Pediatric Obesity Clinical Trial
— GOTDocOfficial title:
Using a Guided Self-Help Treatment Model for Childhood Obesity Management in the Primary Care Setting
Verified date | August 2020 |
Source | University of California, San Diego |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
One-third of our nations' children are overweight or obese (OW/OB). The cornerstone of obesity treatment involves intensive family-based behavioral therapy, yet these programs often exist in tertiary care academic settings that have long wait lists and are too far away for families to access. Primary care providers (PCP) have been called on by several organizations to be the front line of obesity management, yet they are limited by a lack of time, resources, and skills. Thus, if we are to offer effective obesity management in the healthcare setting, other care models need to be developed and tested. The goal of this proposal is to deliver Guided Self-Help (GSH) treatment of childhood obesity in the primary care setting. This program relies on classic behavioral therapy strategies, self-regulation theory, and provides the support needed for patient/family self-management of weight loss. Implementing this program in the primary care setting will increase our ability to deliver nutrition and weight-related counseling in the primary care office and serve patients closer to home, thereby increasing access to effective treatment, improving adherence to recommended changes, and meeting the goals of Healthy People 2020.
Status | Completed |
Enrollment | 230 |
Est. completion date | July 30, 2020 |
Est. primary completion date | December 30, 2019 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 5 Years to 13 Years |
Eligibility |
Inclusion Criteria: - an OW/OB child (BMI = 85th%ile for age and gender) in the family who is between the ages of 5 and 13 years old - parent who is responsible for food preparation willing to participate - parent who can read English or Spanish at a minimum of a 5th grade level - family who is willing to commit to attendance at all assessment visits - family not moving out of the San Diego area within the time frame of the study. Exclusion Criteria: - child who is taking medications that may impact weight - child or parent with a psychiatric or behavioral illness that will impact their ability to participate in treatment - child with physical difficulties that limit the ability to exercise |
Country | Name | City | State |
---|---|---|---|
United States | University of California, San Diego | La Jolla | California |
Lead Sponsor | Collaborator |
---|---|
University of California, San Diego | HRSA/Maternal and Child Health Bureau |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change in BMI percentile | Change in BMI percentile within and between study groups | 6 months and 1 year | |
Primary | Difference in percentage of sessions that were attended | Difference in percentage of sessions that were attended between groups | 6 months | |
Secondary | Societal cost for each 0.1 unit BMI z-score change | Cost-effectiveness from a societal perspective including cost of delivering intervention, parental costs, and primary care office costs | 6 months and 1 year | |
Secondary | Activity Support scale | Difference in parent support behaviors to encourage physical activity between groups | 6 months | |
Secondary | Parent self-efficacy for health related behaviors scale | Difference in parent self-efficacy to engage in weight loss between intervention parents and control parents | 6 months | |
Secondary | Dietary History Questionnaire II | Changes in child dietary behavior from baseline to post treatment | 6 months | |
Secondary | Godin Physical Activity Scale | Changes in child physical activity level from baseline to post treatment | 6 months | |
Secondary | Dietary Support scale (modified) | Difference in parent support behaviors to encourage healthy dietary behaviors between groups | 6 months |
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