Teen CHAT: Improving Physician Communication With Adolescents About Healthy Weight

NCT01040975 | Completed

• 2 other identifiers: Pro000162061R01HL092403-01A2
• Study Type: interventional
• Target: 684
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to teach primary care physicians effective ways to counsel overweight and obese adolescent patients to attain a healthy weight. Fifty physicians and up to 660 adolescent patients from Duke University Health System (DUHS) Primary Care Clinics will take part in this study. Patients will be identified by research study staff and asked if they would be willing to have their clinic visit audio recorded for research purposes. There are three phases of data collection. First, baseline encounters (n=200, 4 per physician) are audio recorded. Then, half of the physicians will be randomized to receive a tailored web-based intervention containing information about evidence-based techniques to help adolescents attain a healthy weight. A new set of 200 encounters (4 per physician) will be audio recorded. Then, all physicians will receive a Summary Report that outlines the adolescent's high risk behaviors that contribute to weight (sweetened beverages, fast food, breakfast, physical activity, screen time, and sleep) and a new set of 200 encounters will be audio recorded. Data will be collected by trained data technicians, in-person and over the phone. Data is collected on laptop computers and then downloaded into password protected electronic files on a secure network server. All participants (adolescent patients and physicians) will be assigned a code number that is the sole identifier on all study data forms. Prior to and after coding, digital files will be stored in password protected directories to which only the data technicians and project manager have access. The web-based intervention will be password protected.

Conditions

Communication; Obesity; Nutrition; Physical Activity; Sleep

Outcome Measures

Primary Outcomes (1)

• Physician communication

  after CD-ROM phase

Secondary Outcomes (2)

• Summary Report

  After Summary Report Phase

• Adolescent Nutrition, Physical Activity, and BMI Z-score

  3 months post-visit

Study Arms (2)

Motivational Interviewing intervention

EXPERIMENTAL

Web-based intervention targeting MD communication and Summary Report

Behavioral: Web-based intervention targeting MD communication; Summary Report

Control

NO INTERVENTION

MD receives Summary Report only

Interventions

Web-based intervention targeting MD communication; Summary Report BEHAVIORAL

Web-based intervention targeting MD communication; Summary Report detailing 6 risk factors for adolescent overweight/obesity developed by study team

Also known as: Tailored Web-based intervention developed by study team, Tailored Summary Report

Motivational Interviewing intervention

Eligibility Criteria

• Age: 12 Years - 18 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Specialty is Family Practice or Pediatrics
• Located in participating clinic
• Not planning to leave clinic in the next two years
• English-speaking
• BMI z-score \>85th percentile
• age 12-18
• not pregnant
• have parental consent to participate if over 18
• have visit at least 7 days in the future
• have access to a telephone

You may not qualify if:

• BMI z-score \<85th percentile
• not English speaking
• pregnant
• \<12 or older than 18
• incompetent for interview
• seen primarily by non-physician provider

Sponsors & Collaborators

• Duke University: lead
• National Heart, Lung, and Blood Institute (NHLBI): collaborator

Study Sites (1)

Duke University Medical Center - Cancer Prevention, Detection and Control

Durham, North Carolina, 27710, United States

Location

Related Publications (5)

• Bodner ME, Lyna P, Ostbye T, Bravender T, Alexander SC, Tulsky JA, Lin PH, Pollak KI. Accuracy and congruence of physician and adolescent patient weight-related discussions: Teen CHAT (Communicating health: Analyzing talk). Patient Educ Couns. 2018 Dec;101(12):2105-2110. doi: 10.1016/j.pec.2018.07.022. Epub 2018 Jul 26.

  PMID: 30115415 DERIVED

• Pollak KI, Tulsky JA, Bravender T, Ostbye T, Lyna P, Dolor RJ, Coffman CJ, Bilheimer A, Lin PH, Farrell D, Bodner ME, Alexander SC. Teaching primary care physicians the 5 A's for discussing weight with overweight and obese adolescents. Patient Educ Couns. 2016 Oct;99(10):1620-5. doi: 10.1016/j.pec.2016.05.007. Epub 2016 May 9.

  PMID: 27228899 DERIVED

• Pollak KI, Coffman CJ, Tulsky JA, Alexander SC, Ostbye T, Farrell D, Lyna P, Dolor RJ, Bilheimer A, Lin PH, Bodner ME, Bravender TD. Teaching Physicians Motivational Interviewing for Discussing Weight With Overweight Adolescents. J Adolesc Health. 2016 Jul;59(1):96-103. doi: 10.1016/j.jadohealth.2016.03.026. Epub 2016 May 5.

  PMID: 27155958 DERIVED

• Ostbye T, Lyna P, Bodner ME, Alexander SC, Coffman C, Tulsky JA, Dolor R, Pollak K. The Effect of Parental Presence on Weight-Related Discussions Between Physicians and Their Overweight Adolescent Patients. Clin Pediatr (Phila). 2015 Oct;54(12):1218-20. doi: 10.1177/0009922814566027. Epub 2015 Jan 9. No abstract available.

  PMID: 25575503 DERIVED

• Alexander SC, Fortenberry JD, Pollak KI, Bravender T, Davis JK, Ostbye T, Tulsky JA, Dolor RJ, Shields CG. Sexuality talk during adolescent health maintenance visits. JAMA Pediatr. 2014 Feb;168(2):163-9. doi: 10.1001/jamapediatrics.2013.4338.

  PMID: 24378686 DERIVED

MeSH Terms

Conditions

Communication; Obesity; Motor Activity

Condition Hierarchy (Ancestors)

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

Study Officials

• Kathryn I Pollak, PhD

  Duke University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 29, 2009
• First Posted: December 30, 2009
• Study Start: September 1, 2009
• Primary Completion: December 1, 2013
• Study Completion: February 1, 2014
• Last Updated: September 23, 2016

Record last verified: 2016-09

Locations

US (1)