Pilot RCT of E4W App in Adolescents

Feasibility Testing and Pilot RCT of Eating for Wellness (E4W) - An Image-Recognition Dietary Assessment App for Use in Adolescents With Obesity

Sponsors

Lead Sponsor: The Hospital for Sick Children

Source The Hospital for Sick Children
Brief Summary

Recommendations for weight management in adolescents with obesity include setting small goals to improve eating behaviours. This frequently includes manually recording food intake over a few days. This is particularly challenging for adolescents as they do not enjoy writing down what they eat, leading to incomplete records. To address this, mobile applications (apps) can easily capture what is eaten through photos. Eating for wellness (E4W) is an app that analyzes photos of meals taken by the user and determines the nutritional profile. The investigators will conduct a pilot randomized controlled trial to determine whether E4W can be implemented successfully and its preliminary effectiveness and impact on dietary intake in adolescents with obesity participating in SickKids' weight management program.

Detailed Description

Adolescents are at increased susceptibility for developing obesity-related health issues, with poor eating patterns and increased sedentary behaviours. Recommendations for pediatric obesity management include frequent dietary assessments with health care providers. However, youth often avoid logging their dietary intake through traditional methods. To address this need, image-based mobile applications (apps) are emerging as tools for assessing intake and enhancing participant engagement in weight management programs. However, limited research has been done to characterize eating patterns and diet quality using nutrition smartphone apps in this population. In this study, the investigators will use Eating for Wellness (E4W), an app that analyzes photos of meals taken by the user and determines the nutritional profile. Nutritional content is directly transmitted to the dietitian and remains invisible to the user. E4W provides adolescents with feedback, goal-setting, and tailored support from their dietitian. The objective of this proposal is to determine whether E4W can be implemented successfully and its preliminary effectiveness and impact on dietary intake in adolescents with obesity participating in a weight management program. The study population will consist of adolescents in the weight management program without an eating disorder, who have the ability to use a smartphone. Adolescents will be randomly placed in a control (standard care plus logging with default phone camera app only) or experimental group (standard care plus E4W) for 4 weeks. The investigators will assess feasibility and preliminary effectiveness of E4W in improving dietary intake in adolescents with obesity. Ultimately, our results will inform the design of a larger randomized controlled trial to assess E4W's suitability in replacing current tools for dietary assessment in adolescents with obesity and other populations of children where dietary assessment is important.

Overall Status Recruiting
Start Date 2022-08-05
Completion Date 2023-03-01
Primary Completion Date 2023-03-01
Phase N/A
Study Type Interventional
Primary Outcome
Measure Time Frame
Feasibility of Implementation - Accrual Rate Week 4
Feasibility of Implementation - Technical difficulties Week 4
Feasibility of Implementation - Patient Satisfaction Week 4
Secondary Outcome
Measure Time Frame
Change in dietary intake Week 4
Enrollment 32
Condition
Intervention

Intervention Type: Device

Intervention Name: E4W mobile app

Description: Eating for Wellness (E4W) is a mobile application that analyzes photos of meals taken by the user and determines the nutritional profile. Nutritional content is then directly transmitted to the dietitian.

Arm Group Label: Experimental Arm

Intervention Type: Behavioral

Intervention Name: Standard Care

Description: Patients will receive standard dietary counselling as part of the weight management program.

Eligibility

Criteria:

Inclusion Criteria: - Enrolled in pediatric weight management program - BMI > or equal to 97th percentile for age and sex - English-speaking - Own a smartphone Exclusion Criteria: - Non-English speaking - Severe cognitive impairments that could preclude assessment - Undergone bariatric surgery - Diagnosed eating disorder

Gender:

All

Minimum Age:

12 Years

Maximum Age:

19 Years

Healthy Volunteers:

No

Overall Official
Last Name Role Affiliation
Jill Hamilton, MD, MSc Principal Investigator Division Head of Endocrinology
Overall Contact

Last Name: Jill Hamilton, MD, MSc

Phone: 416-813-7654

Phone Ext.: 205115

Email: [email protected]

Location
Facility: Status: Contact: SickKids Jill Hamilton, MD, MSc 416-813-7654 205115 [email protected]
Location Countries

Canada

Verification Date

2022-09-01

Responsible Party

Type: Principal Investigator

Investigator Affiliation: The Hospital for Sick Children

Investigator Full Name: Jill Hamilton

Investigator Title: Division Head, Endocrinology

Keywords
Has Expanded Access No
Condition Browse
Number Of Arms 2
Arm Group

Label: Experimental Arm

Type: Experimental

Description: Patients will receive standard dietary counselling and use of E4W mobile app

Label: Control Arm

Type: Active Comparator

Description: Patients will receive standard dietary counselling. No use of E4W.

Patient Data No
Study Design Info

Allocation: Randomized

Intervention Model: Parallel Assignment

Intervention Model Description: Open-label, parallel groups, pilot randomized controlled trial

Primary Purpose: Treatment

Masking: None (Open Label)

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