Talking About Weight With Families: An Innovative Educational Strategy
調査の概要
詳細な説明
Nearly one third of Canadian children and adolescents are overweight or obese. Eating disorders are the third most common chronic condition in adolescents. Although both of these issues are highly prevalent, parents who have children struggling with either underweight or overweight are concerned about how to approach those topics. Even though they are usually well-intended, their intervention may have a negative impact. Indeed, research has shown that parents who encourage their children to diet or discuss their own diet is associated with overweight or eating disorders in their children. Conversely, if parents focus on healthful eating behaviors, overweight adolescents are less likely to diet and to use unhealthy weight-control behaviors. In that context, in order to help children struggling with unhealthy lifestyle behaviours, the development of educational materials to promote healthy and helpful conversation about weight for parents is critically needed. While the use of educational videos with parents has been studied, this will be the first study examining videos to educate parents regarding weight-related communication.
Available literature also suggests that health care professionals feel ill-equipped to address weight-related issues with their patients, particularly obesity. A lack of self-efficacy and training are recognized as two significant barriers to discussing weight with patients and their families. Other challenges include the fear of damaging their relationship with patients and their families and the apprehension of triggering other issues such as eating disorders. Thus, educational materials to help health care professionals talk about weight-related issues with their patients are warranted. Educational videos have been shown to be an effective way to improve knowledge, confidence, and attitudes of health care professionals and trainees.
The investigators have designed two whiteboard videos based on a weight-related communication scoping review and on the key messages identified in a focus groups conducted previously by our group (McPherson A et al. Talking with children and families about obesity and weight related topics: A scoping review of best practices. Obes Rev.). They will evaluate the videos using pre and post questionnaires directed on usability, content, quality (acceptability, engagement) and measuring the impact on perceived self-efficacy in regards to discussing weight. The investigators will also evaluate the impact of the video over time with a third questionnaire 4 to 6 months later. The pre questionnaire for parents will include socio-demographic questions to enable us to provide sample characteristics. These data will be collected as they are known to have impact on the way weight is perceived. The investigators hypothesize that health care professionals' perceived self-efficacy on discussing weight-related issues with their paediatric patients and parents' perceived self-efficacy on raising weight issues with their children and answering their answers on that topic will improve after watching the videos, and will persist over time.
研究の種類
入学 (実際)
段階
- 適用できない
連絡先と場所
研究場所
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-
Ontario
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Toronto、Ontario、カナダ、M5G1X8
- The Hospital for Sick Children
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参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
- Health care professionals and trainees
- Parents with a child under 18 years old
Exclusion Criteria:
- Inability to speak and read English fluently
- Moderate to severe cognitive impairment
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 主な目的:他の
- 割り当て:なし
- 介入モデル:単一グループの割り当て
- マスキング:なし(オープンラベル)
武器と介入
参加者グループ / アーム |
介入・治療 |
---|---|
他の:Educational Whiteboard video
All the interested participants contacting us will be provided an info email and an internet link via email to access the study through REDCap.
Participants will be prompted to complete pre-questionnaire, followed by access to the video, with a prompt to complete the post questionnaire after.
If they agree, they will receive 4 to 6 months later, a third questionnaire to complete.
For those without access to the internet, we will offer to them view the video at the SickKids at their convenience.
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Participants will be prompted to complete pre-questionnaire, followed by access to the video, with a prompt to complete the post questionnaire after.
If they agree, they will receive 4 to 6 months later, a third questionnaire to complete.
For those without access to the internet, we will offer to them view the video at the SickKids at their convenience.
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この研究は何を測定していますか?
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
---|---|---|
Post Questionnaire - Parents (4-6 mo) - Confidence in ability to raise the issue about weight
時間枠:4 - 6 months post education video
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Change in confidence level in their ability to raise the issue/talk about weight with their children using a scale from 0-100.
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4 - 6 months post education video
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Post Questionnaire - Parents (4-6 mo) - Level of agreement in statements related to behvaiour change
時間枠:4 - 6 months post education video
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Level of agreement in statements related to behaviour change post education using in a 5 point likert scale
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4 - 6 months post education video
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Health Care Professional Post Questionnaire - Confidence in initiating conversation about overweight
時間枠:immediately post education video
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Change in confidence level for initiating a conversation with a family or pediatric patient that meets criteria for overweight or obesity using a scale from 0-100.
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immediately post education video
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Health Care Professional Post Questionnaire - Confidence in initiating conversation about underweight
時間枠:immediately post education video
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Change in confidence level for initiating a conversation with a family or pediatric patient that meets criteria for underweight using a scale from 0-100.
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immediately post education video
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Health Care Professional Questionnaire (4-6 Months Post) Confidence in initiating conversation about overweight
時間枠:4 - 6 months post education video
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Change in confidence level for initiating a conversation with a family or pediatric patient that meets criteria for underweight using a scale from 0-100.
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4 - 6 months post education video
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Health Care Professional Questionnaire (4-6 Months Post) Confidence in initiating conversation about underweight
時間枠:4 - 6 months post education video
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Change in confidence level for initiating a conversation with a family or pediatric patient that meets criteria for overweight or obesity using a scale from 0-100.
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4 - 6 months post education video
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協力者と研究者
捜査官
- 主任研究者:Jill K Hamilton, MD、The Hospital for Sick Children
出版物と役立つリンク
一般刊行物
- Klupt KA, Oreskovich SM, Bernard-Genest J, Patel BP, Chu L, Dettmer E, Walsh CM, Strom M, McPherson AC, Strub J, Steinberg A, Steinegger C, Hamilton JK. Careful conversations: an educational video to support parents in communicating about weight with their children. BMC Pediatr. 2020 Aug 24;20(1):397. doi: 10.1186/s12887-020-02284-6.
- Bernard-Genest J, Chu L, Dettmer E, Walsh CM, McPherson AC, Strub J, Steinberg A, Steinegger C, Hamilton JK. Talking About Weight With Families-Helping Health Care Professionals Start the Conversation: A Nonrandomized Controlled Trial. Clin Pediatr (Phila). 2020 Sep;59(9-10):910-917. doi: 10.1177/0009922820922844. Epub 2020 May 30.
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
その他の研究ID番号
- 1000055748
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
IPD プランの説明
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。
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