A Pilot Study of the Efficacy and Program Cost-effectiveness of Prevention Plus for Childhood Obesity
Status: | Completed |
---|---|
Conditions: | Obesity Weight Loss |
Therapuetic Areas: | Endocrinology |
Healthy: | No |
Age Range: | 4 - 8 |
Updated: | 4/17/2018 |
Start Date: | April 2011 |
End Date: | July 2014 |
In 2007 the Expert Committee published recommendations on the prevention and treatment of
childhood obesity. These recommendations outlined four interventions intended for advancement
based on the child's age, body mass index (BMI), and response to treatment. The initial
stage, Prevention Plus, is to be implemented in the primary care setting and focuses on
primary care providers monitoring growth monthly and delivering intervention messages that
target dietary and leisure-time behaviors that most contribute to energy imbalance in
children. Little research has evaluated the efficacy of these recommendations. Thus the
primary goal of the proposed pilot study is to test the feasibility of the Prevention Plus
stage for treating childhood overweight and obesity in a primary care setting. As the cost of
interventions is a large barrier to the translation of evidence-based research into primary
care settings, a second goal of the project is to evaluate program cost-effectiveness.
childhood obesity. These recommendations outlined four interventions intended for advancement
based on the child's age, body mass index (BMI), and response to treatment. The initial
stage, Prevention Plus, is to be implemented in the primary care setting and focuses on
primary care providers monitoring growth monthly and delivering intervention messages that
target dietary and leisure-time behaviors that most contribute to energy imbalance in
children. Little research has evaluated the efficacy of these recommendations. Thus the
primary goal of the proposed pilot study is to test the feasibility of the Prevention Plus
stage for treating childhood overweight and obesity in a primary care setting. As the cost of
interventions is a large barrier to the translation of evidence-based research into primary
care settings, a second goal of the project is to evaluate program cost-effectiveness.
Inclusion Criteria:
- between 4 to 8 years of age at the start of the intervention
- overweight or obese (≥85th BMI-for-age percentile)
- have no medical conditions that effect growth, intake or physical activity (e.g.,
Prader Willi Syndrome, type 2 diabetes, etc.)
- not currently participating in a weight loss program and/or taking weight loss
medication
- have a primary caretaker willing to participate in the research study, receive monthly
newsletters and be randomized to one of the three conditions
- caretaker must be able to read, speak and understand English and the child speak
English
- have transportation to their child's primary care provider office
- family does not plan to move out of the area before March 2012
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