Primary Care Child Obesity Intervention Targeting Parents
| Status: | Completed |
|---|---|
| Conditions: | Obesity Weight Loss, Obesity Weight Loss |
| Therapuetic Areas: | Endocrinology |
| Healthy: | No |
| Age Range: | 5 - 11 |
| Updated: | 4/21/2016 |
| Start Date: | September 2009 |
| End Date: | March 2011 |
Child overweight has become one of today's most important public health concerns. Engaged
and skilled parenting that models, values, and encourages healthy eating habits and a
physically active lifestyle can play a key role in childhood overweight prevention and
reduction. Primary care providers are well positioned to intervene with children and their
parents, but face many barriers in addressing child overweight. A child overweight treatment
approach is proposed for the primary care setting to facilitate parents' active involvement
and self-efficacy in promoting healthy eating habits and physical activity for their
children. We will test the following hypotheses: Hypothesis I (primary hypothesis): Children
assigned to the intervention group will improve more in weight status (measured by BMI
percentile) than children in the control group. Hypothesis II: Primary care providers
assigned to the intervention group will improve more in their competence in addressing child
overweight than the providers in the control group. Hypothesis III: After the intervention,
parents in the intervention group will have more involvement and self-efficacy in promoting
healthy weight for their children than parents in the control group. Hypothesis IV: Compared
to the control group, the intervention group will improve more in family diet and eating,
physical activity behaviors, as well as parental attitude and beliefs. Eighty children five
to eleven years old who are overweight or obese will be recruited from two pediatric and two
family practice clinics in southern Appalachia. Children will be randomly assigned to
intervention and control groups based on clinic affiliation. Parents of children in the
intervention group will participate in four clinic-based group sessions using the NIH We
Can! curriculum moderated by a trained clinic provider, two individual brief motivational
interviewing visits with their clinic provider, and four follow-up phone calls with the
project coordinator or registered dietician. Parenting behaviors and attitudes, and family
eating and activity habits, and children's weight status will be assessed at baseline, at
the completion of the intervention, and at six months after the intervention. Changes in the
assessments will be compared between treatment and control groups. Changes in provider and
parent attitudes and perceptions about this treatment approach,adherence to the program, and
estimates of associated time will be measured.
and skilled parenting that models, values, and encourages healthy eating habits and a
physically active lifestyle can play a key role in childhood overweight prevention and
reduction. Primary care providers are well positioned to intervene with children and their
parents, but face many barriers in addressing child overweight. A child overweight treatment
approach is proposed for the primary care setting to facilitate parents' active involvement
and self-efficacy in promoting healthy eating habits and physical activity for their
children. We will test the following hypotheses: Hypothesis I (primary hypothesis): Children
assigned to the intervention group will improve more in weight status (measured by BMI
percentile) than children in the control group. Hypothesis II: Primary care providers
assigned to the intervention group will improve more in their competence in addressing child
overweight than the providers in the control group. Hypothesis III: After the intervention,
parents in the intervention group will have more involvement and self-efficacy in promoting
healthy weight for their children than parents in the control group. Hypothesis IV: Compared
to the control group, the intervention group will improve more in family diet and eating,
physical activity behaviors, as well as parental attitude and beliefs. Eighty children five
to eleven years old who are overweight or obese will be recruited from two pediatric and two
family practice clinics in southern Appalachia. Children will be randomly assigned to
intervention and control groups based on clinic affiliation. Parents of children in the
intervention group will participate in four clinic-based group sessions using the NIH We
Can! curriculum moderated by a trained clinic provider, two individual brief motivational
interviewing visits with their clinic provider, and four follow-up phone calls with the
project coordinator or registered dietician. Parenting behaviors and attitudes, and family
eating and activity habits, and children's weight status will be assessed at baseline, at
the completion of the intervention, and at six months after the intervention. Changes in the
assessments will be compared between treatment and control groups. Changes in provider and
parent attitudes and perceptions about this treatment approach,adherence to the program, and
estimates of associated time will be measured.
Specific aims of this project are: 1) to establish a primary care based and parent-mediated
childhood overweight intervention program based on the Chronic Care Model in the primary
care setting, 2) to explore the efficacy of this intervention in improving the weight status
of children, 3) to examine the acceptability and feasibility of the approach among primary
care providers and parents. Clinic providers and study personnel will be trained in the use
of brief motivational interviewing (brief MI) for the visits and phone calls. The American
Academy of Pediatrics 15-Minute Obesity Prevention Protocol will be used for individual
visits while the NIH We Can! curriculum and materials will be used for group visits. Parents
in the control group will receive the We Can! Parent Handbook and usual care. The
intervention is designed to facilitate efficient communication of advice about behavior
change, nutrition, and physical activity to parents. Partnership of primary care providers
with parents and use of brief intervention techniques and group visits can be a practical
approach. If proven to be effective, this approach can serve as an exportable model to other
primary care practices and will reach a large proportion of the population and have
far-reaching effects.
childhood overweight intervention program based on the Chronic Care Model in the primary
care setting, 2) to explore the efficacy of this intervention in improving the weight status
of children, 3) to examine the acceptability and feasibility of the approach among primary
care providers and parents. Clinic providers and study personnel will be trained in the use
of brief motivational interviewing (brief MI) for the visits and phone calls. The American
Academy of Pediatrics 15-Minute Obesity Prevention Protocol will be used for individual
visits while the NIH We Can! curriculum and materials will be used for group visits. Parents
in the control group will receive the We Can! Parent Handbook and usual care. The
intervention is designed to facilitate efficient communication of advice about behavior
change, nutrition, and physical activity to parents. Partnership of primary care providers
with parents and use of brief intervention techniques and group visits can be a practical
approach. If proven to be effective, this approach can serve as an exportable model to other
primary care practices and will reach a large proportion of the population and have
far-reaching effects.
Inclusion Criteria:
- BMI >= 85th percentile
- age 5-11 years
- one parent or other primary care giver agrees to participate in the study
Exclusion Criteria:
- current participation in another weight management program by child or
parent/caregiver
- presence of a diagnosed psychiatric/psychological disorder in the parent or child
- presence of an underlying condition affecting weight status
- current dietary or physical activity limitations
- parents who do not have phone accessibility
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