Telehealth Diabetes Prevention Intervention for African American Youth (TELE-GEN)
A Telehealth Diabetes Prevention Intervention for the Next Generation of African American Youth (TELE-GEN) Pilot Study
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Mississippi
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Jackson, Mississippi, United States, 39216
- University of Mississippi Medical Center
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- AA parents (biological, grandparent, legal guardian) and their 8- to 11-year-old child residing in the same home.
- One overweight/obese parent (BMI ≥25 kg/m2) and child (≥ 85th% age-/sex-specific BMI).
- Parent at-risk for diabetes (American Diabetes Association risk test) AND HbA1c 5.7% - 6.4%.
Exclusion Criteria:
- child or parent has a history of T2DM or a screening HbA1c >6.4%;
- is taking glucose-lowering medications;
- is participating in a supervised weight loss program;
- is pregnant or breast feeding;
- has conditions limiting participation;
- has undergone weight loss surgery;
- is moving out-of-state within 6 months.
- If a parent becomes pregnant during the study, we will include only child data (index participant) in analyses
Study Plan
How is the study designed?
Design Details
- Primary Purpose: PREVENTION
- Allocation: NA
- Interventional Model: SINGLE_GROUP
- Masking: NONE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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EXPERIMENTAL: Intervention Arm
Eligible overweight/obese children and their overweight/obese parent (N=20 families) will receive the same telehealth diabetes prevention intervention based on Power to Prevent and delivered by a trained lifestyle coach.
Families will meet weekly for 11-weeks (60-min sessions), and then monthly (60-min sessions) for 4 pilot behavioral reinforcement maintenance sessions (15 sessions total).
Participants will meet in their respective groups (n=5 families per group) via videoconference using Wi-Fi-enabled tablets with cellular connectivity for the entire intervention.
Sessions will consist of nutrition and physical activity behavior change strategies (20 min), problem solving and decision-making skills to circumvent barriers to behavioral change (20 min), and family goal setting and action planning (20 min).
Assessment measures will be collected from the child and parent participants at baseline, 12-weeks (post-intervention), and 30-weeks (follow-up).
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Lifestyle diabetes prevention intervention based on the National Diabetes Prevention Program and tailored for African American families.
The intervention will be delivered using telehealth and small group videoconferencing.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Child BMI z-score
Time Frame: Change from baseline child BMI z-score to 12-weeks
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Standard anthropometric procedures and a calibrated body weight scale (Seca 777 digital scale with stadiometer) will be used to measure participants' weight (0.1kg), stature (0.1 cm); child BMI percentile will be calculated using the statistic equations made available on the Centers for Disease Control and Prevention (CDC) website
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Change from baseline child BMI z-score to 12-weeks
|
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Child BMI z-score
Time Frame: Change from baseline child BMI z-score to 30-weeks
|
Standard anthropometric procedures and a calibrated body weight scale (Seca 777 digital scale with stadiometer) will be used to measure participants' weight (0.1kg), stature (0.1 cm); child BMI percentile will be calculated using the statistic equations made available on the CDC website
|
Change from baseline child BMI z-score to 30-weeks
|
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Parent BMI
Time Frame: Change from baseline parent BMI to 12-weeks
|
Standard anthropometric procedures and a calibrated body weight scale will be used to measure participants' weight (0.1kg), stature (0.1 cm); after converting cm to m, BMI = kg/m2
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Change from baseline parent BMI to 12-weeks
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Parent BMI
Time Frame: Change from baseline parent BMI to 30-weeks
|
Standard anthropometric procedures and a calibrated body weight scale will be used to measure participants' weight (0.1kg), stature (0.1 cm); after converting cm to m, BMI = kg/m2
|
Change from baseline parent BMI to 30-weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Child physical activity
Time Frame: Change from baseline child physical activity to 12-weeks
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Objective assessment using ActiGraph GT9X Link Accelerometers; child and parent will wear accelerometer continuously for seven day period
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Change from baseline child physical activity to 12-weeks
|
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Child physical activity
Time Frame: Change from baseline child physical activity to 30-weeks
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Objective assessment using ActiGraph GT9X Link Accelerometers; child and parent will wear accelerometer continuously for seven day period
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Change from baseline child physical activity to 30-weeks
|
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Parent physical activity
Time Frame: Change from baseline parent physical activity to 12-weeks
|
Objective assessment using ActiGraph GT9X Link Accelerometers; child and parent will wear accelerometer continuously for seven day period
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Change from baseline parent physical activity to 12-weeks
|
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Parent physical activity
Time Frame: Change from baseline parent physical activity to 30-weeks
|
Objective assessment using ActiGraph GT9X Link Accelerometers; child and parent will wear accelerometer continuously for seven day period
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Change from baseline parent physical activity to 30-weeks
