Brief Summary

A primary care approach to obesity prevention will be developed and tested in a randomized trial in 4 pediatric primary care practices. Enhanced screening for obesity risks and prompts for effective counseling at well visits of 4 to 10 year olds will be developed utilizing hand held technology( PDAs). The impact on the content and quality of clinician counseling will be assessed in exit survey prior to and after implementation. Among families interested in making a change to address nutrition or activity risk reported on the screener a cohort with children \> BMI 85% will be recruited. They will be randomized to mailed tailored supports to level of readiness to change versus a single generic informational mailing. The hypotheses are that 1)families that receive the enhanced office visit with screening will be more likely to plan to make changes compared to usual care; and 2) families receiving the tailored post visit supports will be less likely to gain weight than controls after 6 months.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
149

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Feb 2007

Typical duration for not_applicable

Geographic Reach
1 country

2 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

February 1, 2007

Completed
1.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 1, 2008

Completed
1.4 years until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2009

Completed
1.1 years until next milestone

First Submitted

Initial submission to the registry

August 31, 2010

Completed
1 day until next milestone

First Posted

Study publicly available on registry

September 1, 2010

Completed
Last Updated

May 24, 2011

Status Verified

May 1, 2011

Enrollment Period

1.1 years

First QC Date

August 31, 2010

Last Update Submit

May 23, 2011

Conditions

Keywords

Childhood ObesityPrimary CareCounselingScreening

Outcome Measures

Primary Outcomes (1)

  • BMI z score

    Prevention of increase in BMI

    6 months

Secondary Outcomes (1)

  • Parental readiness to initiate change

    immediately post well visit

Study Arms (2)

Parent/child tailored mailed materials

EXPERIMENTAL

Family provided newsletters tailored to issues and readiness to change. Family receives educational nutrition DVD, pedometers for family activities and child nutrition/physical activity games

Behavioral: Clinician enhanced screening and counseling promptsBehavioral: Tailored education and motivational materials

Basic information at single time

ACTIVE COMPARATOR

Family provided with high quality booklet from American Dietetic Association providing the same information that intervention arm received but not tailored.

Behavioral: Clinician enhanced screening and counseling promptsBehavioral: basic educational brochure

Interventions

PDA based health risk screening for well child issues and obesity risks

Also known as: All subjects receive screening/counseling
Basic information at single timeParent/child tailored mailed materials

Specific tailoring for those interested in change vs not . Two newsletters over 3 mpn.

Also known as: Well child care intervention
Parent/child tailored mailed materials

Booklet by ADA sent x 1.

Also known as: Education
Basic information at single time

Eligibility Criteria

Age4 Years - 10 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)

You may qualify if:

  • Families with children ages 4 to 11 years
  • For post visit supports; Children \> 85% for age BMI

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Dartmouth Hitchcock Medical Center

Lebanon, New Hampshire, 03756-0001, United States

Location

Dartmouth Medical School, Dartmouth Hitchcock Medical Center

Lebanon, New Hampshire, 03756-0001, United States

Location

MeSH Terms

Conditions

Pediatric Obesity

Interventions

CounselingEducational Status

Condition Hierarchy (Ancestors)

ObesityOverweightOvernutritionNutrition DisordersNutritional and Metabolic DiseasesBody WeightSigns and SymptomsPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Mental Health ServicesBehavioral Disciplines and ActivitiesCommunity Health ServicesHealth ServicesHealth Care Facilities Workforce and ServicesSocioeconomic FactorsPopulation Characteristics

Study Officials

  • Ardis L Olson, MD

    Dartmouth Medical School, Dept. of Pediatrics

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
NIH

Study Record Dates

First Submitted

August 31, 2010

First Posted

September 1, 2010

Study Start

February 1, 2007

Primary Completion

March 1, 2008

Study Completion

August 1, 2009

Last Updated

May 24, 2011

Record last verified: 2011-05

Locations