Obesity, Childhood Clinical Trial
Official title:
Intervention INC: Interactive Nutrition Comics for Urban Minority Youth
The primary purpose of this study is to assess the feasibility and participant acceptability of an interactive, internet/mobile-enabled dietary self management intervention. The secondary purpose of this study is to determine if the intervention improves knowledge, attitudes and food preferences associated with the targeted behaviors, to reduce childhood obesity risk from baseline to post-test.
Based on inclusion/exclusion criteria, potential study participants (child and parent) will
be identified by the Collaborating Site PI/primary contact and sent a recruitment letter
signed by the Primary Investigator and a Collaborating Site PI/primary contact.
Children's Aid Society (CAS) and Weill Cornell Medical College (WCMC) will act as
collaborating sites. WCMC PI is Dr. Allison Gorman, who will assist with identifying
potential study participants from their government insured medical clinics. All recruitment
protocols will be approved by the IRB at WCMC (pending Hunter IRB approval). Once the letter
of approval has been received from WCMC, it will be forwarded to CUNY's HRPP. CAS primary
contact is Alyson Abrami. Ms. Abrami and the CAS Milbank Medical Clinic will facilitate
access to potential study participants. CAS is aware of the study protocols and the
administration is in support of the study and its potential impact on their patient
population.
Study staff will contact potential study participants by phone and ask additional screening
questions to determine study eligibility. A baseline in-person study visit will be scheduled
for eligible participants. We are aiming to recruit a total of 82 child/parent dyads (41 in
the intervention and control group, respectively). In the intervention group, children will
have access to a web-based interactive nutrition comic and receive health messages from comic
characters by email and/or text, while parents will receive weekly newsletters related to
nutrition and health by email and/or text. In the control group, children and parents will
receive didactic health information and resources by email and/or text. The delivery mode of
the health messages will be based on based on personal preference.
Aside from usage data of the online tool by each child/parent (e.g. average time spent per
login using online tool, collected on an ongoing basis throughout 6-week intervention), data
will be collected at four different times points in the study: baseline (T1), after 3 weeks
or halfway through the intervention (T2-only children), after 6 weeks or at the end of the
intervention (T3), and 3 months post-intervention (T4). T1 and T4 will be in-person study
visits at either CUNY Hunter College or CAS Milbank. At baseline (T1), the child's height and
weight will be measured to confirm meeting BMI eligibility criteria. After the child and
parent completes consent/assent forms, they will be randomized to either the intervention
group or control group. Both the child and parent will complete baseline survey measures
(will take 20-30 minutes to complete) and attend a study orientation session (10-15 minutes).
The baseline visit should take about 1 hour. At T2 (child-only) and T3 (child and parent),
data collection (survey measures and open-ended questions) will be conducted either on the
phone or by videochat in a private area, according to the participant preference, and will
take approximately 30 minutes per person. At T4, the child's height and weight will be
measured, and both the child and parent will complete survey measures (will take
approximately 45 minutes to complete). Both the child and parent will be compensated for
completing survey measures (see Participants-Compensation section for more details).
Open-ended questions collected at timepoint T3 (over the phone or videochat) will be audio
recorded (only intervention arm participants). Even though participants will have signed
consent to be audio recorded during data collection, the participant will be asked during the
phone call or videochat session at T3 if the following open-ended questions could be audio
recorded to be reviewed in more detail afterwards. Additionally, open-ended questions related
to the experience and context of using the web-based nutrition comic will be asked of a
subset of parents and children (intervention arm only) at timepoint T3 (over the phone or
videochat). Their responses will also be audio recorded as this is qualitative data that will
be transcribed and analyzed separately from survey data.
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