Creating Healthy Environments for Chicago Kids
| Status: | Recruiting |
|---|---|
| Conditions: | Obesity Weight Loss |
| Therapuetic Areas: | Endocrinology |
| Healthy: | No |
| Age Range: | 6 - 11 |
| Updated: | 8/31/2018 |
| Start Date: | August 8, 2017 |
| End Date: | May 2021 |
| Contact: | Bradley M Appelhans, PhD |
| Email: | brad_appelhans@rush.edu |
| Phone: | 312-942-3477 |
Value and Mechanisms of Home Visitation in Obesity Interventions for Low-income Children
Pediatric obesity interventions for low-income populations are increasingly delivered in
children's homes, which may make treatment more accessible to families and enhance the
potency of the intervention in several ways. This randomized trial will directly test whether
delivering family-based behavioral interventions for pediatric overweight/obesity in the home
setting improves weight loss outcomes in low-income children relative to medical center-based
treatment. The trial will also quantify the cost-effectiveness of home visitation, and
explore the mechanisms accounting for observed treatment effects
children's homes, which may make treatment more accessible to families and enhance the
potency of the intervention in several ways. This randomized trial will directly test whether
delivering family-based behavioral interventions for pediatric overweight/obesity in the home
setting improves weight loss outcomes in low-income children relative to medical center-based
treatment. The trial will also quantify the cost-effectiveness of home visitation, and
explore the mechanisms accounting for observed treatment effects
The goal of this project is to systematically evaluate the incremental weight loss benefit
and cost-effectiveness of delivering standard family-based treatment for pediatric
overweight/obesity in the home setting vs. traditional medical settings. In a randomized
controlled trial involving low-income households, 266 children ages 6-11 years will be
allocated to 12 months of family-based treatment delivered either in their home or at an
urban academic medical center. Both arms will receive the same intervention content and
dosage, and differ only in the location of in-person treatment sessions. Aim 1 is to test the
hypothesis that home-based treatment produces a greater reduction in child adiposity,
reflected in 12-month change in BMI z-score. Aim 2 is to compare the cost-effectiveness of
home-based treatment to medical center-based treatment, and calculate the added cost of the
incremental weight loss benefit associated with home visitation. These data will inform
efforts to disseminate home-based interventions for low-income populations by public health
agencies and third-party payers. Aim 3 is to explore specific mechanisms through which home
visitation may improve weight loss outcomes.
and cost-effectiveness of delivering standard family-based treatment for pediatric
overweight/obesity in the home setting vs. traditional medical settings. In a randomized
controlled trial involving low-income households, 266 children ages 6-11 years will be
allocated to 12 months of family-based treatment delivered either in their home or at an
urban academic medical center. Both arms will receive the same intervention content and
dosage, and differ only in the location of in-person treatment sessions. Aim 1 is to test the
hypothesis that home-based treatment produces a greater reduction in child adiposity,
reflected in 12-month change in BMI z-score. Aim 2 is to compare the cost-effectiveness of
home-based treatment to medical center-based treatment, and calculate the added cost of the
incremental weight loss benefit associated with home visitation. These data will inform
efforts to disseminate home-based interventions for low-income populations by public health
agencies and third-party payers. Aim 3 is to explore specific mechanisms through which home
visitation may improve weight loss outcomes.
Inclusion Criteria:
- Family includes at least one child who is 6 to 11 years old, and is overweight or
obese (has a body mass index at or above the 85th percentile for age and sex)
- Child's household has an income-to-poverty ratio ≤ 1.85
Exclusion Criteria:
- Child or caregiver(s) are not fluent in English
- Unwilling to attend and complete either home-based or clinic-based treatment, or to
complete any aspect of the study assessment battery
- Medical contraindication or barrier to weight loss treatment
- Caregiver has a major medical or psychiatric condition likely to interfere with
treatment
- Plans to relocate outside the Chicago area in the next 12 months, or living in
temporary or group housing with other families
- Resides more than 15 miles from the Illinois Medical District (study site)
- Conditions in or around the home that jeopardize staff/interventionist safety
We found this trial at
1
site
1653 W. Congress Parkway
Chicago, Illinois 60612
Chicago, Illinois 60612
(312) 942-5000
Principal Investigator: Bradley M Appelhans, PhD
Phone: 312-942-8260
Rush University Medical Center Rush University Medical Center encompasses a 664-bed hospital serving adults and...
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