Obesity, Childhood Clinical Trial
Official title:
Improving Childhood Obesity-Related Behavior Change Through Better Risk Communication
One-third of American children are overweight or obese, leading to an increased risk for
cardiovascular disease (CVD), early mortality, and other risks throughout their lifespan
relative to normal weight children. In our pilot work, we found that 67-83% of parents
underestimate a child's long-term risk of developing cardiovascular disease in adulthood and
that parents thought their own child's risks were 13-15% lower than those of a typical child
in their community, even controlling for family health and demographic characteristics.
Parents were 40 times less likely to predict that their child, rather than a typical child
in their community, would be overweight or obese in adulthood. These findings suggest that
parents suffer from optimism bias, the tendency to overestimate one's chances of
experiencing unlikely positive events. Belief that a child is at increased risk for adverse
health outcomes in adulthood could be an important motivator for a family to initiate
behavior changes and vice versa.
The overall goal of this research is to develop provider-based risk communication approaches
to motivate parents of obese children to engage in behavior change to protect their children
from CVD and other obesity-related co-morbidities later in life. Specifically, the
investigators will:
1. Develop risk communication methods that providers can use to better convey accurate
information about a child's health behaviors, obesity status, and future health risks
to parents.
2. Using an online experiment, we will evaluate the impact of new risk communication
methods on parental engagement in behavior change.
3. Pilot test the feasibility, acceptability, and impact of new risk communication
approaches in pediatric primary care clinics.
This work will give pediatricians novel tools to effectively discuss the long-term
consequences of childhood obesity with parents. The findings from this work will inform an
interventional trial that will assess the impact of improved risk communication techniques
on child behavior change and health outcomes.
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