Healthy Weight Poster, Multi-site Study

NCT03128112 | Completed

• 1 other identifier: IRB00042929
• Study Type: interventional
• Target: 965
• Locations: 1 country
• Sites: 7

Brief Summary

This is a multi-site, cross-sectional study of 3-8 year old children and their parents presenting for a well-child check. The investigators are assessing whether a novel, educational, exam room poster can effectively prompt parents to ask their pediatricians about their children's weight status and improve parents' perceptions of their children's weight status.

Conditions

Childhood Obesity

Keywords

Parental perception, obesity, overweight

Outcome Measures

Primary Outcomes (3)

• Poster assessment prompts by questionnaire

  Assess whether the poster prompts parents to ask their child's doctor whether their child is a healthy weight.

  End of study - 1 year

• Parents' perceptions by questionnaire

  Assess whether the poster improves accuracy of parents' perceptions of their children's weight status.

  End of study - 1 year

• Changes in parental perception by questionnaire

  Among parents who view the poster, the investigators will assess whether parental perception changes differentially based on parental race/ethnicity, education, or socioeconomic background.

  End of study - 1 year

Study Arms (2)

Exam room without poster

NO INTERVENTION

All parents will be asked to fill out a questionnaire detailing basic demographic information as well as their perception of their child's weight. Parents who are in exam rooms without posters will be ask to fill out a second short questionnaire after seeing their physician that will ask parents whether they discussed their child's weight status with their physician and whether they believe their own child is: very overweight, overweight, healthy weight, underweight, or very underweight.

Exam room with poster

ACTIVE COMPARATOR

All parents will be asked to fill out a questionnaire detailing basic demographic information as well as their perception of their child's weight. Parents who are in exam rooms with posters will be directed to read the poster on the exam room wall. After viewing the poster and after seeing their physician, parents will be ask to fill out a second short questionnaire that will ask parents whether they discussed their child's weight status with their physician, whether this conversation was prompted by the poster, and whether they believe their own child is very overweight, overweight, healthy weight, underweight, or very underweight.

Other: Exam room with poster

Interventions

Exam room with poster OTHER

This intervention will assess whether a novel educational exam room poster can effectively prompt patients to ask pediatricians about their children's weight status and improve patents' perceptions of their children's weight status.

Exam room with poster

Eligibility Criteria

• Age: 3 Years - 8 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Children aged 3-8 years old presenting to pediatric clinic for a well-child visit.
• Parents of include children who speak English or Spanish and are able to complete a written survey.

You may not qualify if:

• Parents that are \<18 years old
• Children with no documented weight or height for their visit
• Any medical condition that would affect weight gain or growth such as failure to thrive, congenital heart defect, etc.

Sponsors & Collaborators

• Wake Forest University Health Sciences: lead
• Duke University: collaborator
• Eastgate Public Health Center: collaborator
• UAB Huntsville Pediatrics: collaborator
• Pediatric Associates of Northern Kentucky: collaborator

Study Sites (7)

UAB Health Center Huntsville

Huntsville, Alabama, 35801, United States

Location

Pediatric Associates of Northern Kentucky

Crestview Hills, Kentucky, 41017, United States

Location

Duke Children's Primary Care Brier Creek

Durham, North Carolina, 27617, United States

Location

Duke Health Center at Roxboro Street

Durham, North Carolina, 27704, United States

Location

Downtown Health Plaza

Winston-Salem, North Carolina, 27101, United States

Location

Ford Simpson Lively and Rice Pediatrics

Winston-Salem, North Carolina, 27103, United States

Location

Public Health Center - Eastgate

Bellevue, Washington, 98007, United States

Location

Related Publications (12)

• Doolen J, Alpert PT, Miller SK. Parental disconnect between perceived and actual weight status of children: a metasynthesis of the current research. J Am Acad Nurse Pract. 2009 Mar;21(3):160-6. doi: 10.1111/j.1745-7599.2008.00382.x.

  PMID: 19302692 BACKGROUND

• Lundahl A, Kidwell KM, Nelson TD. Parental underestimates of child weight: a meta-analysis. Pediatrics. 2014 Mar;133(3):e689-703. doi: 10.1542/peds.2013-2690. Epub 2014 Feb 2.

