Talking About Weight With Families: An Innovative Educational Strategy
研究概览
详细说明
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.
研究类型
注册 (实际的)
阶段
- 不适用
联系人和位置
学习地点
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Ontario
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Toronto、Ontario、加拿大、M5G1X8
- The Hospital for Sick Children
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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:
- 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
学习计划
研究是如何设计的?
设计细节
- 主要用途:其他
- 分配:不适用
- 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 |
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其他: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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研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
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Post Questionnaire - Parents (4-6 mo) - Confidence in ability to raise the issue about weight
大体时间: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
大体时间: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
大体时间: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
大体时间: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
大体时间: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
大体时间: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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合作者和调查者
调查人员
- 首席研究员:Jill K Hamilton, MD、The Hospital for Sick Children
出版物和有用的链接
一般刊物
- 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.
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (实际的)
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 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
与本研究相关的术语
其他研究编号
- 1000055748
计划个人参与者数据 (IPD)
计划共享个人参与者数据 (IPD)?
IPD 计划说明
药物和器械信息、研究文件
研究美国 FDA 监管的药品
研究美国 FDA 监管的设备产品
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Educational whiteboard video的临床试验
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Radboud University Medical CenterZonMw: The Netherlands Organisation for Health Research and Development招聘中
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Université Blaise Pascal, Clermont-Ferrand撤销