A Primary Care Educational Intervention for Families of Overweight Children
研究概览
详细说明
The prevalence of overweight among children has at least doubled in the past 25 years. In the year 2004, 18.8% of children ages 6-11 were overweight. Being overweight as a child is clearly associated with adulthood obesity. In addition, complications once prevalent only in adults are now being seen in overweight children and adolescents. These include hypertension, hypercholesterolemia, and type II diabetes which are well known risk factors for cardiovascular disease. Obesity is also associated with low self-esteem among some groups of overweight adolescents.
Primary care providers are in a unique position to combat this epidemic. However, a recent survey found that only 12% of pediatricians felt highly effective in their ability to treat obesity. Furthermore, physicians reported that low self-efficacy in treating obesity was associated with a lack of patient educational materials. Few written resources for families of overweight children have been tested in the primary care setting. Much of the research on childhood overweight has been conducted in specialty obesity clinics where the resources and patient population may differ from those of primary care offices.
Kid STRIDE is an educational booklet designed for parents of overweight children. It includes information about nutrition, physical activity, and strategies for healthy living. It is hypothesized that the booklet will be distributed to and used by parents of children who are overweight or at risk for overweight. This study will analyze parents' perceptions of this booklet in order to improve its potential value. Information obtained from this pilot study will be used to prepare for a future study to determine the effectiveness of this intervention.
The purpose of this study is:
Aim 1 is to determine the distribution rate and uptake rate of an educational booklet for parents of children between the ages of 8 and 12 who are overweight.
Aim 2 is to describe parents' perceptions of the educational booklet.
Aim 3 is to assess the impact of the intervention on BMI as measured by change in BMI z-score.
研究类型
注册 (实际的)
阶段
- 不适用
联系人和位置
学习地点
-
-
Wisconsin
-
Madison、Wisconsin、美国、53705
- Associated Physicians Pediatric Clinic
-
Madison、Wisconsin、美国、53717
- UW West Pediatric Clinic
-
Madison、Wisconsin、美国、53704
- UW East Towne Pediatric Clinic
-
Madison、Wisconsin、美国、53715
- Boys & Girls Club of Dane County
-
-
参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- Body mass index greater than or equal to the 95th percentile for age and gender
- Presenting to pediatrician for a health maintenance visit
Exclusion Criteria:
- Genetic conditions known to predispose to overweight
- Endocrine conditions associated with overweight
- Chronic steroid therapy
- Current enrollment in a professional weight management program
学习计划
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:非随机化
- 介入模型:单组作业
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
---|---|
实验性的:一个
|
Parental perception of educational booklet and evaluating any change in child's weight.
|
研究衡量的是什么?
主要结果指标
结果测量 |
大体时间 |
---|---|
Describe parents' perceptions of the educational booklet
大体时间:one year
|
one year
|
Determine the uptake rate of an educational booklet for parents of overweight children between the ages of 7 and 12
大体时间:6 months
|
6 months
|
Assess the impact of the intervention on BMI as measured by change in BMI z-score
大体时间:6 months
|
6 months
|
合作者和调查者
调查人员
- 首席研究员:Ellen R Wald, MD、University of Wisconsin, Madison
出版物和有用的链接
一般刊物
- Ogden CL, Flegal KM, Carroll MD, Johnson CL. Prevalence and trends in overweight among US children and adolescents, 1999-2000. JAMA. 2002 Oct 9;288(14):1728-32. doi: 10.1001/jama.288.14.1728.
- Freedman DS, Dietz WH, Srinivasan SR, Berenson GS. The relation of overweight to cardiovascular risk factors among children and adolescents: the Bogalusa Heart Study. Pediatrics. 1999 Jun;103(6 Pt 1):1175-82. doi: 10.1542/peds.103.6.1175.
- Guo SS, Roche AF, Chumlea WC, Gardner JD, Siervogel RM. The predictive value of childhood body mass index values for overweight at age 35 y. Am J Clin Nutr. 1994 Apr;59(4):810-9. doi: 10.1093/ajcn/59.4.810.
- Whitlock EP, Williams SB, Gold R, Smith PR, Shipman SA. Screening and interventions for childhood overweight: a summary of evidence for the US Preventive Services Task Force. Pediatrics. 2005 Jul;116(1):e125-44. doi: 10.1542/peds.2005-0242.
- Strauss RS. Childhood obesity and self-esteem. Pediatrics. 2000 Jan;105(1):e15. doi: 10.1542/peds.105.1.e15.
- Perrin EM, Flower KB, Garrett J, Ammerman AS. Preventing and treating obesity: pediatricians' self-efficacy, barriers, resources, and advocacy. Ambul Pediatr. 2005 May-Jun;5(3):150-6. doi: 10.1367/A04-104R.1.
研究记录日期
研究主要日期
学习开始
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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