  PMID: 24488736 BACKGROUND

• Rietmeijer-Mentink M, Paulis WD, van Middelkoop M, Bindels PJ, van der Wouden JC. Difference between parental perception and actual weight status of children: a systematic review. Matern Child Nutr. 2013 Jan;9(1):3-22. doi: 10.1111/j.1740-8709.2012.00462.x. Epub 2012 Oct 1.

  PMID: 23020552 BACKGROUND

• Moore LC, Harris CV, Bradlyn AS. Exploring the relationship between parental concern and the management of childhood obesity. Matern Child Health J. 2012 May;16(4):902-8. doi: 10.1007/s10995-011-0813-x.

  PMID: 21594667 BACKGROUND

• Soto C, White JH. School Health Initiatives and Childhood Obesity: BMI screening and reporting. Policy Polit Nurs Pract. 2010 May;11(2):108-14. doi: 10.1177/1527154410374218. Epub 2010 Aug 2.

  PMID: 20679328 BACKGROUND

• Wake M, Salmon L, Waters E, Wright M, Hesketh K. Parent-reported health status of overweight and obese Australian primary school children: a cross-sectional population survey. Int J Obes Relat Metab Disord. 2002 May;26(5):717-24. doi: 10.1038/sj.ijo.0801974.

  PMID: 12032758 BACKGROUND

• Perrin EM, Jacobson Vann JC, Benjamin JT, Skinner AC, Wegner S, Ammerman AS. Use of a pediatrician toolkit to address parental perception of children's weight status, nutrition, and activity behaviors. Acad Pediatr. 2010 Jul-Aug;10(4):274-81. doi: 10.1016/j.acap.2010.03.006. Epub 2010 May 31.

  PMID: 20554259 BACKGROUND

• Cates JR, Diehl SJ, Crandell JL, Coyne-Beasley T. Intervention effects from a social marketing campaign to promote HPV vaccination in preteen boys. Vaccine. 2014 Jul 16;32(33):4171-8. doi: 10.1016/j.vaccine.2014.05.044. Epub 2014 Jun 2.

  PMID: 24886960 BACKGROUND

• Gee S, Chin D, Ackerson L, Woo D, Howell A. Prevalence of childhood and adolescent overweight and obesity from 2003 to 2010 in an integrated health care delivery system. J Obes. 2013;2013:417907. doi: 10.1155/2013/417907. Epub 2013 Jul 18.

  PMID: 23970960 BACKGROUND

• Herrera J, Lockner D, Kibbe D, Marley SC, Trowbridge F, Bailey A. Innovative tools help counselors discuss childhood obesity with parents. Child Obes. 2013 Apr;9(2):144-9. doi: 10.1089/chi.2012.0095. Epub 2013 Mar 15.

  PMID: 23496294 BACKGROUND

• Parry LL, Netuveli G, Parry J, Saxena S. A systematic review of parental perception of overweight status in children. J Ambul Care Manage. 2008 Jul-Sep;31(3):253-68. doi: 10.1097/01.JAC.0000324671.29272.04.

  PMID: 18574384 BACKGROUND

• Towns N, D'Auria J. Parental perceptions of their child's overweight: an integrative review of the literature. J Pediatr Nurs. 2009 Apr;24(2):115-30. doi: 10.1016/j.pedn.2008.02.032. Epub 2008 Sep 5.

  PMID: 19268233 BACKGROUND

MeSH Terms

Conditions

Pediatric Obesity; Obesity; Overweight

Condition Hierarchy (Ancestors)

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

Study Officials

• Callie L Brown, MD MPH

  Wake Forest University Health Sciences

  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: SPONSOR

Study Record Dates

• First Submitted: April 12, 2017
• First Posted: April 25, 2017
• Study Start: June 20, 2017
• Primary Completion: April 30, 2018
• Study Completion: April 30, 2018
• Last Updated: June 28, 2019

Record last verified: 2019-01

Data Sharing

• IPD Sharing: Will not share

Locations

US (7)