NCT05028205

Brief Summary

Eating Better Together is a 6-month pilot program that teaches families about healthy eating and activity and provides home deliveries of fresh fruits and vegetables from a local retail partner.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
30

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Aug 2021

Longer than P75 for not_applicable

Geographic Reach
1 country

2 active sites

Status
recruiting

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

First Submitted

Initial submission to the registry

August 16, 2021

Completed
Same day until next milestone

Study Start

First participant enrolled

August 16, 2021

Completed
15 days until next milestone

First Posted

Study publicly available on registry

August 31, 2021

Completed
4.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 2, 2026

Completed
26 days until next milestone

Study Completion

Last participant's last visit for all outcomes

February 28, 2026

Completed
Last Updated

April 3, 2025

Status Verified

April 1, 2025

Enrollment Period

4.5 years

First QC Date

August 16, 2021

Last Update Submit

April 1, 2025

Conditions

Keywords

Fruit and Vegetable PrescriptionFood Security

Outcome Measures

Primary Outcomes (5)

  • Project Reach, the number of participants who participate in the study

    Measurement in project reach will aid in the evaluation of the implementation process for the study, and will help us determine the feasibility of a larger study. Reach will be determined using the data from the EHR at CHS. Specifically, investigators will use data reports from the EHR to determine the number of participants who participate in the study.

    through study completion, an average of 6 months

  • Project Reach, participants who are eligible to participate in this study, but decline to participate in the study

    Measurement in project reach will aid in the evaluation of the implementation process for the study, and will help us determine the feasibility of a larger study. Reach will be determined using the data from the EHR at CHS. Specifically, investigators will use data reports from the EHR to determine the number of participants who are eligible to participate in this study, but decline to participate in the study.

    through study completion, an average of 6 months

  • Project Reach, total number of participants/patients who meet eligibility criteria

    Measurement in project reach will aid in the evaluation of the implementation process for the study, and will help us determine the feasibility of a larger study. Reach will be determined using the data from the EHR at CHS. Specifically, investigators will use data reports from the EHR to determine the total number of participants/patients who meet the eligibility criteria for the study.

    through study completion, an average of 6 months

  • Intervention Session Completion

    Completion of the number of each intervention session will be documented in the EHR.

    through study completion, an average of 6 months

  • Funds spent on FV deliveries

    Looking at total amount spent of FV deliveries will help us to identify if the fruit and vegetable prescription program was implemented as intended.

    through study completion, an average of 6 months

Secondary Outcomes (7)

  • Demographics

    Baseline only

  • Household Information

    Change from baseline and through study completion, an average of 6 months

  • Food Purchasing and Household Food Availability

    Change from baseline and through study completion, an average of 6 months

  • Food Security

    Change from baseline and through study completion, an average of 6 months

  • Dietary Intake of Fruits and Vegetables

    Change from baseline and through study completion, an average of 6 months

  • +2 more secondary outcomes

Study Arms (1)

Prevention Plus

EXPERIMENTAL

Child's energy balance behavioral goals will be to consume \< 3 sugar-sweetened beverages (e.g., regular carbonated soft drinks, sports drinks, lemonades, ice teas, flavored milk, juice drinks \< 100% juice, and punches) servings /wk, ≥1 1/2 cups/day of whole vegetables and ≥ 1 cup/day of whole fruit, engage in ≥ 60 minutes/day of moderate- to vigorous-intensity physical activity, and reduce TV viewing to \< 2 hours/day. The caregiver's energy balance behavioral goals will be to consume \< 3 sugar-sweetened beverage servings/wk, ≥ 2 1/2 cups/day of whole vegetables and ≥ 1 1/2 cups/day of whole fruit, engage in ≥ 150 minutes of moderate- to vigorous-intensity physical activity per week and reduce TV viewing to \< 10 hours/wk.

Behavioral: Prevention Plus

Interventions

Prevention PlusBEHAVIORAL

Families will receive a behavioral intervention for childhood obesity provided by a BHC. This will consist of three, in-person meetings (months 1, 3, and 5), and three, 20-minute phone calls (months 2,4, and 6). During in-person visits, child height and weight will be taken, and BMI will be plotted on the BMI-for-age growth chart. During these sessions, families will receive feedback on child growth and weight status. Prevention Plus materials and child and caregiver energy balance behavior goals will be reviewed. The phone calls will be with the caregiver, where caregivers will be asked to measure the height and weight of their child, calculate BMI, and plot on the BMI-for-age growth chart. The BHC will discuss the family's progress on achieving child and caregiver goals and implementation of behavioral parenting strategies. Families will receive a fruit and vegetable prescription (FVx) in addition to the standard Prevention Plus family-based behavioral weight loss treatment.

