Clinical Trial Details
— Status: Completed
Administrative data
NCT number |
NCT02976636 |
Other study ID # |
1R01DK106157 |
Secondary ID |
R01DK106157 |
Status |
Completed |
Phase |
N/A
|
First received |
|
Last updated |
|
Start date |
April 17, 2017 |
Est. completion date |
November 2, 2022 |
Study information
Verified date |
May 2023 |
Source |
University of California, San Diego |
Contact |
n/a |
Is FDA regulated |
No |
Health authority |
|
Study type |
Interventional
|
Clinical Trial Summary
The purpose of this application is to evaluate whether a pediatric weight control program
that incorporates comprehensive parenting training with behavioral therapy can increase
weight loss in children compared to traditional family-based behavioral therapy programs.
Since certain parenting styles are associated with greater weight loss during interventions
and appear to enhance the impact of key behavioral strategies, adding parenting training to
these interventions may increase the overall effectiveness of these programs and increase our
ability to help children obtain a healthy weight. This project could result in identifying an
improved method of pediatric obesity treatment that provides additional benefits to the
growth and development of children via improved self-regulatory behaviors.
Description:
Authoritative parenting style has been associated with decreased obesity risk in children,
increased weight loss during interventions, and can modify the delivery and impact of weight
control strategies, making them more effective. At this time, gold-standard treatment for
childhood obesity is family-based behavioral therapy (FBT). This treatment relies on
behavioral strategies and the use of praise and a positive reinforcement system to change
eating and activity behaviors, but does not target other aspects of parenting. Broadening
parenting instruction to include effective limit-setting behaviors, parent-child
communication, and authoritative parenting may increase parents' confidence and ability to
successfully make behavior changes and modify the impact of the behavioral strategies being
used. In this application, the investigators propose to test the efficacy of a 20-week weight
control program that combines traditional family-based behavioral therapy with comprehensive
parenting training (FBT-PT) and compare it to traditional family-based behavioral therapy
(FBT). The investigators hypothesize that there will be an additive effect of parenting
training such that FBT-PT will have a greater effect on child weight loss (measured by BMI
z-score) than traditional FBT. In addition, the investigators will measure parenting style,
parenting strategies, behavioral strategies, and child factors (like impulsive behavior and
temperament) to better understand the mediators and moderators of weight loss. These measures
will be obtained by standard self-report measures and videotape encounters, allowing one to
more objectively measure parenting dimensions. Clinical outcomes, like drop-out and
acceptability, will also be assessed from the two treatment arms. The purpose of this study
is to evaluate the effect of adding a comprehensive parenting training to traditional FBT. If
successful, this program will be able to increase our ability to help children successfully
lose weight.