Pediatric Preventative Health Screenings - Obesity and Family-Centered Outcomes

NCT02850224 | Completed

• 1 other identifier: B21201
• Study Type: interventional
• Target: 703
• Locations: 1 country
• Sites: 1

Brief Summary

In 2012, an Expert Panel of the National Heart Lung and Blood Institute published guidelines on cardiovascular health and risk reduction in children; among these guidelines were screening recommendations for obesity and obesity-related conditions. Following publication of this report there was a call for caution and for increased patient (parent, child) input on implementing these guidelines. There are limited current studies evaluating patient-centered outcomes (PCO) in the well-child setting, however, given the childhood obesity epidemic, there is a clear need for such an evaluation. The city of Detroit, MI ranks first among 22 cities with data for the prevalence of overweight and obese youth (39.7%), making Henry Ford Health System, which is located in Detroit, MI, an ideal setting to study childhood obesity related research questions.

Conditions

Obesity; Overweight; Blood Pressure; Hypercholesteremia; Diabetes

Outcome Measures

Primary Outcomes (2)

• Number of participants with improved patient-centered outcomes (physical, social, and emotional health) as assessed by the PROMIS 25.

  6 weeks

• Number of participants with improved health-related quality of life as assessed by the PEDsQL.

  6 Weeks

Study Arms (2)

Motivational interviewing to elicit PCO in pediatrics

EXPERIMENTAL

Providers will be randomized into a patient-centered outcomes (PCO) education course or standard of care. The PCO education course will educate and test providers on patient-centered outcomes of interest and appropriate methods to deliver PCO care. Providers randomized into the intervention arm will be required to take a brief, one-hour, webinar describing the background, problem, results from focus groups we conducted, and a training program on motivational interviewing. After completing the course, providers will be required to complete an evaluation.

Behavioral: Motivational interviewing to elicit PCO in pediatrics

No Intervention

NO INTERVENTION

Standard care

Interventions

Motivational interviewing to elicit PCO in pediatrics BEHAVIORAL

A motivational interviewing style webinar. Physicians watch the webinar, incorporate communication techniques.

Also known as: Motivational Interviewing, Patient-Centered Outcomes

Motivational interviewing to elicit PCO in pediatrics

Eligibility Criteria

• Age: 2 Years - 18 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Between the ages of 2 and 18
• Henry Ford Health System Patient
• Well-child visit with participating provider
• Fluent in English

You may not qualify if:

• Unable to provide consent

Sponsors & Collaborators

• Henry Ford Health System: lead

Study Sites (1)

Henry Ford Health System

Detroit, Michigan, 48202, United States

Location

MeSH Terms

Conditions

Obesity; Overweight; Hypercholesterolemia; Diabetes Mellitus

Interventions

Motivational Interviewing; Patient Outcome Assessment

Condition Hierarchy (Ancestors)

Overnutrition; Nutrition Disorders; Nutritional and Metabolic Diseases; Body Weight; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Hyperlipidemias; Dyslipidemias; Lipid Metabolism Disorders; Metabolic Diseases; Glucose Metabolism Disorders; Endocrine System Diseases

Intervention Hierarchy (Ancestors)

Directive Counseling; Counseling; Mental Health Services; Behavioral Disciplines and Activities; Health Services; Health Care Facilities Workforce and Services; 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

• Andrea E Cassidy-Bushrow, PhD

  Henry Ford Health System

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Scientist

Study Record Dates

• First Submitted: June 30, 2016
• First Posted: July 29, 2016
• Study Start: April 20, 2017
• Primary Completion: February 19, 2018
• Study Completion: July 27, 2020
• Last Updated: July 28, 2020

Record last verified: 2020-07

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)