Obesity Clinical Trial
Official title:
CHOICES: Family Physicians Treat Overweight Children
CHOICES is a program to provide children and families with lifetime tools and lifestyle strategies to achieve and maintain a healthy body size. Both parents and children get active, learn about the food choices they can make, and about the roles of TV in their lives. Led by physicians and young adults, the 12 weekly 90 minute sessions provide hands on experiences that connect into the participants' daily lives. In the study, the families were divided into two groups, beginning their classes 6 months apart. Body measurements were taken at baseline and every 4 months to 16 months.
The specific aim of this pilot study was to use the group office visit model to provide an
obesity treatment intervention for children 8-11 years of age in gender-specific groups and
their parents in a clinic setting. The targeted lifestyle components of the intervention are
less TV viewing, less sweetened beverages, smaller food portions, less fast food/better
choices away from home and more general physical activity. The psychosocial component was
based in Resiliency; the Choices model focused on a non-judgmental approach to empowerment
in relation to personal goals and knowledge of the basics of nutrition and physical
activity.
Our aim was to recruit 35-40 children (approximately equal boys and girls) ages 8-11 and
their parents for a 12 weekly sessions group office visit program. Participants were
randomized into 2 groups; one group starting in March 2006 and the lagged intervention
control group starting in September 2006. Physical measurements and data collection were at
baseline, 4, 8, 12, 16 months from randomization.
We evaluated the acceptability and feasibility of the group office visit model and effect
size (body mass index (BMI) and weight-for-age Z-scores). Feasibility and acceptability
included ability to recruit within clinics, attendance, completion, follow-up rates, focus
groups data and interviews of those who drop out. Evaluation of effect size included the
patterns of growth over 15 months from baseline in relation to expected growth patterns and
intervention exposure.
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Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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