Parent and Family Oriented Support Interventions for the Facilitation of Weight Loss in African American Families
A Peer and Family-Based Approach to Obesity in African American Families
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
PRIMARY OBJECTIVES:
I. Determine whether a parent/caregiver intervention or a family intervention can produce greater weight loss among obese African American (AA) parents at 12 months compared to a cancer prevention group (control).
II. Use the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) model, to evaluate individual and church-level barriers and facilitators on program reach, effectiveness, adoption, implementation, maintenance and dissemination.
SECONDARY OBJECTIVES:
I. Explore whether a parent/caregiver intervention and a family intervention can produce weight maintenance or weight loss, as determined by change in body mass index (BMI) z-score, among AA children at risk for obesity at 12 months compared to the control group.
II. Determine the extent to which the proposed interventions improve fruit and vegetable (FV) consumption, physical activity, blood pressure, body fat percentage, muscle mass and waist circumference.
OUTLINE: Churches are randomized to 1 of 3 groups.
GROUP I: Parents/caregivers whose churches are randomized to Group I, attend monthly health coaching sessions over 1 hour each for 12 months, 9 resource navigation sessions over 12 months, and monthly support groups for 12 months.
GROUP II: Families whose churches are randomized to Group II, attend monthly health coaching sessions over 1 hour each for 12 months, 9 resource navigation sessions over 12 months, and monthly support groups for 12 months.
GROUP III: Families whose churches are randomized to Group III, receive an educational handbook on cancer prevention.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Lorna McNeill
- Phone Number: 713-563-1103
- Email: lmcneill@mdanderson.org
Study Locations
-
-
Texas
-
Houston, Texas, United States, 77030
- M D Anderson Cancer Center
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- DYAD: Be parent/caregiver (legal parent or custodial grandparent; male or female) and child willing to participate
- DYAD: Live together in the same household
- PARENT/CAREGIVER: Self-identify as a racial ethic minority (i.e., black or African American or Hispanic)
- PARENT/CAREGIVER: Parent or caregiver age 18 through 65 years old
- PARENT/CAREGIVER: Are overweight (BMI greater than or equal to 25);
- PARENT/CAREGIVER: Are not currently participating in a physical activity (PA), diet, or weight management program
- PARENT/CAREGIVER: Have a valid home address, telephone number, and internet access
- PARENT/CAREGIVER: Enroll with a child aged 8-17 years
- PARENT/CAREGIVER: Are able to speak English
Exclusion Criteria:
- PARENT/CAREGIVER: They are currently pregnant or thinking about becoming pregnant during the study period
- PARENT/CAREGIVER: They present any contraindications for exercise based on responses to the PA Readiness Questionnaire plus (PAR-Q +)
Exclusion criteria for child:
1) None.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Group I (coaching session, navigation session, support group)
Parents/caregivers whose churches are randomized to Group I, attend monthly health coaching sessions over 1 hour each for 12 months, 9 resource navigation sessions over 12 months, and monthly support groups for 12 months.
|
Ancillary studies
Attend health coaching session
Attend resource navigation session
Other Names:
Attend support group
|
|
Experimental: Group II (coaching session, navigation session, support group)
Families whose churches are randomized to Group II, attend monthly health coaching sessions over 1 hour each for 12 months, 9 resource navigation sessions over 12 months, and monthly support groups for 12 months.
|
Ancillary studies
Attend health coaching session
Attend resource navigation session
Other Names:
Attend support group
|
|
Active Comparator: Group III (educational handbook)
Families whose churches are randomized to Group III, receive an educational handbook on cancer prevention.
|
Ancillary studies
Receive handbook
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Weight loss of parents
Time Frame: Up to 18 months
|
Will use the generalized linear mixed model (GLMM) regression, which takes into account both within-cluster (e.g., within church) and, as applicable, within-individual (e.g., overtime) correlations between observations of each primary and secondary outcomes of interest.
|
Up to 18 months
|
|
Reach (Part 1 of the RE-AIM framework)
Time Frame: Up to 18 months
|
Measured as the number of churches invited to participate, number enrolled, and differences between the two groups.
|
Up to 18 months
|
|
Effectiveness (Part 2 of the RE-AIM framework)
Time Frame: Up to 18 months
|
Measured as the impact on weight loss: 6 focus groups and 15 individual interviews at 18 months to understand unanticipated outcomes; interview lay health workers (LHWs) about implementation.
|
Up to 18 months
|
|
Adoption (Part 3 of the RE-AIM framework)
Time Frame: Up to 18 months
|
Will be measured by asking churches about factors that helped or hindered adoption or implementation and will they adopt intervention when completed.
|
Up to 18 months
|
|
Implementation (Part 4 of the RE-AIM framework)
Time Frame: Up to 18 months
|
Measured as study attendance and assessments, number of health coaching, LHW and support group sessions, number of staff training, and self-monitoring practices.
|
Up to 18 months
|
|
Maintenance (Part 5 of the RE-AIM framework)
Time Frame: Up to 18 months
|
Long-term maintenance in parent/families at 18 months measured by family and church attrition, to assess church's ability to maintain employment of LHWs and their willingness to remain in this role.
|
Up to 18 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Child's body mass index (BMI) z-score
Time Frame: Up to 18 months
|
Will use the GLMM regression, which takes into account both within-cluster (e.g., within church) and, as applicable, within-individual (e.g., overtime) correlations between observations of each primary and secondary outcomes of interest.
|
Up to 18 months
|
|
Fruit and vegetable consumption
Time Frame: Up to 18 months
|
Will use the GLMM regression, which takes into account both within-cluster (e.g., within church) and, as applicable, within-individual (e.g., overtime) correlations between observations of each primary and secondary outcomes of interest.
|
Up to 18 months
|
|
Physical activity
Time Frame: Up to 18 months
|
Will use the GLMM regression, which takes into account both within-cluster (e.g., within church) and, as applicable, within-individual (e.g., overtime) correlations between observations of each primary and secondary outcomes of interest.
|
Up to 18 months
|
|
Blood pressure
Time Frame: Up to 18 months
|
Will use the GLMM regression, which takes into account both within-cluster (e.g., within church) and, as applicable, within-individual (e.g., overtime) correlations between observations of each primary and secondary outcomes of interest.
|
Up to 18 months
|
|
Body fat percentage
Time Frame: Up to 18 months
|
Will use the GLMM regression, which takes into account both within-cluster (e.g., within church) and, as applicable, within-individual (e.g., overtime) correlations between observations of each primary and secondary outcomes of interest.
|
Up to 18 months
|
|
Waist circumference
Time Frame: Up to 18 months
|
Will use the GLMM regression, which takes into account both within-cluster (e.g., within church) and, as applicable, within-individual (e.g., overtime) correlations between observations of each primary and secondary outcomes of interest.
|
Up to 18 months
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Lorna McNeill, M.D. Anderson Cancer Center
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
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
- Nutrition Disorders
- Overnutrition
- Body Weight
- Overweight
- Neoplasms
- Obesity
- Investigative Techniques
- Health Services
- Health Care Facilities Workforce and Services
- Child Health Services
- Community Health Services
- Preventive Health Services
- Socioeconomic Factors
- Population Characteristics
- Methods
- Early Intervention, Educational
- Educational Status
Other Study ID Numbers
Other Study ID Numbers
- 2017-0827 (Other Identifier: M D Anderson Cancer Center)
- NCI-2020-07645 (Registry Identifier: CTRP (Clinical Trial Reporting Program))
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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