NCT01419951

Brief Summary

The objective of this project is to pilot test a behavioral intervention that includes a home visit component compared to a clinic only and standard of care for the treatment of obesity in preschool age children. The results of this study will inform the design of a larger randomized control trial. H1: The clinic + home intervention will result in a significantly greater decrease in BMIz compared to the in clinic only intervention or pediatric standard of care at 6 months post-treatment.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
60

participants targeted

Target at P50-P75 for phase_1 obesity

Timeline
Completed

Started May 2009

Longer than P75 for phase_1 obesity

Geographic Reach
1 country

1 active site

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

May 1, 2009

Completed
2.3 years until next milestone

First Submitted

Initial submission to the registry

August 5, 2011

Completed
13 days until next milestone

First Posted

Study publicly available on registry

August 18, 2011

Completed
1 month until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2011

Completed
3 years until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2014

Completed
Last Updated

October 22, 2014

Status Verified

October 1, 2014

Enrollment Period

2.4 years

First QC Date

August 5, 2011

Last Update Submit

October 20, 2014

Conditions

Keywords

Behavioral treatmentPreschool aged childrenObesity

Outcome Measures

Primary Outcomes (1)

  • Change in BMI z score

    Body mass index z score

    Change from Baseline to 6 months

Secondary Outcomes (6)

  • Change in Parent weight loss

    Change from baseline to 6 months

  • Change in Child caloric intake

    Change from baseline to 6 months

  • Change in Home food and activity environment

    Change from baseline to 6 months

  • Change in Child physical activity

    Change from baseline to 6 months

  • Change in Parent-child mealtime interactions

    Change from baseline to 6 months

  • +1 more secondary outcomes

Study Arms (3)

Clinic Only Behavioral Intervention

ACTIVE COMPARATOR

A 6 month intervention consisting of two phases: Phase I Intensive intervention is 6 sessions delivered in a group-based format in clinic (concurrent parent and child groups) every other week. Phase II Maintenance is 3 monthly clinic visits. Treatment targets 3 components: Dietary education, physical activity and parenting training.

Behavioral: Clinic Only Behavioral Intervention

Pediatrician Counseling

ACTIVE COMPARATOR

A one-time 45 minute visit with a board certified pediatrician that focuses on the AAP guidelines for eating and physical activity for preschool aged children.

Other: Pediatrician Counseling

Clinic + Home Behavioral Intervention

EXPERIMENTAL

A 6 month intervention consisting of two phases: Phase I Intensive intervention is 12 weekly sessions that alternate between a group-based clinic session (concurrent parent and child groups) and individual home visits. Phase II Maintenance is 12 weeks of every other week visits alternating between clinic and home. Treatment targets 3 components: Dietary education, physical activity and parenting training.

Behavioral: Clinic + Home Behavioral Intervention

Interventions

A 6 month intervention consisting of two phases: Phase I Intensive intervention is 12 weekly sessions that alternate between a group-based clinic session (concurrent parent and child groups) and individual home visits. Phase II Maintenance is 12 weeks of every other week visits alternating between clinic and home. Treatment targets 3 components: Dietary education, physical activity and parenting training.

Clinic + Home Behavioral Intervention

A one-time 45 minute visit with a board certified pediatrician that focuses on the AAP guidelines for eating and physical activity for preschool aged children.

Pediatrician Counseling

A 6 month intervention consisting of two phases: Phase I Intensive intervention is 6 sessions delivered in a group-based format in clinic (concurrent parent and child groups) every other week. Phase II Maintenance is 3 monthly clinic visits. Treatment targets 3 components: Dietary education, physical activity and parenting training.

Clinic Only Behavioral Intervention

Eligibility Criteria

Age2 Years - 5 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17)

You may qualify if:

  • years 0 months to 5 years 11 months of age
  • at or above the 95th percentile BMI for age and sex
  • have at least one parent with a BMI at or greater than 25
  • medical clearance from pediatrician

You may not qualify if:

  • non-English speaking
  • living greater than 50 miles from medical center
  • a disability or illness that would preclude engagement in moderate activity
  • medical condition/medication associated with weight
  • enrolled in another weight management program

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio, 45229, United States

Location

MeSH Terms

Conditions

Obesity

Interventions

Ambulatory Care Facilities

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Health FacilitiesHealth Care Facilities Workforce and Services

Study Officials

  • Lori J Stark, Ph.D.

    Children's Hospital Medical Center, Cincinnati

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 1
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 5, 2011

First Posted

August 18, 2011

Study Start

May 1, 2009

Primary Completion

October 1, 2011

Study Completion

October 1, 2014

Last Updated

October 22, 2014

Record last verified: 2014-10

Locations