Evaluating the Transferability of a Successful, Hospital-based, Childhood Obesity Clinic to Primary Care: a Pilot Study

NCT00536536 | Completed

• 1 other identifier: PB-PG-0706-10090
• Study Type: interventional
• Target: 106
• Locations: 1 country
• Sites: 1

Brief Summary

Obesity affects one in five children in the UK and undoubtedly causes increased ill health with rising levels of childhood and adolescent diabetes, obesity induced liver disease and increased risk of early heart disease. There are few clinics offering effective treatment for childhood obesity. However, the clinic for childhood obesity at Bristol Royal Hospital for Children (BCH) has been successful in around 83% of cases. This pilot study aims to examine the feasibility of transferring the success of the hospital clinic to primary care in preparation for a full RCT. The study will entail training a practice nurse, community dietician and exercise specialist to deliver the same clinical service in primary care as that offered in BCH. Initial work will gather the views of staff delivering the hospital service and those of patients and parents to identify the crucial components of the intervention that are likely to be needed in primary care and to then to refine the intervention.A pilot trial will examine how feasible it is to recruit patients into the service and get some initial idea as to whether weight management is equally good, patient satisfaction and retention improves and what data needs to be collected for a full economic assessment. If found to be effective, the next step will be to use knowledge gained in this study to design and undertake a more extensive, formal study across Bristol in various primary care settings.This larger study will address how such a service can be delivered across a complete spectrum of primary care populations, so that similar services could be developed across the country.

Conditions

Childhood Obesity

Keywords

Childhood; Obesity; Primary Care

Outcome Measures

Primary Outcomes (1)

• To investigate the feasibility of replicating a successful hospital based, childhood obesity clinic in primary care using trained primary care staff and undertake a pilot trial.

  To measure whether attendance and retention are similar in primary care clinic to hospital based clinic.

  12 months

Secondary Outcomes (6)

• Primary care staff training

  12 months

• General practice engagement

  12 months

• Family expectations of locality based, weight management clinics.

  12 months

• Defining outcomes for main RCT.

  12 months

• The protocol for GP screening to identify exclusions

  3 months

Study Arms (2)

Hospital

ACTIVE COMPARATOR

Care of Childhood Obesity Clinic (COCO)

Behavioral: Obesity management framework

Primary Care

ACTIVE COMPARATOR

Primary care clinics (x2)

Behavioral: Obesity management framework

Interventions

Obesity management framework BEHAVIORAL

Treatment in primary care will be compared to treatment in a secondary hospital setting. Treatment in both cases will be provided by a multi-disciplinary team of: obesity or practice nurse, dietitian, exercise specialist with some input from medical team.

Hospital; Primary Care

Eligibility Criteria

• Age: 5 Years - 17 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• to \<18 yrs old on day of recruitment
• Children consulting their general practitioner or other primary care professional with a weight \> 95th percentile

You may not qualify if:

• Suspected underlying pathology or syndrome on primary consultation
• Severe learning difficulties

Sponsors & Collaborators

• University of Bristol: lead

Study Sites (1)

Bristol Primary Care Trust

Bristol, United Kingdom

Location

Related Publications (3)

• Hollinghurst S, Hunt LP, Banks J, Sharp DJ, Shield JP. Cost and effectiveness of treatment options for childhood obesity. Pediatr Obes. 2014 Feb;9(1):e26-34. doi: 10.1111/j.2047-6310.2013.00150.x. Epub 2013 Mar 18.

  PMID: 23505002 DERIVED

• Banks J, Sharp DJ, Hunt LP, Shield JP. Evaluating the transferability of a hospital-based childhood obesity clinic to primary care: a randomised controlled trial. Br J Gen Pract. 2012 Jan;62(594):e6-12. doi: 10.3399/bjgp12X616319.

  PMID: 22520658 DERIVED

• Banks J, Williams J, Cumberlidge T, Cimonetti T, Sharp DJ, Shield JP. Is healthy eating for obese children necessarily more costly for families? Br J Gen Pract. 2012 Jan;62(594):e1-5. doi: 10.3399/bjgp12X616300.

  PMID: 22520655 DERIVED

MeSH Terms

Conditions

Pediatric Obesity; Obesity

Condition Hierarchy (Ancestors)

Overweight; Overnutrition; Nutrition Disorders; Nutritional and Metabolic Diseases; Body Weight; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Debbie Sharp

  University of Bristol

  PRINCIPAL INVESTIGATOR

• Christopher Salisbury

  University of Bristol

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor of Diabetes and metabolic Endocrinology

Study Record Dates

• First Submitted: September 27, 2007
• First Posted: September 28, 2007
• Study Start: April 1, 2008
• Primary Completion: June 1, 2010
• Study Completion: June 1, 2010
• Last Updated: April 9, 2019

Record last verified: 2019-04

Locations

GB (1)