An Interactive Web-based Intervention to Achieve Healthy Weight in Young Children

Study procedures and interventions:

Pre-intervention: a full-day training will occur with a physician and nurse from each clinic
site to be trained as "champions" in counseling.

Intervention:

A letter of introduction will be mailed to potential subjects whose child was seen in the
last 6 months for a well-child exam whose BMI is greater than or equal to the 85th
percentile. After informed consent is obtained, the subjects will be randomized to the
intervention or control group. One parent may join the study.

Groups of 10 to 12 parents of overweight and obese 3 to 6 year olds will meet once weekly
for 6 weeks at 5:30 to 6:30 pm with the "nurse champion" in the primary care office. Topics
to be presented and discussed include authoritative parenting, using the food plan "Go,
Slow, and Whoa", increasing physical activity, and behavior change strategies. Sessions will
be audiotaped and independently audited to confirm program fidelity. Parenting skills will
be discussed at every session.

The intervention group will have access to a website. This site will include information
services (instant library with health topics related to nutrition and physical activity and
answers to frequently asked questions), web links to other pre-screened sources of
information on nutrition and physical activity, local resources for current activities for
children and families, personal stories (emphasizing authoritative parenting), interactive
discussion group and Ask the Expert (questions will be answered within 48 hours and usually
sooner).

Inclusion Criteria:

- one parent of a 3-6 year old child with a BMI greater than or equal to the 85th
percentile

- Internet access

- English speaking

Exclusion Criteria:

- Children with a developmental disorder

- Children with a chronic underlying disease that may contribute to obesity

- Children taking medication that may interfere with a healthy weight