|
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Child out-of-school sedentary time
Time Frame: Change from baseline in child out-of-school sedentary time to 12-weeks
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Objective assessment using ActiGraph GT9X Link Accelerometers; child and parent will wear accelerometer continuously for seven day period
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Change from baseline in child out-of-school sedentary time to 12-weeks
|
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Child out-of-school sedentary time
Time Frame: Change from baseline in child out-of-school sedentary time to 30-weeks
|
Objective assessment using ActiGraph GT9X Link Accelerometers; child and parent will wear accelerometer continuously for seven day period
|
Change from baseline in child out-of-school sedentary time to 30-weeks
|
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Parent sedentary time
Time Frame: Change from baseline in parent sedentary time to 12-weeks
|
Objective assessment using ActiGraph GT9X Link Accelerometers; child and parent will wear accelerometer continuously for seven day period
|
Change from baseline in parent sedentary time to 12-weeks
|
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Parent sedentary time
Time Frame: Change from baseline in parent sedentary time to 30-weeks
|
Objective assessment using ActiGraph GT9X Link Accelerometers; child and parent will wear accelerometer continuously for seven day period
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Change from baseline in parent sedentary time to 30-weeks
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Child Hemoglobin A1c
Time Frame: Change from baseline child Hemoglobin A1c to 12-weeks
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A1CNOW+ System for reliable point-of-care HbA1c measurement; non-fasting 5 μL blood
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Change from baseline child Hemoglobin A1c to 12-weeks
|
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Child Hemoglobin A1c
Time Frame: Change from baseline child Hemoglobin A1c to 30-weeks
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A1CNOW+ System for reliable point-of-care HbA1c measurement; non-fasting 5 μL blood
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Change from baseline child Hemoglobin A1c to 30-weeks
|
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Parent Hemoglobin A1c
Time Frame: Change from baseline parent Hemoglobin A1c to 12-weeks
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A1CNOW+ System for reliable point-of-care HbA1c measurement; non-fasting 5 μL blood
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Change from baseline parent Hemoglobin A1c to 12-weeks
|
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Parent Hemoglobin A1c
Time Frame: Change from baseline parent Hemoglobin A1c to 30-weeks
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A1CNOW+ System for reliable point-of-care HbA1c measurement; non-fasting 5 μL blood
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Change from baseline parent Hemoglobin A1c to 30-weeks
|
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Child systolic blood pressure
Time Frame: Change from baseline child systolic blood pressure to 12-weeks
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Welch Allyn blood pressure unit following the American Heart Association guidelines for children.
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Change from baseline child systolic blood pressure to 12-weeks
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Child diastolic blood pressure
Time Frame: Change from baseline child diastolic blood pressure to 12-weeks
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Welch Allyn blood pressure unit following the American Heart Association guidelines for children.
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Change from baseline child diastolic blood pressure to 12-weeks
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Child systolic blood pressure
Time Frame: Change from baseline child systolic blood pressure to 30-weeks
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Welch Allyn blood pressure unit following the American Heart Association guidelines for children.
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Change from baseline child systolic blood pressure to 30-weeks
|
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Child diastolic blood pressure
Time Frame: Change from baseline child diastolic blood pressure to 30-weeks
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Welch Allyn blood pressure unit following the American Heart Association guidelines for children.
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Change from baseline child diastolic blood pressure to 30-weeks
|
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Parent systolic blood pressure
Time Frame: Change from baseline parent systolic blood pressure to 12-weeks
|
Welch Allyn blood pressure unit following the American Heart Association guidelines for adults.
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Change from baseline parent systolic blood pressure to 12-weeks
|
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Parent diastolic blood pressure
Time Frame: Change from baseline parent diastolic blood pressure to 12-weeks
|
Welch Allyn blood pressure unit following the American Heart Association guidelines for adults.
|
Change from baseline parent diastolic blood pressure to 12-weeks
|
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Parent systolic blood pressure
Time Frame: Change from baseline in parent systolic blood pressure to 30-weeks
|
Welch Allyn blood pressure unit following the American Heart Association guidelines for adults.
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Change from baseline in parent systolic blood pressure to 30-weeks
|
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Parent diastolic blood pressure
Time Frame: Change from baseline in parent diastolic blood pressure to 30-weeks
|
Welch Allyn blood pressure unit following the American Heart Association guidelines for adults.
