. In addition, the investigators will assess acceptability, feasibility and appropriateness of the app by parents and primary child health care nurses.
Interventions
BEHAVIORALMINISTOP 2.0
The MINISTOP 2.0 is a behavioural change program aiming to promote healthier diet and physical activity among 2.5-year-old children. The program consists of features such as information, monitoring and feedback (dietary key variables, physical activity, screen time) and it is built around 13 themes during the 6-month period.
Sponsors
Forte
Karolinska Institutet
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Investigator)
Eligibility
Sex/Gender
ALL
Age
24 Months to 38 Months
Healthy volunteers
Yes
Inclusion criteria
-Children at the routine visit at 2.5-3 years of age at selected primary child health centers in Sweden
Exclusion criteria
* Children diagnosed with neurological or endocrine diseases * Children who have a parent suffering from a serious physical or psychological disease making the study too demanding for the family * Children from families who will not be able to understand the content of the app (i.e. do not speak Swedish, English, Somali or Arabic)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Intake of dietary key indicators as assessed by a questionnaire | At the end of the intervention which is six months after baseline | Intake of dietary indicators such as fruits and vegetables, sweet and savory treats, sugar-sweetened drinks (in portions or grams per day) |
| Physical activity as assessed by a questionnaire | At the end of the intervention which is six months after baseline | Time spent on moderate-to-vigorous physical activity, screen time (min/day) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Body mass index | At the end of the intervention which is six months after baseline | Body weight divided by squared height |
| Satisfaction and usage of the app as assessed by a questionnaire and interviews | At the end of the intervention which is six months after baseline | Percentage of users (parents and primary health care nurses) that were satisfied with app, used features in the app |
| Usage of the app as assessed using the objectively measured activity in the app | At the end of the intervention which is six months after baseline | Number of recordings and messages read in the app (per time unit such as per week) |
| Parental self-efficacy to promote healthy diet and physical activity behaviors in their child as assessed by a questionnaire | At the end of the intervention which is six months after baseline | Derived scores from selected questions from a questionnaire (Parental Self-Efficacy for Promoting Healthy Physical Activity and Dietary Behaviors in Children Scale (PSEPAD) Questionnaire). The minimum value is 0 and the maximum value 10. |
Countries
Sweden
Outcome results
None listed