Obesity and Caries in Young South Asian Children: A Common Risk Factor Approach
| Status: | Recruiting |
|---|---|
| Conditions: | Obesity Weight Loss |
| Therapuetic Areas: | Endocrinology |
| Healthy: | No |
| Age Range: | Any - 2 |
| Updated: | 7/8/2018 |
| Start Date: | December 7, 2017 |
| End Date: | April 2021 |
| Contact: | Nilifa Desilva, MPH |
| Email: | nilifa.desilva@einstein.yu.edu |
| Phone: | 7184303461 |
The CHALO ("Child Health Action to Lower Oral Health and Obesity") -- from an Urdu word
meaning "Let's go!"—is a multi-level strategy to reduce pediatric obesity and dental caries
risk in South Asian (SA) children. Obesity and caries are the two most prominent health
disparities of early childhood. Both caries and obesity: a) disproportionately impact
low-income children of color, b) share common risk behaviors, i.e., feeding practices, and c)
can most effectively be reduced or prevented prevention in infancy and early childhood. SA
immigrant children are at high risk for both. CHALO includes both a randomized controlled
trial (RCT) aimed at reducing risk behavior, and a Knowledge Translation project to raise
awareness in SA lay and professional communities regarding child health risks.
meaning "Let's go!"—is a multi-level strategy to reduce pediatric obesity and dental caries
risk in South Asian (SA) children. Obesity and caries are the two most prominent health
disparities of early childhood. Both caries and obesity: a) disproportionately impact
low-income children of color, b) share common risk behaviors, i.e., feeding practices, and c)
can most effectively be reduced or prevented prevention in infancy and early childhood. SA
immigrant children are at high risk for both. CHALO includes both a randomized controlled
trial (RCT) aimed at reducing risk behavior, and a Knowledge Translation project to raise
awareness in SA lay and professional communities regarding child health risks.
CHALO builds upon the team's prior research re: cariogenic (R34-DE-022282) and obesogenic
behaviors (10, 14, 15). CHALO's intervention components-- home visits, phone support, and
"patient navigation" to dental visits-- proved to be feasible and acceptable. In the pilot
R34, there were promising behavioral change on all measures. CHALO builds on this work, with
the addition of: a) sippy cups as an intervention target, b) an iPad-based dietary recall
tool, "MySmileBuddy," c) caries and obesity data, and; d) increased intervention contacts-
consistent with recent child obesity and caries interventions (16, 17).
An RCT (Aim 1) will enroll 360 mothers of children 4-6 month olds from New York City (n=3)
and New Jersey (n=2) pediatric practices in SAPPHIRE ("SA Practice Partnership for Health
Improvement and Research"). The Community Health Worker intervention includes: a) home visits
with mothers/families (n=6 visits over one year) and follow up telephone support; b) patient
navigation to make/keep timely dental visits (2x by 18 months). The Knowledge Translation
component (Aim 2) will raise awareness of child health risks in SA communities and among
professionals who provide their care. The campaign will include both traditional and social
media components and will be evaluated using multiple metrics.
behaviors (10, 14, 15). CHALO's intervention components-- home visits, phone support, and
"patient navigation" to dental visits-- proved to be feasible and acceptable. In the pilot
R34, there were promising behavioral change on all measures. CHALO builds on this work, with
the addition of: a) sippy cups as an intervention target, b) an iPad-based dietary recall
tool, "MySmileBuddy," c) caries and obesity data, and; d) increased intervention contacts-
consistent with recent child obesity and caries interventions (16, 17).
An RCT (Aim 1) will enroll 360 mothers of children 4-6 month olds from New York City (n=3)
and New Jersey (n=2) pediatric practices in SAPPHIRE ("SA Practice Partnership for Health
Improvement and Research"). The Community Health Worker intervention includes: a) home visits
with mothers/families (n=6 visits over one year) and follow up telephone support; b) patient
navigation to make/keep timely dental visits (2x by 18 months). The Knowledge Translation
component (Aim 2) will raise awareness of child health risks in SA communities and among
professionals who provide their care. The campaign will include both traditional and social
media components and will be evaluated using multiple metrics.
Inclusion Criteria:
- Age: Child is < 6 months of age at time of recruitment
- Insurance: Child is enrolled in either Medicaid or CHIP
- Nativity- Mother was born in India, Pakistan, or Bangladesh)
- Language- Mother speaks standard Bengali, English or Hindi/Urdu
- Agency- Mother is index child's primary caretaker.
Exclusion Criteria:
- Inability to provide informed consent per RA judgment
- Plans to travel for > 1 month during follow-up, and
- child health condition barring participation (per pediatrician review of recruitment
lists).
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