Eat Out With KP: A Pilot to Improve the Impact of Dietary Advice for Families

NCT02124135 | Completed

• 1 other identifier: Pro00004774
• Study Type: interventional
• Target: 94
• Locations: 1 country
• Sites: 1

Brief Summary

Dietary counseling at the point of purchase could improve patient adherence to dietary advice and downstream health outcomes. The aim of our pilot is to test the efficacy of a novel delivery system for dietary advice. We will study the effect of relocating family weight management counseling sessions into restaurants, where registered dieticians and patients will conduct scheduled group visits while enjoying a meal together. As with office-based visits, our goal is for members and their families to learn how to select food options based on their unique health needs, budgetary concerns, and time constraints. In contrast to a traditional counseling visit, however, co-dining with a dietitian will give members a hands-on experience designed to enhance their learning and improve adherence. The proposed study would build on an existing pilot of a similar program, the "KP Personal Shopper", where dietitian visits were conducted with individuals either in the clinic setting or while shopping in a grocery store. We will compare the new "Eat Out with Kaiser" approach to the current standard of clinic-based dietary and lifestyle counseling for weight management among 40 families affected by obesity, with the following outcomes in mind:

1. 1.Change in dietary measures
2. 2.Nutritional knowledge of families
3. 3.Participant self-efficacy and confidence in food purchasing decisions
4. 4.Participant and dietician perception of visit

Conditions

Obesity

Keywords

Nutrition

Outcome Measures

Primary Outcomes (4)

• Change in Fruit and Vegetable Intake

  Will be measured in one parent and one child per enrolled family using the Block food screeners for adults and children.

  3 months

• Change in Whole Grain Intake

  Will be measured in one parent and one child per enrolled family using the Block food screeners for adults and children.

  3 months

• Change in Saturated Fat Intake

  Will be measured in one parent and one child per enrolled family using the Block food screeners for adults and children.

  3 months

• Change in Added Sugars Intake

  Will be measured in one parent and one child per enrolled family using the Block food screeners for adults and children.

  3 months

Secondary Outcomes (2)

• Change in Nutritional Knowledge of Families

  3 months

• Self-efficacy around food purchasing and dietary decisions

  3 months

Study Arms (2)

Clinic-based counseling

ACTIVE COMPARATOR

Participants in this arm will receive 1 baseline phone call with the registered dietitian to get preliminary dietary counseling tailored to their family's needs. They will then have 3 sessions in-person in a group setting with another family and the registered dietitian where a set dietary curriculum geared at promoting weight loss and/or maintenance of a healthy weight will be emphasized. All in-person visits will take place in the clinic setting.

Behavioral: Diet/Nutrition Education

Restaurant-based counseling

EXPERIMENTAL

Participants in this arm will receive 1 baseline phone call with the registered dietitian to get preliminary dietary counseling tailored to their family's needs. They will then have 3 sessions in-person in a group setting with another family and the registered dietitian where a set dietary curriculum geared at promoting weight loss and/or maintenance of a healthy weight will be emphasized. All in-person visits will take place in a restaurant, while dining.

Behavioral: Diet/Nutrition Education

Interventions

Diet/Nutrition Education BEHAVIORAL

As described elsewhere, all participants will receive 1 phone call and 3 in person sessions with the registered dietitian. Participants in the "clinic" arm will receive the education intervention in the clinic. Participants in the "restaurant" arm will receive the education intervention while dining in a restaurant.

Clinic-based counseling; Restaurant-based counseling

Eligibility Criteria

• Age: 8 Years - 64 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• adult member of Kaiser Georgia, in a specific employer group
• families in which at least one parent and one child are obese
• family with 2 or fewer children all between 8-13 years of age
• no-show rate for clinic visits \<10%
• adult is 18-64 years of age

Sponsors & Collaborators

• Kaiser Permanente: lead

Study Sites (1)

Kaiser Permanente Center for Health Research, Southeast

Atlanta, Georgia, 30305, United States

Location

MeSH Terms

Conditions

Obesity

Condition Hierarchy (Ancestors)

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

Study Officials

• Kristina H Lewis, MD MPH SM

  Kaiser Permanente

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Investigator

Study Record Dates

• First Submitted: April 24, 2014
• First Posted: April 28, 2014
• Study Start: May 1, 2014
• Primary Completion: October 1, 2014
• Study Completion: December 1, 2014
• Last Updated: August 18, 2017

Record last verified: 2017-08

Locations

US (1)