Next Steps: a Community-led Solution to Address Childhood Obesity

Next Steps: a Community-led Solution to Sustaining Healthy Behaviors in Families Addressing Childhood Obesity

The purpose of Next Steps pilot intervention is to develop and test a new program designed to help low-income multiethnic families with overweight or obese children achieve long-term maintenance of healthful behaviors following completion of Hennepin County Medical Center's (HCMC) 16-week intensive obesity management course (Taking Steps Together (TST)).

Study Overview

• Status: Completed
• Conditions: Obesity
• Intervention / Treatment: Behavioral: Nutrition/physical activity intervention

Detailed Description

Next Steps is a community based pilot intervention study conducted in collaboration between community leaders, the University of Minnesota, Hennepin County Medical Center (HCMC) and The Family Partnership. The study collaborators will develop and test a new program designed to help low-income multiethnic families with overweight or obese children achieve long-term maintenance of healthful behaviors following completion of HCMC's 16-week intensive obesity management course (Taking Steps Together (TST)). Next Steps, the focus of this study, will comprise a network of parent-led, community-based health maintenance programs that will be offered to TST graduate families.

Project Aims:

Aim 1: Establish a core parent leadership group and health maintenance program network that is self-sustaining and can serve the community for years to come.

Aim 2: Test the feasibility, acceptability and sustainability of the Next Steps programs.

Aim 3: Assess the impact of the Next Steps programs on helping participant families sustain or improve healthful behaviors and achieve or maintain healthy body mass index (BMI).

• Study Type: Interventional
• Enrollment (Actual): 48
• Phase: Not Applicable

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 2 years to 75 years (Child, Adult, Older Adult)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Families that are graduates of the Taking Step Together program.
• Families with at least one overweight or obese child between the ages of 7-17.
• Family members of all ages who have graduated from the Taking Steps Together program will be included in the study.

Exclusion Criteria:

• Families who are not graduates of the Taking Steps Together program.
• Families who do not have one child that is between the ages of 7-17 and who is overweight or obese

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Nutrition/physical activity intervention; The intervention, Next Steps, comprises a network of community-led health maintenance programs offered to graduates of an initial intensive obesity course. These health maintenance programs will aim to help participants maintain and improve healthful behaviors and body mass indices.	Behavioral: Nutrition/physical activity intervention; Nutrition/physical activity intervention
No Intervention: Usual care; Participants in the "No Intervention" arm will not have access to the Next Steps programs and will receive only usual care through their health care clinic.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Maintain or lower body mass index	Body mass index.	up to 4 months
Frequency and intensity of physical activity	Frequency and intensity of physical activity	up to 4 months
Frequency of intake of healthful foods and reduction of unhealthful foods;	Frequency of intake of healthful foods and reduction of unhealthful foods;	up to 4 months

Collaborators and Investigators

• Sponsor: University of Minnesota
• Collaborators: Hennepin County Medical Center, Minneapolis; The Family Partnership, Minneapolis; Community Leaders, Minneapolis, Richfield
• Investigators: Principal Investigator: Chrisa Arcan, PhD, University of Minnesota; Principal Investigator: John D Anderson, MD, Hennepin County Medical Center, Minneapolis; Principal Investigator: Maria Galvan, Community Leader; Principal Investigator: Natividad Contreras, Community Leader; Principal Investigator: Aurolivia Reyes, Community Leader

Study record dates

Study Major Dates

• Study Start: July 1, 2013
• Primary Completion (Actual): June 1, 2014
• Study Completion (Actual): June 1, 2014

Study Registration Dates

• First Submitted: July 18, 2013
• First Submitted That Met QC Criteria: July 30, 2013
• First Posted (Estimate): July 31, 2013

Study Record Updates

• Last Update Posted (Actual): November 1, 2019
• Last Update Submitted That Met QC Criteria: October 30, 2019
• Last Verified: October 1, 2019

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Overnutrition; Nutrition Disorders; Overweight; Body Weight; Obesity; Pediatric Obesity
• Other Study ID Numbers: 1303S29343