Obesity Clinical Trial
— COACHOfficial title:
COACH: Competency Based Approaches for Community Health 2
One-size-fits-all approaches have failed to demonstrate sustained effects on childhood obesity, especially among low-income minority families, who experience constantly changing barriers to engaging in health behavior. Addressing obesity in these populations requires intervening in early childhood and situating interventions in the context of families and communities. Developing personalized childhood obesity prevention interventions with sustained effectiveness that support families in health behaviors despite dynamic barriers could address chronic disease risk and health disparities in low-income and minority communities.
Status | Recruiting |
Enrollment | 300 |
Est. completion date | June 2026 |
Est. primary completion date | June 2026 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 4 Years and older |
Eligibility | Inclusion Criteria: - child with an age =4 years and <7 years; - index parent/legal guardian with an age =18 years; - English- or Spanish-speaking; - self-identify as Hispanic/Latino; - live in a home where Spanish is spoken; - include an index parent/legal guardian with a body mass index of =25kg/m2 and <55 kg/m2; - include a child with a body mass index =5th percentile percentile for age and gender on standardized CDC growth curves; - for participants intending to attend intervention sessions in person: reside within or frequent (i.e. work in or regularly visit) one of the following zip codes: South Nashville/Regions 1 and 2 (37013, 37204, 37210, 37211, 37217, 37220, 37076, 37086, 37167): surrounding the Coleman Recreation Center and Southeast Recreation Center; and Northeast Nashville/Madison/Region 3 (37115, 37138, 37072, 37207, 37216); for participants intending to attend intervention sessions via videoconference: participants may reside in any zip code; - have parental commitment to participate in a two-year research study; - have consistent mobile phone access; - are without medical conditions necessitating limited physical activity as evaluated by a pre-screen; - complete baseline data collection, including parent and child height and weight and at least 90% of baseline survey items; - are considered underserved, measured by parent-self reporting that they or someone in their household are eligible for or participate in one of these programs or services: TennCare, CoverKids, WIC, Food Stamps (SNAP), Free and Reduced Price School Lunch and Breakfast, and/or Families First (TANF) Child exclusion criteria: - Children outside the specified age range - Children who are <5th percentile on standardized CDC growth curves - Children who do not speak English or Spanish - Children who are diagnosed with medical illnesses where regular exercise might be contraindicated - Children who display dissenting behaviors during baseline assent or anthropometric data collection - Children who do not otherwise meet the eligibility criteria listed in section above as determined by pre-screen - Children who are diagnosed with autism Caregiver exclusion criteria include: - Parents/legal guardians who are <18 years old; - Parents/legal guardians with serious mental or neurologic illness that impairs ability to consent/participate; - Parents/legal guardians with poor visual acuity (corrected vision worse than 20/50 with Rosenbaum Screener). - Parents/legal guardians with BMI <25kg/m2 or BMI =55kg/m2 - Parents/legal guardians who are diagnosed with medical illnesses where regular exercise might be contraindicated - Lack of parental commitment to participate consistently for a two-year period - Lack of telephone contact - Parents/legal guardians who do not otherwise meet the eligibility criteria listed in section above as determined by pre-screen |
Country | Name | City | State |
---|---|---|---|
United States | Vanderbilt University Medical Center | Nashville | Tennessee |
Lead Sponsor | Collaborator |
---|---|
Vanderbilt University Medical Center | Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), University of North Carolina, Chapel Hill, Vanderbilt University |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Child Diet | Parent reported diet quality based on survey measures | 24-month follow-up | |
Other | Parent Diet | Self-report diet quality based on survey measures | 24-month follow-up | |
Other | Parent Physical Activity | Parent reported physical activity for themselves based on survey measures | 24-month follow-up | |
Other | Child Media Use | Parent reported media use by child based on survey measures | 24-month follow-up | |
Other | Child Sleep | Parent reported sleep times based on survey measures | 24-month follow-up | |
Primary | Child Body Mass Index | Measured prospectively and calculated from child weight/height measures | 24-month follow-up | |
Secondary | Parent Body Mass Index | Measured prospectively and calculated from parent weight/height measures | 24-month follow-up | |
Secondary | Child Obesity | Percent of children with BMI =95th percentile on standardized CDC growth curves | 24-month follow-up | |
Secondary | Child Overweight | Percent of children with BMI percentile =85th but less than <95th percentile on standardized CDC growth curves | 24-month follow-up | |
Secondary | Child Body Mass Index Percentage of the 95th Percentile | Child BMI percentage of the 95th percentile on standardized CDC growth curves | 24-month follow-up | |
Secondary | Child Body Mass Index z-Scores | Child BMI z-scores on standardized CDC growth reference charts | 24-month follow-up |
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