Healthy Homes/Healthy Kids_5-9



Status:Completed
Conditions:Obesity Weight Loss
Therapuetic Areas:Endocrinology
Healthy:No
Age Range:Any
Updated:11/18/2012
Start Date:March 2010
End Date:March 2014
Contact:Marcia G Hayes, MPH
Email:marcia.g.hayes@healthpartners.com
Phone:952-967-6778

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Healthy Homes/Healthy Kids: Pediatric Primary Care-based Obesity Prevention


The pediatric primary care setting is a relatively untapped resource for addressing obesity
prevention. The main goal of this study is to evaluate the efficacy of a relatively low cost
pediatric primary-care based obesity prevention intervention. The intervention will consist
of brief pediatrician counseling as well as phone coaching for parents with overweight
children who are between the ages of five and nine. We propose to enroll and randomize 425
parent-child dyads with children who have a measured body mass index (BMI) the 75th and 95th
percentile. They will be randomized one of into two groups, the (a) Healthy Eating/Physical
Activity Intervention, or the (b) General Healthy/Safety/Injury Prevention Contact Control
Intervention. Both groups will receive brief pediatrician counseling regarding their child's
current BMI percentile status and recommendations for home environmental changes to achieve
a healthy weight gain trajectory and to improve home safety and reduce injury risk. This
will be paired with a 12 month home-based program delivered via phone by health behavior
specialists to help parents make environmental changes specific to their group assignment.


The goal of this study is to evaluate the efficacy of a relatively low cost pediatric
primary-care based intervention that integrates brief pediatric counseling and a home-based
phone program to prevent unhealthy weight gain in overweight children ages five-nine.
Parent-child dyads will be recruited for the Healthy Homes/Healthy Kids Study via a
multi-step process including use of electronic medical record data to identify children,
pediatrician approval, and outreach via letters and phone calls. Four hundred and twenty
five parent-child dyads from pediatric primary care will be recruited to participate and be
randomized to one of two interventions:

Healthy Eating/Physical Activity Home-based Intervention: This intervention arm will include
brief pediatrician counseling regarding the child's current BMI percentile status,
recommendations for home environmental changes to achieve a healthy weight gain trajectory,
and home safety and injury risk reduction environmental recommendations paired with a 12
month home-based program delivered via phone by a masters-level health behavior specialist
to promote implementation of the obesity prevention home environmental strategies.

Safety/Injury Prevention Home-based Contact Control Intervention: This intervention arm will
include the same brief counseling from the pediatrician paired with a 12 month home-based
program delivered via phone by a masters-level health behavior specialist to promote
implementation of the safety and injury prevention home environmental strategies.

Inclusion Criteria:

- BMI%ile between the 75th and 95th%ile

- Receives care at a HealthPartners Clinic in the Twin Cities Metropolitan Area

Exclusion Criteria:

- Children with the following chronic conditions: kidney disease, Type 1 diabetes,
lupus, a thyroid condition, cancer, or chromosomal abnormality such as Down's
syndrome or Turner's syndrome

- Children who within the last six months or those who are currently taking the
following medications and took them or will be taking them for more than a month:
Prednisone, Prenisilone, and Decadron.

- Families who have limited English skills.

- Families who plan to move out of the metropolitan area within the next two years.
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