Prevention Plus

Eligibility Criteria

Age4 Years - 10 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17)

You may qualify if:

  • Patients at the Cherokee Health Systems clinic in Cherokee Mills
  • Child age between 4 to 10 years old
  • Child BMI \> 85th percentile
  • Child must have an adult caregiver (\> 18 years) living in the household and be willing to participate in the program
  • Adult caregivers need to be able to read and speak English

You may not qualify if:

  • Not patients at the CHS Knox County Pediatric Clinic
  • A child not within the 4 to 10 years age range
  • Child BMI at or below the 85 percentile
  • Child without an adult caregiver (\> 18 years) living in the household and not willing to participate in the program
  • Adult caregivers that are not able to read and speak English

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Cherokee Health Systems, Dameron Avenue Pedatrics

Knoxville, Tennessee, 37917, United States

RECRUITING

Healthy Eating and Activity Laboratory

Knoxville, Tennessee, 37996, United States

ENROLLING BY INVITATION

Related Publications (28)

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  • Barlow SE, Dietz WH. Obesity evaluation and treatment: Expert Committee recommendations. The Maternal and Child Health Bureau, Health Resources and Services Administration and the Department of Health and Human Services. Pediatrics. 1998 Sep;102(3):E29. doi: 10.1542/peds.102.3.e29.

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    PMID: 18055654BACKGROUND
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    PMID: 18492974BACKGROUND
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  • Looney SM, Raynor HA. Examining the effect of three low-intensity pediatric obesity interventions: a pilot randomized controlled trial. Clin Pediatr (Phila). 2014 Dec;53(14):1367-74. doi: 10.1177/0009922814541803. Epub 2014 Jul 7.

    PMID: 25006118BACKGROUND
  • Altman M, Wilfley DE. Evidence update on the treatment of overweight and obesity in children and adolescents. J Clin Child Adolesc Psychol. 2015;44(4):521-37. doi: 10.1080/15374416.2014.963854. Epub 2014 Dec 12.

    PMID: 25496471BACKGROUND
  • US Preventive Services Task Force; Grossman DC, Bibbins-Domingo K, Curry SJ, Barry MJ, Davidson KW, Doubeni CA, Epling JW Jr, Kemper AR, Krist AH, Kurth AE, Landefeld CS, Mangione CM, Phipps MG, Silverstein M, Simon MA, Tseng CW. Screening for Obesity in Children and Adolescents: US Preventive Services Task Force Recommendation Statement. JAMA. 2017 Jun 20;317(23):2417-2426. doi: 10.1001/jama.2017.6803.

    PMID: 28632874BACKGROUND
  • Guideline Development Panel for Treatment of Obesity, American Psychological Association. Summary of the clinical practice guideline for multicomponent behavioral treatment of obesity and overweight in children and adolescents. Am Psychol. 2020 Feb-Mar;75(2):178-188. doi: 10.1037/amp0000530.

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  • Bryce R, Guajardo C, Ilarraza D, Milgrom N, Pike D, Savoie K, Valbuena F, Miller-Matero LR. Participation in a farmers' market fruit and vegetable prescription program at a federally qualified health center improves hemoglobin A1C in low income uncontrolled diabetics. Prev Med Rep. 2017 Jun 27;7:176-179. doi: 10.1016/j.pmedr.2017.06.006. eCollection 2017 Sep.

    PMID: 28702315BACKGROUND
  • Buyuktuncer Z, Kearney M, Ryan CL, Thurston M, Ellahi B. Fruit and vegetables on prescription: a brief intervention in primary care. J Hum Nutr Diet. 2014 Apr;27 Suppl 2:186-93. doi: 10.1111/jhn.12109. Epub 2013 May 7.

    PMID: 23651065BACKGROUND

MeSH Terms

Conditions

Pediatric ObesityObesity

Condition Hierarchy (Ancestors)

OverweightOvernutritionNutrition DisordersNutritional and Metabolic DiseasesBody WeightSigns and SymptomsPathological Conditions, Signs and Symptoms

Study Officials

  • Hollie A Raynor, PhD

    University of Tennessee, Knoxville

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Hollie A Raynor, PhD

CONTACT

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
Associate Dean of Research for the College of Education, Health, and Human Sciences

Study Record Dates

First Submitted

August 16, 2021

First Posted

August 31, 2021

Study Start

August 16, 2021

Primary Completion

February 2, 2026

Study Completion

February 28, 2026

Last Updated

April 3, 2025

Record last verified: 2025-04

Data Sharing

IPD Sharing
Will not share

Locations