Supporting Together Exercise and Play and Improving Nutrition (STEP IN)
Innovations in the Management of Obesity and Inactivity in Pediatric Primary Care
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Detaillierte Beschreibung
Studientyp
Studientyp
Einschreibung (Tatsächlich)
Einschreibung
Phase
Phase
- Unzutreffend
Kontakte und Standorte
Studienorte
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Ohio
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Cincinnati, Ohio, Vereinigte Staaten, 45229
- Pediatric Primary Care Center (PPC) Cincinnati Children's Hospital Medical Center
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Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Beschreibung
Inclusion Criteria:
- Patients whose primary medical home is the Pediatric Primary Care Center (primarily Medicaid or self-pay)
- BMI is greater than 85th%ile for age and sex
- English speaking
- have access to a computer/internet or a smart phone (for uploading Fitbit data)
Exclusion Criteria:
- Have been seen in a weight management clinic within the last 2 years
- prescribed an atypical antipsychotic
- non-ambulatory
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Verhütung
- Zuteilung: Nicht randomisiert
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Keine (Offenes Etikett)
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
|---|---|
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Experimental: Biweekly Arm
6 group nutrition sessions co-led by a peer and a content expert, Fitbit given to parent-child dyads during second session.
Sessions took place biweekly.
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The intervention will consist of 6 nutrition group sessions co-led by parent and a professional from the community who will rotate at each session.
Group nutrition sessions will consist of a facilitated discussion of benefits and barriers to healthy eating, a short lesson led by the content expert, and a fun game or activity to reinforce the lesson.
Three non-concurrent phases of the study will compare the efficacy of the group sessions when offered biweekly (Arm 1), monthly (Arm 2) and weekly (Arm 3).
Andere Namen:
Parent and child dyads will each receive a Fitbit Flex wearable device at the second session.
This device will be used by participants and investigators to motivate and track participants' physical activity for up to 9 months.
|
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Experimental: Monthly Arm
6 group nutrition sessions co-led by a peer and a content expert, Fitbit given to parent-child dyads during second session.
Sessions took place monthly.
|
The intervention will consist of 6 nutrition group sessions co-led by parent and a professional from the community who will rotate at each session.
Group nutrition sessions will consist of a facilitated discussion of benefits and barriers to healthy eating, a short lesson led by the content expert, and a fun game or activity to reinforce the lesson.
Three non-concurrent phases of the study will compare the efficacy of the group sessions when offered biweekly (Arm 1), monthly (Arm 2) and weekly (Arm 3).
Andere Namen:
Parent and child dyads will each receive a Fitbit Flex wearable device at the second session.
This device will be used by participants and investigators to motivate and track participants' physical activity for up to 9 months.
|
|
Experimental: Weekly
6 group nutrition sessions co-led by a peer and a content expert, Fitbit given to parent-child dyads during second session.
Sessions took place weekly.
|
The intervention will consist of 6 nutrition group sessions co-led by parent and a professional from the community who will rotate at each session.
Group nutrition sessions will consist of a facilitated discussion of benefits and barriers to healthy eating, a short lesson led by the content expert, and a fun game or activity to reinforce the lesson.
Three non-concurrent phases of the study will compare the efficacy of the group sessions when offered biweekly (Arm 1), monthly (Arm 2) and weekly (Arm 3).
Andere Namen:
Parent and child dyads will each receive a Fitbit Flex wearable device at the second session.
This device will be used by participants and investigators to motivate and track participants' physical activity for up to 9 months.
|
Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Attendance
Zeitfenster: Baseline, 3 months
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Evaluation of participant attendance in each arm.
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Baseline, 3 months
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Overall Satisfaction With Group Nutrition Sessions
Zeitfenster: Baseline, 3 months
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Participants evaluated their satisfaction with the group sessions using a 5 point scale with a score of 1 being complete dissatisfaction and 5 being the greatest satisfaction.
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Baseline, 3 months
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Change From Baseline in Parent-report Child's Daily Servings of Fruits and Vegetables and Time Spent on Screens.
Zeitfenster: Baseline, 3 months
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Data were not collected on any participants because we changed the study design based on qualitative participant feedback in pilot phases.
Our asking participants about their habits, and showing them their data, was part of the intervention instead of an outcome to assess efficacy of the intervention.
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Baseline, 3 months
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Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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PedsQL (Pediatric Quality of Life Inventory)
Zeitfenster: Baseline, 3 months
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Measure Description: PedsQL (Pediatric Quality of Life Inventory) is a modular instrument for measuring health-related quality of life in children and adolescents ages 2 to 18. Items are reversed scored and linearly transformed to a 0-100 scale, so that higher scores indicate better Health-Related Quality of Life.
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Baseline, 3 months
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BMI Z-Score
Zeitfenster: Baseline, 3 months
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BMI Z-scores compares child to age and sex matched peers.
A z-score of 0 is the same as a 50th percentile in the reference population, a z-score of ± 1.0 plots at the 15th or 85th percentiles, respectively, and a z-score of ± 2 plots at roughly the 3rd or 97th percentiles.
Negative numbers indicate values lower than the reference population whereas positive numbers indicate values higher than the reference population.
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Baseline, 3 months
|
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Number of Participants Reporting They Were Satisfied With the Group Nutrition Sessions (4 or 5 on 5-point Likert Scale)
Zeitfenster: baseline, 3 months
|
The description of the overall satisfaction variable is described in outcome #2 under primary outcomes.
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baseline, 3 months
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Child Self-efficacy Related to Physical Activity
Zeitfenster: Baseline, 3 months
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Self efficacy was assessed using a validated 14-item questionnaire using a 5-point Strongly Agree/ Strongly Disagree scale.
The range of values is 1 to 5, with lower values indicating higher self-efficacy
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Baseline, 3 months
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Child Intention to be Active
Zeitfenster: baseline, 3 months
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Child intention to be active was assessed with a 1-item questionnaire developed and validated by Saunders et al.
This item uses a 5-point scale, with possible range of scores being 1 to 5. Higher scores indicate greater intention to be active.
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baseline, 3 months
|
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Change From Baseline in Parent-reported Number of Hours of Screen Time Child Watches Daily
Zeitfenster: Baseline, 3 months
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Data were not collected on any participants because we changed the study design based on qualitative participant feedback in pilot phases.
Our asking participants about their habits, and showing them their data, was part of the intervention instead of an outcome to assess efficacy of the intervention.
|
Baseline, 3 months
|
Mitarbeiter und Ermittler
Sponsor
Sponsor
Ermittler
Ermittler
- Hauptermittler: Kristen A Copeland, Children's Hospital Medical Center, Cincinnati
Publikationen und hilfreiche Links
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Tatsächlich)
Studienbeginn
Primärer Abschluss (Tatsächlich)
Primärer Abschluss
Studienabschluss (Tatsächlich)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Schätzen)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Zusätzliche relevante MeSH-Bedingungen
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- 2015-3406
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