Improving Parent-Child Interactions to Enhance Child Health

Status Completed

Clinical Trial Summary

Childhood obesity is a formidable public health issue in the United States, disproportionately affecting children from lower socioeconomic status households. Onset of obesity predicts cardiometabolic risks and other health problems in adolescence and into adulthood; thus, effective and early prevention is critical. Healthy parenting may play a pivotal role in preventing early childhood obesity. Warm, responsive, and consistent parenting is associated with the development of child self-regulation as well as healthy eating and physical activity practices, and thus may be protective against obesity risk. Targeting the parent-child relationship may be especially important when facilitating behavior change in parents who have ongoing stressors (e.g., low-income families). The proposed study aims to test an adaptation of Parent-Child Interaction Therapy (PCIT), an innovative parent management program that improves the parent-child relationship and enhances general parenting skills through the use of therapeutic in vivo coaching. Our adapted version, PCIT-Health, is a selective-prevention intervention that includes content specific to improving parent-child interactions and parenting in obesity-salient contexts, such as mealtime and child screen time. This project will elucidate novel approaches to, and novel targets of, early childhood obesity prevention and will provide data critical to test PCIT-Health in a large-scale randomized controlled trial. Parent-child dyads will be randomly assigned to PCIT-Health or a waitlist control in order to accomplish the following aims: AIM 1: To assess the acceptability and feasibility of the PCIT-Health delivery and assessment methods in low-income parents of overweight young children ages 3 to 6 years. AIM 2: To test the preliminary efficacy and estimate the effect size of PCIT-Health on changes in child BMI z-score (primary outcome) from baseline to (1) intervention completion and (2) 6-month post-intervention. AIM 3: To explore the effect of PCIT-Health on the following secondary outcomes: (1) parent-child relationship quality, (2) parent behavior management skills, (3) child self-regulation, (4) child eating behaviors, (5) child physical activity, and (6) child screen media use.

Clinical Trial Description

n/a

Study Design

Related Conditions & MeSH terms

Clinical Trial Details

NCT number	NCT03982511
Study type	Interventional
Source	Central Michigan University
Contact
Status	Completed
Phase	N/A
Start date	May 29, 2019
Completion date	April 8, 2022

View Details

See also
Status	Clinical Trial	Phase
Recruiting	`NCT06185413` - Children's Cooperation Denmark: a 3-year System Dynamics Trial	N/A
Enrolling by invitation	`NCT05166629` - Eatable Alphabet as a Nutrition Education Tool	N/A
Recruiting	`NCT05140070` - Fruit and Vegetable Products Enriched With Fibre From Potato Starch With Prebiotic Properties for Children and Youth	N/A
Recruiting	`NCT06108128` - Food for Thought: Executive Functioning Around Eating Among Children	N/A
Completed	`NCT04042467` - Greenlight Plus Study: Approaches to Early Childhood Obesity Prevention	N/A
Not yet recruiting	`NCT06463223` - HIBOC = Hepatic Imaging Biomarkers in Obese Children
Completed	`NCT01974102` - Family Based Mindfulness Intervention	N/A
Recruiting	`NCT05403658` - Attrition in Pediatric Obesity Management	N/A
Completed	`NCT04315220` - Corestability Training in Overweight Children	N/A
Recruiting	`NCT05570396` - Long-term Follow-up on Childhood Adiposity - The FitKids Study
Recruiting	`NCT03643341` - Family Healthy Living Early Intervention Program	N/A
Completed	`NCT03219658` - STOMP Early Years: A Pilot RCT of an Intensive, Family-Centred, Home Visiting Intervention for Young Children With Severe Obesity	N/A
Recruiting	`NCT05540678` - The FibreGum Study - Changing the Course of Obesity in Children	N/A
Completed	`NCT04459130` - Effectiveness of School-Based Weight Management Program in Overweight and Obese Children Between 8-11 Years	N/A
Completed	`NCT05019339` - HomeStyles-2: Shaping HOME Environments and LifeSTYLES to Prevent Childhood Obesity in SNAP-Education	N/A
Active, not recruiting	`NCT03950453` - Preventing Childhood Obesity Through a Mindfulness-Based Parent Stress Intervention	N/A
Active, not recruiting	`NCT06317883` - Childhood Obesity Risk Assessment Longitudinal Study
Completed	`NCT02206529` - Enhancing Family Based Treatment of Childhood Obesity Through Social Networks	N/A
Recruiting	`NCT06341179` - Effect of Sleep Extension on Overweight and Learning in Children	N/A
Recruiting	`NCT04802291` - HomeStyles-2: Shaping HOME Environments and LifeSTYLES to Prevent Childhood Obesity	N/A

Clinical trials are conducted in a series of steps, called phases - each phase is designed to answer a separate research question.

Phase 1: Researchers test a new drug or treatment in a small group of people for the first time to evaluate its safety, determine a safe dosage range, and identify side effects.
Phase 2: The drug or treatment is given to a larger group of people to see if it is effective and to further evaluate its safety.
Phase 3: The drug or treatment is given to large groups of people to confirm its effectiveness, monitor side effects, compare it to commonly used treatments, and collect information that will allow the drug or treatment to be used safely.
Phase 4: Studies are done after the drug or treatment has been marketed to gather information on the drug's effect in various populations and any side effects associated with long-term use.

Improving Parent-Child Interactions to Enhance Child Health — PCIT-Health

Clinical Trial Summary

Clinical Trial Description

Study Design

Related Conditions & MeSH terms