- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02976454
Guided Self-Help Obesity Treatment in the Doctor's Office - GOT Doc (GOTDoc)
Using a Guided Self-Help Treatment Model for Childhood Obesity Management in the Primary Care Setting
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Currently 1/3 of our nation's children are overweight or obese. The goal of Healthy People 2020 is to reduce the proportion of children who are obese and increase the proportion of primary care visits that include nutrition and weight-related counseling. However, there are a lack of resources and providers that can offer effective weight-related counseling and treatment. Gold-standard family-based weight control programs for children are often provided at tertiary care academic centers and can be difficult to access. Furthermore, primary care providers (PCPs), who have been identified as key players in the treatment of childhood obesity, are not well-equipped to address this issue, engage in behavior modification/lifestyle counseling, or provide effective treatment in the primary care setting. As a result, new models of care are needed so that a greater proportion of overweight/obese (OW/OB) children and their parents can access care and receive quality treatment for obesity. The investigators propose to train health coaches in the primary care setting to deliver Guided Self-Help (GSH) treatment of childhood obesity. Implementing this program in the primary care setting will increase our ability to deliver nutrition and weight-related counseling in the primary care office and serve patients closer to home, thereby increasing access to effective treatment, improving adherence to recommended changes, and meeting the goals of Healthy People 2020.
The goal of this study is to conduct a pragmatic clinical trial in two large pediatric practices in San Diego County (n=200) where 38% and 39% of children are OW/OB. The intervention group will receive GSH (14 sessions over 6 months) delivered by a health coach in the clinic. The control group will receive usual care, i.e. PCP provides obesity management using decision support tools in the electronic health record and refers to a tertiary care program (20 sessions over 6 months) at the academic center.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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California
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La Jolla, California, United States, 92093
- University of California, San Diego
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- an OW/OB child (BMI ≥ 85th%ile for age and gender) in the family who is between the ages of 5 and 13 years old
- parent who is responsible for food preparation willing to participate
- parent who can read English or Spanish at a minimum of a 5th grade level
- family who is willing to commit to attendance at all assessment visits
- family not moving out of the San Diego area within the time frame of the study.
Exclusion Criteria:
- child who is taking medications that may impact weight
- child or parent with a psychiatric or behavioral illness that will impact their ability to participate in treatment
- child with physical difficulties that limit the ability to exercise
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 |
---|---|
Experimental: Guided Self-Help Obesity Treatment
Guided Self-Help obesity treatment will include 14 meetings over 6 months to mimic the structure of the proposed Medicare funding for obesity treatment for adults.
These meetings will include a single one-hour meeting and 13 twenty-minute meetings that occur in the clinic.
During this time, the health coach will assess patient/parent readiness to engage in behavior change, assess barriers and facilitators to behavior change, engage in behavior change and problem solving, and provide feedback and accountability.
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Guided Self-Help obesity treatment will be provided by a health coach in the clinic.
The treatment involves 14 sessions: 1 one-hour session and 13 twenty-minute sessions with the health coach who will provide behavioral obesity treatment.
Other Names:
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Active Comparator: Family-based behavioral obesity treatment
The active control group will receive usual care, i.e.
PCP provides obesity management using decision support tools in the electronic health record and refers to a tertiary care program at the academic center.
This program is the traditional family-based behavioral weight control program which consists of 20 one-hour, group-based sessions over 6 months.
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Traditional family-based, group-based behavioral weight control program.
The treatment involves 20 hourly group-based sessions for parents and children separately, which occurs weekly for 16 weeks, then every other week for the last 2 months (4 session).
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in BMI percentile
Time Frame: 6 months and 1 year
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Change in BMI percentile within and between study groups
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6 months and 1 year
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Difference in percentage of sessions that were attended
Time Frame: 6 months
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Difference in percentage of sessions that were attended between groups
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6 months
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Societal cost for each 0.1 unit BMI z-score change
Time Frame: 6 months and 1 year
|
Cost-effectiveness from a societal perspective including cost of delivering intervention, parental costs, and primary care office costs
|
6 months and 1 year
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Activity Support scale
Time Frame: 6 months
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Difference in parent support behaviors to encourage physical activity between groups
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6 months
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Parent self-efficacy for health related behaviors scale
Time Frame: 6 months
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Difference in parent self-efficacy to engage in weight loss between intervention parents and control parents
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6 months
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Dietary History Questionnaire II
Time Frame: 6 months
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Changes in child dietary behavior from baseline to post treatment
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6 months
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Godin Physical Activity Scale
Time Frame: 6 months
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Changes in child physical activity level from baseline to post treatment
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6 months
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Dietary Support scale (modified)
Time Frame: 6 months
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Difference in parent support behaviors to encourage healthy dietary behaviors between groups
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6 months
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Collaborators and Investigators
Collaborators
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
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 (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- R40MC29452
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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