Parenting Intervention for Pediatric Obesity

March 22, 2022 updated by: Thao-Ly Phan, Nemours Children's Health System

Integrating Parenting Interventions Into Pediatric Obesity Care

The purpose of this study is to see if educational videos about how to help children develop healthy behaviors, paired with treatment in a pediatric obesity clinic, can increase caregiver confidence and improve child behaviors and weight. Caregivers of children between the ages of 4 and 11 years old who are new patients to a pediatric obesity clinic will be invited to take part in the study. All families will receive the standard treatment provided in the pediatric obesity clinic. Half of the caregivers will be assigned to also watch a few educational videos every month for 3 months in between clinic visits.

Study Overview

Study Type

Interventional

Enrollment (Actual)

120

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • Delaware
      • Wilmington, Delaware, United States, 19803
        • Nemours Alfred I. Dupont Hospital for Children

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 100 years (Adult, Older Adult)

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Legal guardian of a new patient to the Nemours pediatric obesity clinic
  • Child with body mass index (BMI) greater than the 95th percentile for age and sex
  • Child 4-11 years of age

Exclusion Criteria:

  • Not proficient in English or Spanish
  • Not able to access the internet on any type of device
  • Child has a genetic syndrome or primary endocrine disorder associated with obesity
  • Child is taking a medication known to impact weight

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

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: Control Group
Will receive standard pediatric obesity treatment
Standard treatment in a hospital-based pediatric obesity clinic with a team of medical providers, dietitians, exercise specialists, and behavioral health specialists. Treatment includes management of obesity-related medical conditions, nutrition education, physical activity counseling, and discussion of behavioral strategies such as goal-setting and self-monitoring, with elements of motivational interviewing used to encourage behavior change and adoption of healthy lifestyle behaviors by the entire family.
Experimental: Intervention Group
Will receive standard pediatric obesity treatment and parenting videos
Standard treatment in a hospital-based pediatric obesity clinic with a team of medical providers, dietitians, exercise specialists, and behavioral health specialists. Treatment includes management of obesity-related medical conditions, nutrition education, physical activity counseling, and discussion of behavioral strategies such as goal-setting and self-monitoring, with elements of motivational interviewing used to encourage behavior change and adoption of healthy lifestyle behaviors by the entire family.
Brief online videos, featuring families of children with obesity of diverse backgrounds, to provide education on parenting skills and motivate families to adopt healthy lifestyle behaviors as a family. Videos will be delivered monthly for three months in between pediatric obesity clinic visits.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change in child weight status
Time Frame: 6 months
Change in child BMI-z score
6 months
Change in child weight status
Time Frame: 6 months
Change in child BMI percentile (referenced to the 95th percentile)
6 months
Change in caregiver confidence managing child lifestyle behaviors
Time Frame: 6 months
Change in Lifestyle Behavior Checklist Confidence score
6 months
Change in child lifestyle behaviors
Time Frame: 6 months
Change in Lifestyle Behavior Checklist Problem score
6 months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Discussion of parenting topics during visits to the pediatric obesity clinic
Time Frame: 1 month, 2 months, 3 months, 6 months
Discussion helpfulness ratings at each visit
1 month, 2 months, 3 months, 6 months
Change in child weight status
Time Frame: 3 months
Change in child BMI-z score
3 months
Change in child weight status
Time Frame: 3 months
Change in child BMI percentile (referenced to the 95th percentile)
3 months
Change in caregiver confidence managing child lifestyle behaviors
Time Frame: 3 months
Change in Lifestyle Behavior Checklist Confidence score
3 months
Change in child lifestyle behaviors
Time Frame: 3 months
Change in Lifestyle Behavior Checklist Problem score
3 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Principal Investigator: Thao-Ly T Phan, MD MPH, Nemours Children's Health System

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

March 11, 2019

Primary Completion (Actual)

February 19, 2021

Study Completion (Actual)

September 12, 2021

Study Registration Dates

First Submitted

January 4, 2019

First Submitted That Met QC Criteria

January 4, 2019

First Posted (Actual)

January 8, 2019

Study Record Updates

Last Update Posted (Actual)

March 23, 2022

Last Update Submitted That Met QC Criteria

March 22, 2022

Last Verified

March 1, 2022

More Information

Terms related to this study

Other Study ID Numbers

  • K23HD083439 (U.S. NIH Grant/Contract)

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

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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