- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01912183
Family-centred E-health in Pediatric Weight Management: A Pilot Study
Study Overview
Status
Conditions
Detailed Description
Lifestyle behaviour changes represent the foundation of pediatric weight management and are usually promoted through individual and/or group-based counseling to encourage the adoption and maintenance of health lifestyle behaviours including nutritional intake, sleep and physical activity. Consensus on the need for comprehensive, behavioural interventions exists, but the nature of these interventions vary considerably. The intensity of the intervention (i.e. number of contact hours) may be a key determinant of efficacy, but little detail on the characteristic of these contact hours for optimal delivery is currently available.
In this proof of concept study, we will evaluate the enhancement of behavioural change strategies utilizing technology that provides direct feedback on behaviour change. These devices will be incorporated into a PHR and supplemented with a related e-learning module.
This study will examine the feasibility and perceived usefulness of incorporation of a personal electronic device to encourage behaviour change in children and youth enrolled in a weight management program. We intend to incorporate this device within an established PHR and supplement with evidence-based e-learning.
This is a prospective, randomized pilot study of children and youth (ages 5-17 years) enrolled in a multidisciplinary pediatric weight management program (at McMaster Children's Hospital) for 4 months. This pilot study will include 10 children/youth and parent dyads from each of 3 age groups: 5-9 years, 10-13 years and 14-17 years. All families will utilize a personal electronic device that they can utilize with the individualized PHR. Participants will be randomized to receive, or not receive, regular communication with and access to the clinical team outside of their routine clinical visits, this will occur through a secure portal in the PHR.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Ontario
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Hamilton, Ontario, Canada, L8N 3Z5
- Pediatric Weight Management Clinic - McMaster Children's Hospital
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- children/youth between the ages of 5-17 years
- enrolled in pediatric weight management program at McMaster Children's Hospital
- provide informed written assent (child/youth)
- provision of informed written consent (parent/caregiver)
Exclusion Criteria:
- no access to internet/home computer
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Monitoring device in PHR
Both groups will receive routine clinical care in the pediatric weight management program at McMaster Children's Hospital.
Children/youth in both groups will receive a physical activity and sleep monitor and access to their PHR.
The Active Comparator group will not receive any feedback or communication outside of clinic visits from the clinical team regarding their goal progress.
|
Access to their PHR
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Experimental: Communication through PHR outside clinic
Both groups will receive routine clinical care in the pediatric weight management program at McMaster Children's Hospital.
Children/youth in both groups will receive a physical activity and sleep monitor and access to their PHR.
The experimental group will receive regular communication with /access to the clinical team through a secure portal within the PHR(i.e. 2 way communication, weekly feedback to the families on their goal progress).
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Access to their PHR
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Feasibility
Time Frame: 4 months
|
Feasibility of the use of personal electronic devices for monitoring behavioural change in response to goal setting through a PHR will be evaluated and compared between the two groups by comparing: 1) percent of consenting families who successfully access the PHR, and 2) percent of children/youth who upload physical activity and sleep data for at least 4/7 days and 75% of weeks of the study.
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4 months
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Acceptability of the personal electronic device and PHR
Time Frame: 2 and 4 months
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Acceptability of the device to the family unit will be evaluated by collating the: 1) number of days per month the family uploads physical activity or sleep information, 2) number of times the family (in the randomized intervention group)interacts with the clinical team through the PHR and 3) number of times over the 4 month period that the family reviews the e-learning module. Acceptability of the device and PHR to the child and parent will be ascertained separately via standardized questionnaire at 2 and 4 months after randomization. |
2 and 4 months
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Acceptability of goal monitoring
Time Frame: 4 months
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Acceptability of the method of monitoring goal achievement to the clinic staff will be evaluated by questionnaire at the end of the study.
|
4 months
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Feasibility of the utilization of the PHR and personal electronic device
Time Frame: 4 months
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Feasibility of the utilization of the PHR and personal electronic device will be measured by examining the percent of eligible, consecutive clinic patients who agree to take part in the study.
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4 months
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Health education
Time Frame: 4 months
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The Health Education Impact Questionnaire (heIQ) will be administered to evaluate the impact of the health education intervention.
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4 months
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Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Katherine Morrison, MD, FRCPC, McMaster University/McMaster Children's Hospital
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- CEH - 126534
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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