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Change from baseline in parent diastolic blood pressure to 30-weeks
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Child resting heart rate
Time Frame: Change from baseline in child resting heart rate to 12-weeks
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Welch Allyn blood pressure unit
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Change from baseline in child resting heart rate to 12-weeks
|
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Child resting heart rate
Time Frame: Change from baseline in child resting heart rate to 30-weeks
|
Welch Allyn blood pressure unit
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Change from baseline in child resting heart rate to 30-weeks
|
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Parent resting heart rate
Time Frame: Change from baseline in parent resting heart rate to 12-weeks
|
Welch Allyn blood pressure unit
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Change from baseline in parent resting heart rate to 12-weeks
|
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Parent resting heart rate
Time Frame: Change from baseline in parent resting heart rate to 30-weeks
|
Welch Allyn blood pressure unit
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Change from baseline in parent resting heart rate to 30-weeks
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Parent readiness to change
Time Frame: Change from baseline in parent readiness to change to 12-weeks
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Adapted from Rhee et al., a 6-item instrument to assess parents readiness and intentions to make dietary, physical activity and sedentary changes.
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Change from baseline in parent readiness to change to 12-weeks
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Parent readiness to change
Time Frame: Change from baseline in parent readiness to change to 30-weeks
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Adapted from Rhee et al., a 6-item instrument to assess parents readiness and intentions to make dietary, physical activity and sedentary changes.
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Change from baseline in parent readiness to change to 30-weeks
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Parent self-efficacy
Time Frame: Change from baseline in parent self-efficacy to 12-weeks
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Valid and reliable (Norma et al., 2018) 14-item instrument to measure parent efficacy for influencing children's physical activity, sedentary behavior and dietary behavior using an 11-point Likert scale; 0-not confident, 10-absolutely confident.
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Change from baseline in parent self-efficacy to 12-weeks
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Parent self-efficacy
Time Frame: Change from baseline in parent self-efficacy to 30-weeks
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Valid and reliable (Norma et al., 2018) 14-item instrument to measure parent efficacy for influencing children's physical activity, sedentary behavior and dietary behavior using an 11-point Likert scale; 0-not confident, 10-absolutely confident.
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Change from baseline in parent self-efficacy to 30-weeks
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Child self-efficacy
Time Frame: Change from baseline in child self-efficacy to 12-weeks
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A 9-item valid and reliable instrument by Lassetter et al., 2014 asking children to report their confidence on a 3-point Likert scale for eating healthy and being physically active; 1 item added to assess efficacy for watching less than 2 hours of television (TV) every day.
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Change from baseline in child self-efficacy to 12-weeks
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Child self-efficacy
Time Frame: Change from baseline in child self-efficacy to 30-weeks
|
A 9-item valid and reliable instrument by Lassetter et al., 2014 asking children to report their confidence on a 3-point Likert scale for eating healthy and being physically active; 1 item added to assess efficacy for watching less than 2 hours of TV every day.
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Change from baseline in child self-efficacy to 30-weeks
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Parent perceived family functioning
Time Frame: Change from baseline in parent perceived family functioning to 12-weeks
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McMaster Family Assessment Device; a valid and reliable 60-item instrument using a 4-point Likert scale; subscales include problem solving, communication, roles, affective responsiveness, affective involvement, behavior control, general functioning
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Change from baseline in parent perceived family functioning to 12-weeks
|
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Parent perceived family functioning
Time Frame: Change from baseline in parent perceived family functioning to 30-weeks
|
McMaster Family Assessment Device; a valid and reliable 60-item instrument using a 4-point Likert scale; subscales include problem solving, communication, roles, affective responsiveness, affective involvement, behavior control, general functioning
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Change from baseline in parent perceived family functioning to 30-weeks
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Home physical activity and food environment
Time Frame: Change from baseline in parent perceived home physical activity and food environment to 12-weeks
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The Home Environment Survey; valid and reliable instrument (Gattshall et al., 2008) to measure the physical and social environment for food and physical activity; modified to include the physical and social environment for TV time (sedentary behavior); modified to include 79-items total; Dimensions: physical activity availability and accessibility of physical activity equipment, technology and food (i.e.
fruit and vegetables); parental role modeling of physical activity, sedentary behavior, and dietary behavior.
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Change from baseline in parent perceived home physical activity and food environment to 12-weeks
|
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Home physical activity and food environment
Time Frame: Change from baseline in parent perceived home physical activity and food environment to 30-weeks
|
The Home Environment Survey; valid and reliable instrument (Gattshall et al., 2008) to measure the physical and social environment for food and physical activity; modified to include the physical and social environment for TV time (sedentary behavior); modified to include 79-items total; Dimensions: physical activity availability and accessibility of physical activity equipment, technology and food (i.e.
fruit and vegetables); parental role modeling of physical activity, sedentary behavior, and dietary behavior.
