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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT05455190
Other study ID # Pro00106453
Secondary ID 1R01HD100417-01A
Status Recruiting
Phase N/A
First received
Last updated
Start date December 15, 2022
Est. completion date December 1, 2025

Study information

Verified date May 2023
Source Duke University
Contact Valery R Arevalo
Phone 9198668089
Email valery.arevalo@duke.edu
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The proposed project will test an implementation strategy (the "TrailGuide") for delivering an existing model of pediatric obesity treatment ("Fit Together") that has demonstrated ability to meet published recommendations for improving health outcomes of children with obesity.


Description:

Evidence-based treatment for childhood obesity exists, yet a fundamental knowledge-to-action gap has significantly limited the uptake of recommendations into clinical practice, particularly in low-income settings. Persistence of this gap represents a large-scale public health threat, as the earliest generation of children living through the obesity epidemic now enters adulthood, they are the first in US history to have a shorter life expectancy than their parents, mainly due to rising rates of obesity-related cancers and cardiovascular disease. A central challenge in delivering recommended treatment is the intensity; ≥26 hours of face-to-face contact are necessary to achieve health benefits and risk reduction. The objective of the proposed project is to develop and test an implementation strategy that pairs primary care pediatric clinics with the municipal Parks and Recreation (P&R) centers to deliver the current treatment recommendations with high fidelity, while allowing


Recruitment information / eligibility

Status Recruiting
Enrollment 400
Est. completion date December 1, 2025
Est. primary completion date December 1, 2025
Accepts healthy volunteers No
Gender All
Age group 6 Years to 11 Years
Eligibility Inclusion Criteria: - Child receives primary care at one of the participating clinics - Child age 6-11 years old at the time of enrollment in the study - BMI greater than or equal to 95th percentile for age and sex - English- or Spanish-speaking Exclusion Criteria: - Injuries or disabilities preventing physical activity. Inclusion criteria for caregivers: - Age 18 or older - English or Spanish-speaking - Caregiver has smartphone and is willing to download app(s) used in the study - Anticipates bringing the child to the program the majority of the time and spends significant time with the child outside of program hours (necessary in order to accurately answer survey questions about child behavior and child participation in the program, and provide feedback about the program) - Does not have plans to leave the area during the next 12 months

Study Design


Related Conditions & MeSH terms


Intervention

Behavioral:
Fit Together
Fit Together intervention follows a clinic and community partnership model for childhood obesity treatment. Children with obesity will receive standard of care obesity treatment from their usual provider and will also receive a referral to an activity program run out of the local community center. Each session delivers a combination of high-intensity individual exercises, sports and games, and unstructured playtime to help children reach the US Physical Activity guidelines of 60min moderate-to-vigorous physical activity daily. There will also be a nutrition activity session offered regularly.
Educational materials
Participants will receive a child-friendly cooking magazine mailed quarterly and a local Parks and Recreation program guide.

Locations

Country Name City State
United States Michael Jordan Family Medical Clinic (Freedom Drive Location) (NHPMCF) Charlotte North Carolina
United States Waughtown Pediatrics (NHFMCF) Winston-Salem North Carolina

Sponsors (2)

Lead Sponsor Collaborator
Duke University Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Other Fidelity Degree to which the program was implemented as intended. Collected via structured observations of program sessions using System for Observing Play and Leisure Activity in Youth (SOPLAY) Throughout program implementation duration (approx. 30 months)
Other Implementation characteristics Barriers and facilitators to implementation collected via survey and qualitative interviews with stakeholders Throughout program implementation duration (approx. 30 months)
Other Assessment of harms related to the program Measured by assessment of harms survey; Scoring: ranging 5-25, higher scores indicate higher harms Up through 12 months
Other Change in mental health Measured by Pediatric Symptom Checklist (PSC-17); Scoring: range 0-34, higher scores can indicate increased likelihood of behavioral health disorder Baseline, 6 months, 12 months
Other Change in blood pressure Obtained from medical records Baseline, 6 months, 12 months
Other Proportion of eligible children referred to the intervention Proportion of eligible children who are referred to the intervention, collected via program tracking materials/referrals received and EHR Up through end of enrollment period (approx. 18 months)
Primary Change in percent of the 95th percentile for BMI Collected from clinic records. Change in child's BMI, based on percent of the 95th percentile, measured using height and weight collected from clinic/medical records Baseline, 6 months, and 12 months
Primary Proportion of children with 26 hours or more of intervention contact Measured by program attendance Up to 12 months
Primary Change in number of combined minutes per day of moderate and vigorous physical activity, as measured by Garmin vivofit4 fitness tracker Change in physical activity measured by Garmin vivofit4 fitness tracker Baseline up to 12 months
Secondary Change in self-report physical activity Measured by the Evaluation of Activity Surveys in Youth (EASY); Scoring: range 0-88, higher scores indicate more activity Baseline, 6 months, and 12 months
Secondary Change in quality of life Measured by Sizing Them Up; Scoring: range 0-100, higher scores indicate better health-related quality of life Baseline, 6 months, and 12 months
Secondary Unintended Consequences as measured by adverse events Measured by collecting adverse events throughout participation Up to 12 months
Secondary Patient Satisfaction at 6 months Measured by satisfaction survey; Scoring: ranging 5-25, higher scores indicate higher satisfaction 6 months
Secondary Patient Satisfaction at 12 months Measured by satisfaction survey; Scoring: ranging 5-25, higher scores indicate higher satisfaction 12 months
Secondary Change in diet quality Measured by the Dietary Screener Questionnaire (DSQ) Baseline, 6 months, 12 months
Secondary Healthcare utilization Measured by electronic health records Up to 12 months
Secondary Cost effects Cost impact (summative or incremental) to the unit or organization resulting from changes in health care utilization and efficiency. Fixed and variable costs; offsets of the cost of implementation. Collected as project administrative data, surveys with clinics and P&R sites to assess additional costs. Throughout program implementation duration (approx. 30 months)
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