The Resource Information Program for Parents on Lifestyle and Education
RIPPLE
Working With Parents to Prevent Childhood Obesity: A Primary Care-based Study
1 other identifier
interventional
226
1 country
1
Brief Summary
Childhood obesity is an urgent public health issue. Roughly one-quarter of Canadian children are overweight, putting them at risk for chronic diseases. Because most families access health services in primary care, it is an ideal venue for obesity prevention. Specifically, programs in primary care can prevent unhealthy weight gain in healthy weight children (primary prevention) AND reduce unhealthy weight gain in children who are already overweight (secondary prevention). Parents play a key role in children's health, so it is vital to include parents in strategies to prevent childhood obesity. The following objectives of this study are to: (i) develop a web-based, brief program for parents as an educational tool to motivate parents to support healthy lifestyles in children, and access community resources and health services that can prevent childhood obesity; (ii) assess the acceptability of the program using focus groups with parents, and pediatric-focused health care professionals, trainees, and administrators; and (iii) recruit parents (n=200) in primary care and collect data at baseline and 1-month follow-up to explore if the program led to changes in parents' motivation to support their children's lifestyle habits, and families' use of resources and health services to prevent childhood obesity. It is hypothesized that the developed screening, brief intervention, and referral to treatment (SBIRT) will (i) encourage parents of healthy weight children to seek resources to eat healthfully and be physically active to maintain their weight status (primary \[1°\] prevention), and (ii) guide parents of unhealthy weight children to access educational tools and community services to reduce their child's obesity and associated health risks (secondary \[2°\] prevention). By providing families with tailored feedback, practical educational tools, and information on local health services, this research will help to address oft-cited barriers primary care clinicians commonly report when providing effective obesity-related health services, and encourage family self-management of obesity-related behaviors.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Oct 2014
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 1, 2014
CompletedFirst Submitted
Initial submission to the registry
December 17, 2014
CompletedFirst Posted
Study publicly available on registry
January 5, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2015
CompletedResults Posted
Study results publicly available
April 17, 2017
CompletedApril 17, 2017
March 1, 2017
1 year
December 17, 2014
November 16, 2016
March 5, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Feasibility (Parents' Interest in the SBIRT.)
Parents' interest was determined by the proportion (indicated as a percentage) of parents that (i) enrolled among those approached to participate, (ii) 'opted in' to receive the tailored email report, and (iii) self-selected resources from the SBIRT; the latter two were recorded by back-end programming of the SBIRT.
Baseline
Feasibility (Parents' Uptake of the SBIRT)
Parents' uptake was determined by parents' use (actual and self-reported) of obesity prevention resources (i.e., the proportion \[reported in percentage\] that actually or self-reported using resources out of the total number of participants that participated in follow-up), and the proportion (reported in percentage) of parents that reported discussing children's weight with their pediatrician immediately following the SBIRT.
One-month follow-up
Secondary Outcomes (1)
Parents' Concern About Children's Weight Status and Motivation to Change Lifestyle Behaviors Immediately Following the SBIRT.
Measured at baseline
Study Arms (5)
Eat It! (Injunctive Feedback)
EXPERIMENTALParents are presented with two questions about portion size and sugar-sweetened beverages; answers are contrasted with injunctive feedback (i.e., Canadian guidelines).
Eat It! (Normative Feedback)
EXPERIMENTALParents are presented with two questions about portion size and sugar-sweetened beverages; answers are contrasted with normative feedback (i.e., referent data from Canadian children).
Move It! (Injunctive Feedback)
EXPERIMENTALParents are presented with two questions about screen time and moderate-to-vigorous physical activity (MVPA); answers are contrasted with injunctive feedback (i.e., Canadian guidelines).
Move It! (Normative Feedback)
EXPERIMENTALParents are presented with two questions about screen time and moderate-to-vigorous physical activity (MVPA); answers are contrasted with normative feedback (i.e., referent data from Canadian children).
eHealth Control
PLACEBO COMPARATORParents randomly assigned to the control arm will include information on children's lifestyle behaviors only (no intervention questions).
Interventions
The SBIRT (Screening, Brief Intervention, Referral to Treatment), called RIPPLE (Resource Information Program for Parents on Lifestyle Education) was delivered on a study-designated tablet and designed to (1) screen children's weight status, (2) deliver a brief intervention\*, and (3) provide parents with the opportunity select resources and services to help prevent obesity in children. \*Two brief questions about children's grain portion sizes and sugar sweetened beverage intake were presented.
The SBIRT (Screening, Brief Intervention, Referral to Treatment), called RIPPLE (Resource Information Program for Parents on Lifestyle Education) was delivered on a study-designated tablet and designed to (1) screen children's weight status, (2) deliver a brief intervention\*, and (3) provide parents with the opportunity select resources and services to help prevent obesity in children. \*Two brief questions about children's moderate-to-vigorous physical activity (MVPA) and screen time were presented.
The eHealth Control group (1) screened children's weight status, and (2) provided parents with the opportunity select resources and services to help prevent obesity in children.
Eligibility Criteria
You may qualify if:
- parents of children 5-17 years of age
- parents speak and read English
You may not qualify if:
- children present with urgent medical issues (e.g., febrile, acute asthma attack)
- children attend appointment without legal guardian
- parents do not have sufficient time (15-20 minutes) to complete the intervention
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Albertalead
- Alberta Innovates Health Solutionscollaborator
- Canadian Institutes of Health Research (CIHR)collaborator
- Public Health Agency of Canada (PHAC)collaborator
Study Sites (1)
The Allin Clinic, Edmonton Oliver Primary Care Network
Edmonton, Alberta, T5K 2A2, Canada
Related Publications (2)
Campbell M, Benton JM, Werk LN. Parent perceptions to promote a healthier lifestyle for their obese child. Soc Work Health Care. 2011;50(10):787-800. doi: 10.1080/00981389.2011.597316.
PMID: 22136345RESULTAvis JL, Cave AL, Donaldson S, Ellendt C, Holt NL, Jelinski S, Martz P, Maximova K, Padwal R, Wild TC, Ball GD. Working With Parents to Prevent Childhood Obesity: Protocol for a Primary Care-Based eHealth Study. JMIR Res Protoc. 2015 Mar 25;4(1):e35. doi: 10.2196/resprot.4147.
PMID: 25831265DERIVED
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Limitations and Caveats
(1) The SBIRT did not include data collection of parents' self-reported concern and intention pre- and post-intervention, and (2) the study was developmental in nature and was not sufficiently powered to detect group differences.
Results Point of Contact
- Title
- Dr. Geoff Ball
- Organization
- Department of Pediatrics, University of Alberta
Study Officials
- PRINCIPAL INVESTIGATOR
Geoff DC Ball, PhD
University of Alberta
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 17, 2014
First Posted
January 5, 2015
Study Start
October 1, 2014
Primary Completion
October 1, 2015
Study Completion
November 1, 2015
Last Updated
April 17, 2017
Results First Posted
April 17, 2017
Record last verified: 2017-03
Data Sharing
- IPD Sharing
- Will not share