Obesity Clinical Trial
Official title:
Kids Obesity Prevention Program - Study (KOP). A Serious Game to Address Barriers to Prevention and Treatment of Obesity in Primary School Children
Obesity and its associated comorbidities are becoming a key and rapidly growing public
health problem. The cause of obesity is an imbalance between energy intake and energy
expenditure in favor of the former. Childhood and adolescence are seen as critical time for
its development. It is therefore crucial to provide both prevention and treatment actions
already during childhood. The prevention and treatment weight-management programs in
children focus on improving diet, eating behaviours, psychosocial aspects and increasing
physical activity. One important basic requirement for any weight-management program is,
that both children and their families are motivated and ready for change. Video games,
including exergames, serious games or combined approaches offer additional chances in the
treatment and prevention of obesity by approaching children in their environment and
motivating them to deal with life-style topics.
The investigators developed a motion-controlled serious game for children aged between 9 and
12 years, addressing all the three core areas nutrition, physical activity, and psychosocial
factors. In addition to the motion control, a tablet is used for knowledge-based and
cognitive tasks. In comparison to other studies the nutrition part not only deals with the
food pyramid but also with the energy density of foods and liquids and offers a
self-reflexive diagnostic tool to analyse daily food intake. Moreover, psychological
aspects, especially stress and stress-coping strategies are addressed e.g. by
relaxation-exercises. The game consists of two sessions, having each a duration of about 35
minutes.
The aim of this study is to evaluate the program in a cluster-randomized controlled trial in
a primary school setting in children aged 9 to 12 years. Therefore, six 4th grade classes of
the same school will be randomly allocated to an intervention and a control group. The
intervention group will play the game within two weeks, whereas the control group will
receive basic information. At baseline, two weeks after baseline and at four weeks
follow-up, measurements will be performed. The primary outcome of the study is the gain of
knowledge (nutrition, psychosocial aspects) measured by a self-constructed questionnaires
tailored specifically for the serious game. Secondary outcomes are the acceptance of the
game, changes of nutrition behaviour, physical activity and intentions of the children to
follow a healthy lifestyle, measured by mostly validated questionnaires.
n/a
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention
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