Managing Patient Expectations in Pediatric Weight Management

NCT01753063 | Completed

• 1 other identifier: P00006045
• Study Type: interventional
• Target: 405
• Locations: 1 country
• Sites: 12

Brief Summary

As part of Children's Hospital Association's Focus on a Fitter Future III Obesity Task Force, this project will target patient and family expectations across the domains of nutrition, physical activity and behavior change/family support as a means of patient engagement and retention in pediatric weight management. This will be a prospective, non-randomized, uncontrolled, single-arm trial for children between 2 and 18 years of age and a parent/guardian, who are starting a pediatric weight management program/clinic in one of the participating centers. The parent/guardian and child if 12 years of age or older receive a survey at the first visit, which asks about their expectations and goals for the visit. This information will then be used as part of clinical care to tailor treatment. After 3 months, the parent/guardian and adolescent, if applicable, will receive a follow up survey asking about their progress in these areas.

Conditions

Obesity

Keywords

Obesity; Children; Adolescents; Attrition

Outcome Measures

Primary Outcomes (1)

• Attrition at 3 months

  Defined for treatment clinics (i.e., no set end point) as attending an initial appointment but no further appointments in a 3 month period. For treatment programs (i.e., set end point), attrition is defined as attending \<25% of visits in a 3 month period

  3 months

Secondary Outcomes (1)

• Congruence of learning needs and achieved outcomes

  3 months

Other Outcomes (4)

• Matched expectations between parent and child expectations at baseline

  Baseline

• Child BMI Z-score

  Baseline, 3 months

• Provider Satisfaction

  3 months

Study Arms (1)

Patient Expectations

EXPERIMENTAL

At the family's initial visit to the pediatric weight management program/clinic each parent/guardian and adolescent (if age 12 yrs. or older) will complete the survey tool. At 3 months, families will be asked to complete a follow up survey. This will be fielded at a visit for those returning to clinic or by phone/mail for those not returning.

Behavioral: Patient Expectations

Interventions

Patient Expectations BEHAVIORAL

Baseline Expectations survey (parent/guardian and adolescents 12 and older)

Patient Expectations

Eligibility Criteria

• Age: 2 Years - 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Subject conversant in English or Spanish
• Parent/guardian conversant in English or Spanish
• Patient aged 2-18 years

You may not qualify if:

• Parent-reported cognitive issues preventing completion of the form, such as in-school aide\>50% of the school day; special education classes \>50% of school day

Sponsors & Collaborators

• Boston Children's Hospital: lead
• University of Nebraska: collaborator
• Nationwide Children's Hospital: collaborator
• Connecticut Children's Medical Center: collaborator
• Mt. Washington Pediatric Hospital: collaborator
• C.S. Mott Children's Hospital: collaborator
• Children's Hospital Colorado: collaborator
• Children's Hospital of Illinois: collaborator
• Helen DeVos Children's Hospital: collaborator
• OHSU Doernbecher Children's Hospital: collaborator
• Norton Healthcare: collaborator

Study Sites (12)

Children's Hospital, Colorado

Denver, Colorado, United States

Location

Connecticut Children's Medical Center

Hartford, Connecticut, United States

Location

Children's Hospital of Illinois

Peoria, Illinois, 61637, United States

Location

Kosair Children's Hospital

Louisville, Kentucky, United States

Location

Mt. Washington Pediatric Hospital

Baltimore, Maryland, 21209, United States

Location

Boston Children's Hospital

Boston, Massachusetts, 02115, United States

Location

C.S. Mott Children's Hospital

Ann Arbor, Michigan, United States

Location

Helen DeVos Children's Hospital

Grand Rapids, Michigan, United States

Location

Children's Mercy Hospitals & Clinics

Kansas City, Missouri, United States

Location

Children's Hospital and Medical Center, Omaha

Omaha, Nebraska, United States

Location

Nationwide Children's Hospital

Columbus, Ohio, United States

Location

Doernbecher Children's Hospital OHSU

Portland, Oregon, United States

Location

Related Publications (3)

• Hampl S, Demeule M, Eneli I, Frank M, Hawkins MJ, Kirk S, Morris P, Sallinen BJ, Santos M, Ward WL, Rhodes E. Parent perspectives on attrition from tertiary care pediatric weight management programs. Clin Pediatr (Phila). 2013 Jun;52(6):513-9. doi: 10.1177/0009922813482515. Epub 2013 Mar 28.

  PMID: 23539682 BACKGROUND

• Sallinen Gaffka BJ, Frank M, Hampl S, Santos M, Rhodes ET. Parents and pediatric weight management attrition: experiences and recommendations. Child Obes. 2013 Oct;9(5):409-17. doi: 10.1089/chi.2013.0069. Epub 2013 Sep 12.

  PMID: 24028563 BACKGROUND

• Rhodes ET, Boles RE, Chin K, Christison A, Testa EG, Guion K, Hawkins MJ, Petty CR, Sallinen Gaffka B, Santos M, Shaffer L, Tucker J, Hampl SE. Expectations for Treatment in Pediatric Weight Management and Relationship to Attrition. Child Obes. 2017 Apr;13(2):120-127. doi: 10.1089/chi.2016.0215. Epub 2017 Jan 16.

  PMID: 28092464 DERIVED

MeSH Terms

Conditions

Obesity; Tooth Wear

Interventions

Treatment Expectations

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Treatment Outcome; Prognosis; Diagnosis; Outcome Assessment, Health Care; Outcome and Process Assessment, Health Care; Quality of Health Care; Health Services Administration; Health Care Evaluation Mechanisms; Health Care Quality, Access, and Evaluation

Study Officials

• Erinn Rhodes, MD, MPH

  Boston Children's Hospital

  STUDY CHAIR

• Sarah Hampl, MD

  Children's Mercy Hospitals & Clinics

  STUDY CHAIR

Study Design

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

Study Record Dates

• First Submitted: December 17, 2012
• First Posted: December 20, 2012
• Study Start: January 1, 2013
• Primary Completion: December 1, 2013
• Study Completion: December 1, 2013
• Last Updated: December 17, 2013

Record last verified: 2013-12

Locations

US (12)