Childhood Obesity, Stress
Conditions
Keywords
ACEs, Obesity, Adverse Childhood Experiences, 2x2 Factorial Study, Behavioral Intervention, Health Education, Healthy Together, Parenting, Protective Factors, Precision Medicine, Federally Qualified Health Centers, Latino, Hispanic, Pediatric, Whole Child Wellness
Brief summary
Healing Experiences of Adversity Among Latinos (HEALthy4You) is a project funded by the California Initiative for the Advancement of Precision Medicine (Advancing a Precision Population Health Approach to ACEs to Reduce Health Disparities). The long-term goal of this project is to develop community-centered, culturally Appropriate, precision Interventions that can be delivered within Federally Qualified Healthcare Centers (FQHCs) for Latino Families, to reduce Adverse Child Events (ACES) risks and treat childhood obesity. UCSD in conjunction with Family Health Centers of San Diego (FHCSD) will conduct a 2x2 factorial trial with four groups meant to determine what combination of intervention components influence family protective factors (a key marker for reduced risk of the deleterious effects of systemic and family/individual stressors that are a critical part of ACEs) and childhood obesity.
Interventions
BEHAVIORALHealthy Together (Control)
The total number of sessions families will engage with will be negotiated between the Families and their Care providers. This allows for families to receive care while still honoring their constraints, such as the amount of time they can dedicate per week and over the course of the study, to the intervention. The maximum number of possible sessions include: * 6 Sessions with a Wellness Coach * 4-8 sessions with a Dietician * 4-8 sessions of Physical Theraphy * 1 session during month 1 or 2 Streetwyze Training * Safety Net Referrals
BEHAVIORALHealthy Together + Promotora Support
The total number of sessions families will engage with will be negotiated between the Families and their Care providers. This allows for families to receive care while still honoring their constraints, such as the amount of time they can dedicate per week and over the course of the study, to the intervention. The maximum number of possible sessions include: * 6 Sessions with a Wellness Coach * 4-8 sessions with a Dietician * 4-8 sessions of Physical Theraphy * 1 session during month 1 or 2 Streetwyze Training * Safety Net Referrals * 16-20 Promotora (in home case management) Sessions (weekly first 2 months, afterwards at least bi-weekly)
BEHAVIORALHealthy Together + Parenting Training
The total number of sessions families will engage with will be negotiated between the Families and their Care providers. This allows for families to receive care while still honoring their constraints, such as the amount of time they can dedicate per week and over the course of the study, to the intervention. The maximum number of possible sessions include: * 6 Sessions with a Wellness Coach * 4-8 sessions with a Dietician * 4-8 sessions of Physical Theraphy * 1 session during month 1 or 2 Streetwyze Training * Safety Net Referrals * 6-10 Parenting Sessions with a Family Health Centers Mental Health Provider using the Incredible Years Curriculum
BEHAVIORALHealthy Togethers + Parenting Training + Promotora support
The total number of sessions families will engage with will be negotiated between the Families and their Care providers. This allows for families to receive care while still honoring their constraints, such as the amount of time they can dedicate per week and over the course of the study, to the intervention. The maximum number of possible sessions include: * 6 Sessions with a Wellness Coach * 4-8 sessions with a Dietician * 4-8 sessions of Physical Theraphy * 1 session during month 1 or 2 Streetwyze Training * Safety Net Referrals * 16-20 Promotora (in home case management) Sessions (weekly first 2 months, afterwards at least bi-weekly) * 8-10 Parenting Sessions with a Family Health Centers Mental Health Provider using the Incredible Years Curriculum
Sponsors
Family Health Centers of San Diego
UCSD Center for Community Health
University of California, San Diego
Study design
Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
5 Years to 11 Years
Healthy volunteers
Yes
Inclusion criteria
* Child * Currently a patient at Family Health Centers of San Diego * Age 5-11 years old * BMI ≥ 85th percentile to 99.9th percentile * Social determination or risk for ACE determined as being a patient receiving care at an FQHC (confirmed via provider) * Parent * Parent or guardian (including non-biological parent or relative) willing to participate * Self-identification as Hispanic or Latino * 18 years or older * English or Spanish speaking * Willingness to commit to 6 months of the program
Exclusion criteria
* Serious Developmental Disability (parent or child) * Serious Mental Health Illness (parent or child)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in Parents' Assessment of Protective Factors Self-Report Scale (comparison baseline to 6-months) | 6 months | Parents' Assessment of Protective Factors (PAPF) Instrument consists of 36 items to measure the presence, strength, and growth of parents' self-reported beliefs, feelings, and behaviors that are regarded as indicators of the Strengthening Families protective factors using a 5-point response system from Not at all like me to Very much like me (Score scale: 0 Low - 3.99 High) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes to Child Body Mass Index (BMI) from baseline to 6 months | 6 months | Weight and height will be combined to report BMI in kg/m\^2. |
Countries
United States
Outcome results
None listed