Mobile-Thrive - A Family Self-Management Approach to Failure to Thrive

Families will be randomly assigned to either the Standard Care plus access to the
Mobile-Thrive (M-Thrive) application or Standard Care alone. All families will complete a
24-hour dietary recall, Feeding Strategies Questionnaire (FSQ), PedsQL Family Impact Module
(PedsQL FIM), and Pediatric Inventory for Parents (PIP) at pre/post treatment. It will take
about 45 minutes to complete these measures. Anthropometric measurements will be collected
at pretreatment, 6 weeks, and 3 months. Families receiving standard care alone will have
regularly scheduled visits in the Nutritional Care Program and will have access to standard
care resources, including phone contacts and electronic access through the CHW hospital
portal. Specifically, standard care treatment provides dietary and behavioral instructions
on appropriate beverage intake, appropriate feeding regimen, advice on limiting low-calorie
foods, and multivitamin supplementation, if appropriate. Families in the standard care plus
the M-Thrive application will receive the standard care treatment that is described above,
as well as on-demand resources, daily educational text messages, and family self-management
push notifications through the M-Thrive application. The research team will train families
on the use of the M-Thrive application and families in the standard care plus M-Thrive
application can contact their provider through the application with questions and/or
concerns. At the conclusion of the intervention, qualitative data regarding the
participants' experience will be collected. Specifically, 90-minute focus group sessions
will occur within 2 weeks of concluding the 3 month active phase of treatment. Families will
be asked to discuss factors that affected their ability to sustain condition management
recommendations, their efforts to access health care resources, factors that affect family
quality of life and caregiver stress, and family impressions of what else would help to
build support for families managing FTT. All sessions will be transcribed and coded for
content analysis.

Inclusion Criteria:

- Parents of children ages 4 months to 4 years old with a medical diagnosis of failure
to thrive.

- English speaking.

Exclusion Criteria:

- Parents of children who do not meet the inclusion criteria.

- Non- english speaking.