Parents as the Agent of Change for Childhood Obesity

NCT01197443 | Completed DMC

• 1 other identifier: 071669
• Study Type: interventional
• Target: 152
• Locations: 1 country
• Sites: 1

Brief Summary

The overall intent of this study is to explore a promising mode for delivering treatment for childhood obesity via parent education only, and to evaluate the cost effectiveness compared to the current gold standard treatment of parent-and-child dual education.

Conditions

Obesity

Keywords

obesity; overweight; overweight children; overweight parents; families with overweight child; body mass index; BMI; weight; childhood obesity; diet; treatment; parent modeling; traffic light diet; stop light diet

Outcome Measures

Primary Outcomes (3)

• To evaluate the efficacy of parent-only treatment versus parent + child treatment on the body weight of the target child

  The primary hypothesis is that the parent-only treatment will produce a decrease in the target child's weight (BMI for age percentile/BMI\_Z) that is not inferior to the parent + child treatment immediately following treatment.

  At post-treatment visit (after 6-month treatment)

• To evaluate the efficacy of parent-only treatment versus parent + child treatment on the body weight of the target child

  The primary hypothesis is that the parent-only treatment will produce a decrease in the target child's weight (BMI for age percentile/BMI\_Z) that is not inferior to the parent + child treatment at post-treatment 6-month follow-up visit.

  At post-treatment 6-month follow-up visit

• To evaluate the efficacy of parent-only treatment versus parent + child treatment on the body weight of the target child

  The primary hypothesis is that the parent-only treatment will produce a decrease in the target child's weight (BMI for age percentile/BMI\_Z) that is not inferior to the parent + child treatment at post-treatment 18-month follow-up visit.

  At post-treatment 18-month follow-up visit

Secondary Outcomes (38)

• To evaluate the cost-effectiveness of parent-only treatment versus parent + child treatment

  At post-treatment visit (after 6-month treatment)

• To compare effect of parent-only treatment versus parent + child treatment on target child's and parent's dietary quality

  At post-treatment (after 6-month treatment)

• To compare effect of parent-only treatment versus parent + child treatment on target child's and parent's exercise behavior

  At post-treatment visit (after 6-month treatment)

• To compare effect of parent-only treatment versus parent + child treatment on target child's and parent's quality of life

  At post-treatment visit (after 6-month treatment)

• To compare effect of parent-only treatment versus parent + child treatment on target child's and parent's psychosocial measures

  At post-treatment visit (after 6-month treatment)

Study Arms (2)

Parent-only Group

EXPERIMENTAL

Treatment will be administered to parents of the overweight child. Parent-only group treatment will include all of the same skills and techniques to promote weight loss, but the information will be delivered only to the parent. Participation of the children assigned to the parent-only treatment arm will be limited to the baseline and follow-up assessments.

Behavioral: Parent-only Group

Parent + child Group

ACTIVE COMPARATOR

The treatment for participants in the parent + child arm will be administered in two separate groups, one for the parents and one for the child.

Behavioral: Parent + Child Group

Interventions

Parent-only Group BEHAVIORAL

Parent-only group will include the same skills and techniques to promote weight loss as given to the parent + child group, but the information will be delivered only to the parent. Parent group will be compared to the parent group of the parent + child treatment arm. The focus will be on implementing skills learned to assist the child in weight management. The treatment length is set for 12 weekly meetings and bi-monthly meetings during months 4 and 5. Each group session will be 60-min including weigh-ins. Group meetings focus on behavior change, weight loss, healthy eating and activity for the overweight child and parent.

Also known as: Parents as the Agent of Change for Childhood Obesity (PAAC)

Parent-only Group

Parent + Child Group BEHAVIORAL

The treatment for participants in the parent + child group will be administered in two separate groups, one for the parents and one for the child. Treatment will include the same skills and techniques to promote weight loss as given to the parent-only group, but the information will be delivered to both the parent and child. The treatment length, session schedule, treatment content and follow-up assessments are same as the parent-only group.

Also known as: Parents as the Agent of Change for Childhood Obesity (PAAC)

Parent + child Group

Eligibility Criteria

• Age: 8 Years - 12 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Overweight child 8-12 years of age and above the 95th% for age and gender
• An overweight (BMI \> 25) parent willing to participate and attend all treatment meetings
• Eligible parent who can read at a minimum of an 8th grade level
• Family willing to commit to 5 months of treatment attendance, and follow-up for 18 months post-treatment.

