Families on Track: A Digital Health Behavioral Intervention for Parents Seeking Treatment for Their Child With Obesity
| Status: | Completed |
|---|---|
| Conditions: | High Blood Pressure (Hypertension), High Cholesterol, Obesity Weight Loss |
| Therapuetic Areas: | Cardiology / Vascular Diseases, Endocrinology |
| Healthy: | No |
| Age Range: | 18 - 60 |
| Updated: | 10/6/2017 |
| Start Date: | June 2016 |
| End Date: | June 29, 2017 |
Current models of outpatient childhood obesity treatment focus on the child's health habits,
with limited efficacy. In part, this may be because childhood obesity is highly sensitive to
parental lifestyle habits, who are often not a direct target of child obesity interventions.
This study aims to target weight loss among overweight parents of 2-16 year old children with
obesity enrolled in the Duke Healthy Lifestyles Program (HL) in order to augment child body
mass index reduction. The intervention, " Families on Track" is a digital health intervention
platform using the Interactive Obesity Treatment Approach (iOTA).
with limited efficacy. In part, this may be because childhood obesity is highly sensitive to
parental lifestyle habits, who are often not a direct target of child obesity interventions.
This study aims to target weight loss among overweight parents of 2-16 year old children with
obesity enrolled in the Duke Healthy Lifestyles Program (HL) in order to augment child body
mass index reduction. The intervention, " Families on Track" is a digital health intervention
platform using the Interactive Obesity Treatment Approach (iOTA).
Parents in the program will receive the family-based treatment protocol provided by the
Healthy Lifestyles clinic. First, families attend a half-day session at the clinic where
child anthropometrics and labs are obtained, and nutrition and physical activity group
counseling is provided. Height and weight of the primary adult caregiver are measured and BMI
is calculated. Second, families return 2 weeks later to meet individually with a pediatric
obesity medical provider and a registered dietitian. Thereafter, frequency of visits is
determined based on the families needs with a final visit 1 year after starting treatment.
The ideal is to have visits with the HL staff at intervals of 4-6 weeks for 5 more visits to
complete the primary phase of the program over 6 months.
Parents enrolled in the study will also receive the Track intervention. The investigators
will use a modified version of the Track intervention, which utilized the Interactive Obesity
Treatment Approach (iOTA). iOTA uses a computer algorithm to assign 3-4 personalized
behavioral goals known to create an energy deficit to produce weight loss (e.g., sugary
drinks, fast food consumption walk 10,000 steps/day, etc). The team at Duke Digital Health
has shown that iOTA can be successfully delivered to adults on multiple modalities -- web,
text messaging and interactive voice response phone calls. Each week, participants will
receive a prompt from the Track intervention system in order to self-monitoring these
behaviors goals. These prompts will be delivered either via interactive voice response or
text message. Intervention participants will also receive an analog bathroom scale and a
pedometer to self-monitor daily weights and steps.
Healthy Lifestyles clinic. First, families attend a half-day session at the clinic where
child anthropometrics and labs are obtained, and nutrition and physical activity group
counseling is provided. Height and weight of the primary adult caregiver are measured and BMI
is calculated. Second, families return 2 weeks later to meet individually with a pediatric
obesity medical provider and a registered dietitian. Thereafter, frequency of visits is
determined based on the families needs with a final visit 1 year after starting treatment.
The ideal is to have visits with the HL staff at intervals of 4-6 weeks for 5 more visits to
complete the primary phase of the program over 6 months.
Parents enrolled in the study will also receive the Track intervention. The investigators
will use a modified version of the Track intervention, which utilized the Interactive Obesity
Treatment Approach (iOTA). iOTA uses a computer algorithm to assign 3-4 personalized
behavioral goals known to create an energy deficit to produce weight loss (e.g., sugary
drinks, fast food consumption walk 10,000 steps/day, etc). The team at Duke Digital Health
has shown that iOTA can be successfully delivered to adults on multiple modalities -- web,
text messaging and interactive voice response phone calls. Each week, participants will
receive a prompt from the Track intervention system in order to self-monitoring these
behaviors goals. These prompts will be delivered either via interactive voice response or
text message. Intervention participants will also receive an analog bathroom scale and a
pedometer to self-monitor daily weights and steps.
Inclusion Criteria:
- Age: 18-60 years
- BMI: 25-50 kg/m2
- English speaking
- Mobile phone ownership
- Willingness to send and receive multiple text messages/day
- living in the same household as a Healthy Lifestyles patient ages 2-16
Exclusion Criteria:
- Current pregnancy or lactation
- Prior or planned bariatric surgery Both child and parent participation in other
obesity trials - including the evaluation of the Bull City Fit Program at the Healthy
Lifestyles program
- History of heart attack, stroke, bipolar disorder schizophrenia or recent cancer
diagnosis
- Plans to relocate within 1 year
We found this trial at
1
site
4020 North Roxboro Street
Durham, NC, North Carolina 27704
Durham, NC, North Carolina 27704
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