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Change from baseline in parent perceived home physical activity and food environment to 30-weeks
|
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Parent perceived child obesity-related behavior
Time Frame: Change from baseline in parent perceived child health behavior to 12-weeks
|
Child Obesity Behavior Scale; adapted from Rhee et al., 2014; 20-items to measure food, physical activity and sedentary behavior quantity and frequency.
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Change from baseline in parent perceived child health behavior to 12-weeks
|
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Parent perceived child obesity-related behavior
Time Frame: Change from baseline in parent perceived child health behavior to 30-weeks
|
Child Obesity Behavior Scale; adapted from Rhee et al., 2014; 20-items to measure food, physical activity and sedentary behavior quantity and frequency.
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Change from baseline in parent perceived child health behavior to 30-weeks
|
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Child perceived obesity-related behavior
Time Frame: Change from baseline in child health behavior to 12-weeks
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Healthy Eating and Physical Activity Recall Questionnaire; 9-items (Lassettter et al., 2017); modified to include questions for sedentary environment; 5-items.
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Change from baseline in child health behavior to 12-weeks
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Child perceived obesity-related behavior
Time Frame: Change from baseline in child health behavior to 30-weeks
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Healthy Eating and Physical Activity Recall Questionnaire; 9-items (Lassettter et al., 2017); modified to include questions for sedentary environment; 5-items.
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Change from baseline in child health behavior to 30-weeks
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Neighborhood Perception Survey
Time Frame: Change from baseline in parent neighborhood perception to 12-weeks
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Valid and reliable 31-item instrument used by Mujahod et al., 2007 to assess 7 dimensions of neighborhood: aesthetic quality, walking environment, availability of healthy foods, safety, violence, social cohesion, activities with neighbors.
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Change from baseline in parent neighborhood perception to 12-weeks
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Neighborhood Perception Survey
Time Frame: Change from baseline in parent neighborhood perception to 30-weeks
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Valid and reliable 31-item instrument used by Mujahod et al., 2007 to assess 7 dimensions of neighborhood: aesthetic quality, walking environment, availability of healthy foods, safety, violence, social cohesion, activities with neighbors.
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Change from baseline in parent neighborhood perception to 30-weeks
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Child waist circumference
Time Frame: Change from baseline in child waist circumference to 12-weeks
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A Seca 203 circumference measuring tape will be used to assess participants waist circumference.
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Change from baseline in child waist circumference to 12-weeks
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Child waist circumference
Time Frame: Change from baseline in child and parent waist circumference to 30-weeks
|
A Seca 203 circumference measuring tape will be used to assess participants waist circumference.
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Change from baseline in child and parent waist circumference to 30-weeks
|
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Parent waist circumference
Time Frame: Change from baseline in parent waist circumference to 12-weeks
|
A Seca 203 circumference measuring tape will be used to assess participants waist circumference.
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Change from baseline in parent waist circumference to 12-weeks
|
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Parent waist circumference
Time Frame: Change from baseline in parent waist circumference to 30-weeks
|
A Seca 203 circumference measuring tape will be used to assess participants waist circumference.
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Change from baseline in parent waist circumference to 30-weeks
|
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Parent stress
Time Frame: Change from baseline in parent stress to 12-weeks
|
Perceived Stress Scale; 10-items (Cohen, 1994)
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Change from baseline in parent stress to 12-weeks
|
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Parent stress
Time Frame: Change from baseline in parent stress to 30-weeks
|
Perceived Stress Scale; 10-items (Cohen, 1994)
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Change from baseline in parent stress to 30-weeks
|
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Child stress
Time Frame: Change from baseline in parent stress to 12-weeks
|
PROMIS Pediatric Psychological and Physical Stress Scale; 19-items and 26-items (Bevans et al., 2018)
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Change from baseline in parent stress to 12-weeks
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Child stress
Time Frame: Change from baseline in parent stress to 30-weeks
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PROMIS Pediatric Psychological and Physical Stress Scale; 19-items and 26-items (Bevans et al., 2018)
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Change from baseline in parent stress to 30-weeks
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Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Child tanner stage
Time Frame: Change from baseline in child tanner stage to 12-weeks
|
A valid and reliable self-administered rating scale for pubertal development; 5-items.
(Carskadon and Acebo, 1993)
|
Change from baseline in child tanner stage to 12-weeks
|
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Child tanner stage
Time Frame: Change from baseline in child tanner stage to 30-weeks
|
A valid and reliable self-administered rating scale for pubertal development; 5-items.
(Carskadon and Acebo, 1993)
|
Change from baseline in child tanner stage to 30-weeks
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (ACTUAL)
Study Start
Primary Completion (ACTUAL)
Primary Completion
Study Completion (ACTUAL)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (ACTUAL)
First Posted
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- AWD-000933
- HHSN2682018000151 (OTHER_GRANT: Jackson Heart Study Community Engagement Center)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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