Pediatric Obesity Treatment in a Safety Net Clinic: Piloting the Step by Step Program

NCT04297228 | Completed

• 1 other identifier: 20560
• Study Type: interventional
• Target: 16
• Locations: 0 countries
• Sites: N/A

Brief Summary

Obesity treatment interventions have been studied in pediatric primary care offices and are often conducted in low-income and minority populations, and pediatric obesity clinics. Key components of programs that have been shown to be effective include parent engagement providing physical activity, nutrition and behavior education and at least 26 hours of total contact time. However, there is little guidance in the literature describing translation of successful programs into sustainable, real-world practice for uninsured children and families. To the investigator's knowledge no studies in the United States have evaluated the feasibility of implementing a fitness and nutrition program in safety net clinics where uninsured parents and their children receive health care. The objectives of this project were to design an evidence-based, family-centered fitness and nutrition program and evaluate the feasibility and acceptability of implementing this program in a Volunteer in Medicine Clinic, discussing successes, challenges and lessons learned.

Conditions

Pediatric Obesity; Overweight and Obesity

Keywords

pediatric obesity; safety net clinic; patient centered; nutrition therapy; body weight

Outcome Measures

Primary Outcomes (1)

• Attendance at Sessions

  Numerator: Number of Families attending/Denominator: Number of sessions Numerator: Number of Fathers AttendingDenominator: Number of Sessions Numerator: Number of Children attending/Denominator: Number of sessions.

  22 weeks

Secondary Outcomes (1)

• BMI

  22 weeks

Study Arms (1)

Step by Step Program

EXPERIMENTAL

Thirteen 1.5 hour weekday educational sessions, five 1-hour weekday fitness classes and seventeen 1 hour weekend walks/farmer's market trips were scheduled over 22 weeks. The planned total contact time was 41.5 hours, above the minimum effective amount and recommended by the USPSTF. Children participated in all activities. Weekly text messages with motivational messages and reminders were planned. Educational Topics included: Intro and Goal Setting How to Read Nutrition Labels How to Build a Healthy Meal Choose My Plate/Walking for Fitness Healthy Fast Food Add More Fruits/Vegetables to Meals Add More Physical Activity Each Day Healthy Snacks and Drinks Healthy Desserts Circuit Training at Home Favorite Recipe Makeover Step by Step Jeopardy Celebration of Completion

Behavioral: Step by Step: A Family-Centered Healthy Lifestyle Intervention

Interventions

Step by Step: A Family-Centered Healthy Lifestyle Intervention BEHAVIORAL

Step by Step Program

Eligibility Criteria

• Age: 4 Years - 50 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Families were eligible if at least one parent and one child received healthcare at CVIM with a BMI of \>75%ile for age

You may not qualify if:

• none

Sponsors & Collaborators

• Community Volunteers In Medicine: lead
• American Academy of Pediatrics: collaborator

Related Links

• Community Volunteers in Medicine website

MeSH Terms

Conditions

Pediatric Obesity; Overweight; Obesity; Body Weight

Condition Hierarchy (Ancestors)

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

Study Design

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

Model Details: Pilot Program to Implement a Family Centered Pediatric Obesity Treatment Program in a Safety Net Clinic using Goal Setting Principles and Behavior Change Theory

Study Record Dates

• First Submitted: February 25, 2020
• First Posted: March 5, 2020
• Study Start: June 12, 2012
• Primary Completion: December 17, 2012
• Study Completion: December 17, 2012
• Last Updated: March 5, 2020

Record last verified: 2020-03

Data Sharing

• IPD Sharing: Will not share