You may not qualify if:

• Major child psychiatric disorder diagnoses
• Child diagnoses of a serious current physical disease (such as diabetes) for which physician supervision of diet and exercise prescription are needed (self-report)
• Family with restrictions on types of food, such as food allergies, religious, or ethnic practices that limit the foods available in the home
• Child with physical difficulties that limit the ability to exercise
• Child with an active eating disorder (based on EDE interview)
• Families where children or parents are involved in swimming or weight training more than 5 hours per week
• Major parent psychiatric disorder

Sponsors & Collaborators

• University of California, San Diego: lead

Study Sites (1)

UCSD Center for Healthy Eating and Activity Research (CHEAR)

La Jolla, California, 92093, United States

Location

Related Publications (12)

• Bauer KW, Nelson MC, Boutelle KN, Neumark-Sztainer D. Parental influences on adolescents' physical activity and sedentary behavior: longitudinal findings from Project EAT-II. Int J Behav Nutr Phys Act. 2008 Feb 26;5:12. doi: 10.1186/1479-5868-5-12.

  PMID: 18302765 BACKGROUND

• Epstein LH. Family-based behavioural intervention for obese children. Int J Obes Relat Metab Disord. 1996 Feb;20 Suppl 1:S14-21.

  PMID: 8646260 BACKGROUND

• Epstein LH, Wing RR, Steranchak L, Dickson B, Michelson J. Comparison of family-based behavior modification and nutrition education for childhood obesity. J Pediatr Psychol. 1980 Mar;5(1):25-36. doi: 10.1093/jpepsy/5.1.25. No abstract available.

  PMID: 7452420 BACKGROUND

• Epstein LH, Valoski A, Wing RR, McCurley J. Ten-year follow-up of behavioral, family-based treatment for obese children. JAMA. 1990 Nov 21;264(19):2519-23.

  PMID: 2232019 BACKGROUND

• Wang G, Dietz WH. Economic burden of obesity in youths aged 6 to 17 years: 1979-1999. Pediatrics. 2002 May;109(5):E81-1. doi: 10.1542/peds.109.5.e81.

  PMID: 11986487 BACKGROUND

• Birch LL, Davison KK. Family environmental factors influencing the developing behavioral controls of food intake and childhood overweight. Pediatr Clin North Am. 2001 Aug;48(4):893-907. doi: 10.1016/s0031-3955(05)70347-3.

  PMID: 11494642 BACKGROUND

• Faith MS, Scanlon KS, Birch LL, Francis LA, Sherry B. Parent-child feeding strategies and their relationships to child eating and weight status. Obes Res. 2004 Nov;12(11):1711-22. doi: 10.1038/oby.2004.212.

  PMID: 15601964 BACKGROUND

• Clark HR, Goyder E, Bissell P, Blank L, Peters J. How do parents' child-feeding behaviours influence child weight? Implications for childhood obesity policy. J Public Health (Oxf). 2007 Jun;29(2):132-41. doi: 10.1093/pubmed/fdm012. Epub 2007 Apr 18.

  PMID: 17442696 BACKGROUND

• Boutelle KN, Kang Sim DE, Eichen DM, Manzano MA, Rhee KE, Strong DR. Predictors of parent self-monitoring patterns in a family-based behavioral weight loss treatment program. Int J Obes (Lond). 2024 Oct;48(10):1457-1464. doi: 10.1038/s41366-024-01574-8. Epub 2024 Jul 15.

  PMID: 39009764 DERIVED

• Kang Sim DE, Strong DR, Manzano MA, Rhee KE, Boutelle KN. Evaluation of dyadic changes of parent-child weight loss patterns during a family-based behavioral treatment for obesity. Pediatr Obes. 2020 Jun;15(6):e12622. doi: 10.1111/ijpo.12622. Epub 2020 Feb 12.

  PMID: 32048808 DERIVED

• Eichen DM, Strong DR, Rhee KE, Rock CL, Crow SJ, Epstein LH, Wilfley DE, Boutelle KN. Change in eating disorder symptoms following pediatric obesity treatment. Int J Eat Disord. 2019 Mar;52(3):299-303. doi: 10.1002/eat.23015. Epub 2019 Jan 14.

  PMID: 30638271 DERIVED

• Boutelle KN, Rhee KE, Liang J, Braden A, Douglas J, Strong D, Rock CL, Wilfley DE, Epstein LH, Crow SJ. Effect of Attendance of the Child on Body Weight, Energy Intake, and Physical Activity in Childhood Obesity Treatment: A Randomized Clinical Trial. JAMA Pediatr. 2017 Jul 1;171(7):622-628. doi: 10.1001/jamapediatrics.2017.0651.

  PMID: 28558104 DERIVED

MeSH Terms

Conditions

Obesity; Overweight; Body Weight; Pediatric Obesity

Condition Hierarchy (Ancestors)

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

Study Officials

• Kerri Boutelle, PhD

  UCSD

  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: Associate Professor

Study Record Dates

• First Submitted: August 17, 2010
• First Posted: September 9, 2010
• Study Start: November 1, 2010
• Primary Completion: July 1, 2015
• Study Completion: July 1, 2015
• Last Updated: December 2, 2015

Record last verified: 2015-11

Locations

US (1)