- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03143660
FITLINE: Pediatric Practice-based Obesity Intervention to Support Families
Pediatric Practice-based Obesity Intervention to Support Families:FITLINE
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Massachusetts
-
Worcester, Massachusetts, United States, 01655
- University of Massachusetts, Worcester
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- child BMI >= 85th percentile for age/sex,
- participating parent and child English speaking,
- parent has access to a telephone and is available to participate in telephone counseling sessions, and
- referred by the child's primary care provider.
Exclusion Criteria:
- planning to move out of the area during the period of study participation,
- medical condition that precludes adherence to AAP dietary and physical activity recommendations,
- genetic or endocrine causes of obesity,
- prescribed medications associated with weight gain,
- child on psychiatric medications, and/or
- morbidly obese (> 300 pounds). -
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Coaching
A parent support component consisting of eight weekly telephone counseling calls by centrally located nutritionists to provide parents coaching tailored to their family's unique needs to help them set goals and make targeted lifestyle changes recommended by the American Academy of Pediatrics (AAP) for Stage 1, Prevention Plus, accompanied by a parent booklet
|
The eight weekly 30-minute Fitline calls provide personalized behavioral counseling and coaching to guide parents in improving their child's weight-related behaviors through targeted lifestyle changes recommended by the AAP for Stage 1, Prevention Plus.
Calls are scheduled at a time convenient for the parent, including nights and weekends, with one nutritionist assigned to a family for consistency.
|
Active Comparator: Materials
Parents will receive the same educational materials provided in the Fitline family workbook mailed over 8 weeks to control for weekly contact and educational curriculum, but no Fitline counseling.
|
The workbook contains tips and practical strategies for implementing the AAP-recommended behavior changes discussed in the counseling sessions to support families in making lifestyle changes.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Reducing BMI in overweight and obese children.
Time Frame: Baseline and 12-months post-baseline
|
BMI will be calculated from weight (kg)/height squared (in meters) and BMI z-score for age/sex will be determined using CDC growth charts for the child.
It is hypothesized that the Fitline-Coaching group compared to the Fitline-Workbook group will have greater reductions in BMI z-scores at 12-month follow-up
|
Baseline and 12-months post-baseline
|
Reducing BMI in overweight and obese children.
Time Frame: Baseline and 6-months post-baseline
|
BMI will be calculated from weight (kg)/height squared (in meters) and BMI z-score for age/sex will be determined using CDC growth charts for the child.
It is hypothesized that the Fitline-Coaching group compared to the Fitline-Workbook group will have greater reductions in BMI z-scores at 6-month follow-up
|
Baseline and 6-months post-baseline
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Improving the child's diet
Time Frame: Baseline and 6-months post-baseline
|
It is hypothesized that the Fitline-Coaching group compared to the Fitline-Workbook group will have greater improvements in diet at 6-month follow-up.
This will be measured by 24 hour dietary recalls conducted 3 times at each time point.
|
Baseline and 6-months post-baseline
|
Improving the child's diet
Time Frame: Baseline and 12-months post-baseline
|
It is hypothesized that the Fitline-Coaching group compared to the Fitline-Workbook group will have greater improvements in diet at 12-month follow-up.
This will be measured by 24 hour dietary diet recalls conducted three times at each time point.
|
Baseline and 12-months post-baseline
|
Improving the child's physical activity
Time Frame: Baseline and 6-months post-baseline
|
It is hypothesized that the Fitline-Coaching group compared to the Fitline-Workbook group will have greater improvements in their level of physical activity at 6-month follow-up.
This will be measured by the Physical Activity Questionnaire (PAQ-C).
|
Baseline and 6-months post-baseline
|
Improving the child's physical activity
Time Frame: Baseline and 12-months post-baseline
|
It is hypothesized that the Fitline-Coaching group compared to the Fitline-Workbook group will have greater improvements in their level of physical activity at 12-month follow-up.
This will be measured by the Physical Activity Questionnaire (PAQ-C).
|
Baseline and 12-months post-baseline
|
Effect of the Fitline-Coaching on BMI through a composite measure of Social Cognitive Theory constructs
Time Frame: Baseline and 6-months post-baseline
|
It is hypothesized that the effect of the Fitline-Coaching on child BMI will be predicted by changes in Social Cognitive Theory constructs. Parents will complete a survey assessing: (1) anticipated benefits of the behavior change (outcome expectations) (23-item questionnaire); (2) perceived support and barriers to addressing their child's behavior changes (15-item questionnaire); (3) self efficacy in helping their child improve their diet and physical activity (12-item) questionnaire; (4) behavioral capability (12-item questionnaire); and (5) knowledge (7-item questionnaire). Children will complete a survey assessing (1) anticipated benefits of the behavior change (outcome expectations) (23-item questionnaire); (2) perceived support and barriers (67-item questionnaire); (3) self efficacy (16-item questionnaire); (4) behavioral capability (12-item questionnaire); and (5) knowledge (7 item questionnaire). |
Baseline and 6-months post-baseline
|
Effect of the Fitline-Coaching on BMI through a composite measure of Social Cognitive Theory constructs
Time Frame: Baseline and 12-months post-baseline
|
The effect of the Fitline-Coaching on child BMI will be predicted by changes in Social Cognitive Theory constructs. Parents will complete a survey assessing: (1) the anticipated benefits of the behavior change (outcome expectations) using a 23-item questionnaire; (2) parent's perceived support and barriers to addressing their child's behavior changes using a 15 item questionnaire; (3) parent's self efficacy in helping their child improve their diet and physical activity using a 12 item questionnaire; (4) behavioral capability using a 12 item questionnaire; and (5) knowledge utilizing a 7 item questionnaire. Children will complete a survey assessing (1) the anticipated benefits of the behavior change (outcome expectations) using a 23-item questionnaire; (2) their perceived support and barriers a 67-item questionnaire; (3) child's self efficacy using a 16-item questionnaire; (4) behavioral capability using a 12-item questionnaire; and (5) knowledge utilizing a 7-item questionnaire. |
Baseline and 12-months post-baseline
|
Cost Effectiveness
Time Frame: Baseline and 12-months post-baseline
|
Costs and health outcomes will be compared across conditions.
Costs will include those of: (1) provider training and intervention, (2) office set-up and support, (3) intervention materials, and (4) Fitline coaching.
The outcome will be change in BMI z-score.
|
Baseline and 12-months post-baseline
|
Cost Effectiveness
Time Frame: Baseline and 12-months post-baseline
|
Costs and health outcomes will be compared across conditions.
Costs will include those of: (1) provider training and intervention, (2) office set-up and support, (3) intervention materials, and (4) Fitline coaching.
The outcome will be change in quality of life as measured by the quality adjusted Pediatric Quality of Life Inventory (PedsQL 4.0) scores.
|
Baseline and 12-months post-baseline
|
Collaborators and Investigators
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 (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- R01HL130505 (U.S. NIH Grant/Contract)
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
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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