Childhood Obesity: a Study of Group Treatment Targeting Parents Behaviour

NCT00842777 | Completed Phase 2

• 1 other identifier: 17188
• Study Type: interventional
• Target: 99
• Locations: 1 country
• Sites: 1

Brief Summary

Long term effects of treatment of childhood obesity are not well documented but there is growing evidence that parental involvement and behavioral changes are strong predictors of children weight loss. However, which form and content of parental involvement are most effective is not studied. In the present randomized controlled study we compare the effect of parent manualized group treatment ("experimental group") to the effect of parent self-help groups on changes in children Body Mass Index, food intake, physical activity, quality of life and self esteem. We pose the following hypotheses:

1. 1.Parents participating in the experimental group will have children who achieve a larger reduction in BMI than children with their parents in the control group.
2. 2.This treatment effect will be mediated by changes in one of several elements of parents' cognition: outcome expectancies, perceived control, perceived value of outcome, self-efficacy, perceived reduction in barriers, and subjective norms.
3. 3.Reduction in BMI will correlate with increased quality of life, reduced number and severity of mental health problems, and increased self-concept.

Conditions

Childhood Obesity

Keywords

Childhood obesity; Quality of life; Self-esteem; BMI; parental group treatment; Body image

Outcome Measures

Primary Outcomes (1)

• Body Mass Index, lean body mass, waist circumference, energy intake, physical activity, physical fitness, quality of life, self-esteem, Parental body mass index, parental eating behaviour, parental levels of physical activity.

  Baseline, 6 months and 24 months

Study Arms (2)

Parent group treatment

EXPERIMENTAL

Manualized group treatment of parents. Allocation of 4-6 parental couples of children with similar age.

Behavioral: Parent manualized group treatment

Parent self-help groups

ACTIVE COMPARATOR

Professionals initiate and organize the self-help groups initially. The groups will not receive any teaching or counseling concerning eating and physical activity.

Behavioral: Parent self-help groups

Interventions

Parent manualized group treatment BEHAVIORAL

Parent manualized group treatment in childhood obesity; 10 manualized group treatment over a 6 months period. Ten sessions will be conducted with the following content: 1) Expectancies and goal setting,; 2) Taking to the child about overweight; 3) Daily physical activity; 4) Everyday meals and nutrition; 5) Mastery and motivation; 6) Guidance and limit setting; 7) Who should join the team? The role of siblings and the social network; 8) Parents' history of eating and physical activity; 9) Self-concept and body image; and 10) Vacations and parties. Thereafter booster-meetings every third month over 1,5 years, in all 2 years treatment

Parent group treatment

Parent self-help groups BEHAVIORAL

Professionals initiate and organize the self-help groups initially and attend the two first meetings. Their role will be to organize group and facilitate group rules governing group behaviors to be formed. The sharing of experiences, feelings, and thoughts concerning being a parent to an overweight child is encouraged, in addition to sharing tips and advices concerning managing their child's behavior. The groups will not receive any teaching or counseling concerning eating and physical activity.

Parent self-help groups

Eligibility Criteria

• Age: 7 Years - 12 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Age 7-12 years
• Body Mass Index \> 2SDS (age adjusted BMI)
• no known medical cause of obesity

You may not qualify if:

• pervasive developmental disorders
• serious psychopathology
• parental drug abuse

Sponsors & Collaborators

• Norwegian University of Science and Technology: lead
• St. Olavs Hospital: collaborator

Study Sites (1)

St Olav University Hospital, Department of Pediatrics

Trondheim. Olav Kyrres Gt 17, Trondheim, 7006, Norway

Location

Related Publications (1)

• Hystad HT, Steinsbekk S, Odegard R, Wichstrom L, Gudbrandsen OA. A randomised study on the effectiveness of therapist-led v. self-help parental intervention for treating childhood obesity. Br J Nutr. 2013 Sep 28;110(6):1143-50. doi: 10.1017/S0007114513000056. Epub 2013 Feb 6.

  PMID: 23388524 RESULT

MeSH Terms

Conditions

Pediatric Obesity

Condition Hierarchy (Ancestors)

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

Study Officials

• Ronnaug A Odegard, MD, PhD

  St. Olavs Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: phase 2
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 11, 2009
• First Posted: February 12, 2009
• Study Start: October 1, 2004
• Primary Completion: April 1, 2010
• Study Completion: April 1, 2010
• Last Updated: July 28, 2016

Record last verified: 2016-07

Locations

NO (1)