A Pilot Study of the Efficacy and Program Cost-effectiveness of Prevention Plus for Childhood Obesity
1 other identifier
interventional
22
1 country
2
Brief Summary
In 2007 the Expert Committee published recommendations on the prevention and treatment of childhood obesity. These recommendations outlined four interventions intended for advancement based on the child's age, body mass index (BMI), and response to treatment. The initial stage, Prevention Plus, is to be implemented in the primary care setting and focuses on primary care providers monitoring growth monthly and delivering intervention messages that target dietary and leisure-time behaviors that most contribute to energy imbalance in children. Little research has evaluated the efficacy of these recommendations. Thus the primary goal of the proposed pilot study is to test the feasibility of the Prevention Plus stage for treating childhood overweight and obesity in a primary care setting. As the cost of interventions is a large barrier to the translation of evidence-based research into primary care settings, a second goal of the project is to evaluate program cost-effectiveness.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable obesity
Started Apr 2011
Typical duration for not_applicable obesity
2 active sites
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
April 1, 2011
CompletedFirst Submitted
Initial submission to the registry
May 17, 2011
CompletedFirst Posted
Study publicly available on registry
May 23, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2014
CompletedApril 5, 2018
April 1, 2018
3.3 years
May 17, 2011
April 3, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (4)
Weight Status
BMI z-score
Baseline and 6-month
Dietary Intake
dietary intake (sweetened beverages, fruits and vegetables, energy, and percent energy from fat)
baseline and 6-months
Leisure-time Behaviors
leisure-time behaviors (moderate-intense physical activity and television viewing)
Baseline and 6-months
Caretaker Feeding Behaviors
Caretaker feeding behaviors (authoritative, authoritarian, permissive, restrictive) assessed by questionnaires
Baseline and 6-months
Secondary Outcomes (1)
Cost Effectiveness
6-months
Study Arms (3)
Newsletter
NO INTERVENTIONGrowth Monitoring
EXPERIMENTALGrowth Monitoring plus Family-based Behavioral Counseling
EXPERIMENTALInterventions
Caretakers will be encouraged to monitor child growth monthly.
Caretakers will monitor growth monthly in addition participating in family-based behavioral counseling
Eligibility Criteria
You may qualify if:
- between 4 to 8 years of age at the start of the intervention
- overweight or obese (≥85th BMI-for-age percentile)
- have no medical conditions that effect growth, intake or physical activity (e.g., Prader Willi Syndrome, type 2 diabetes, etc.)
- not currently participating in a weight loss program and/or taking weight loss medication
- have a primary caretaker willing to participate in the research study, receive monthly newsletters and be randomized to one of the three conditions
- caretaker must be able to read, speak and understand English and the child speak English
- have transportation to their child's primary care provider office
- family does not plan to move out of the area before March 2012
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Knoxville Pediatric Associates
Knoxville, Tennessee, 37923, United States
Healthy Eating and Activity Laboratory
Knoxville, Tennessee, 37996, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
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
Study Record Dates
First Submitted
May 17, 2011
First Posted
May 23, 2011
Study Start
April 1, 2011
Primary Completion
July 1, 2014
Study Completion
July 1, 2014
Last Updated
April 5, 2018
Record last verified: 2018-04