Parent Perceptions of Weight Status: Impact of a Pilot Intervention

NCT ID: NCT00867373

Last Updated: 2013-04-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

222 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-05-31

Study Completion Date

2008-04-30

Brief Summary

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This pilot study is a randomized controlled trial with an embedded cross sectional study exploring parental perceptions of their weight status and how it affects their perceptions of their child's weight status. This study uses an educational intervention in which parents are informed of their actual weight status and how it affects their child's health. We will study the effect of this intervention on the parent's perceptions of and level of concern for their own and their child's weight status.

Detailed Description

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Pediatric obesity has tripled in the past 20 years. Obesity prevention early in life is important and parental participation is essential. Parents must recognize overweight in their child so health providers may engage them in a dialogue to change their child's diet and physical activity patterns, yet a large proportion of parents do not recognize that their child is overweight. Parents' misperception of their overweight child's weight status presents a barrier to treating obesity.

This pilot study is a randomized controlled trial with an embedded cross sectional study exploring parental perceptions of their weight status and how it affects their perceptions of their child's weight status. This study uses an educational intervention in which parents are informed of their actual weight status and how it affects their child's health. We will study the effect of this intervention on the parent's perceptions of and level of concern for their own and their child's weight status.

Our goal is to develop a primary care intervention that will enhance parental perceptions of overweight and motivation to make changes for their family. Pilot data collected here will support an R21 Exploratory/Developmental Clinical Research Grant in Obesity or a Centers for Disease Control (CDC) or Robert Wood Johnson Foundation (RWJ) grant submission.

Conditions

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Obesity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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Education Intervention

The intervention used in the randomized controlled trial consists of 1) measuring the parents' height and weight and 2) providing the parents with feedback on their calculated BMI on an educational handout (included in Appendix V). The purpose of the handout is to convey the following 5 messages:

1. Definition of BMI
2. How BMI is calculated
3. What the parent's BMI is based on the measurements taken
4. What weight category the parent is in (underweight, normal weight, overweight, or obese)
5. Children with overweight or obese parents are at higher risk of becoming overweight themselves.

The Research Assistant will verbally review the educational handout with the parent. The handout will be available in both English and Spanish.

Group Type EXPERIMENTAL

Education Intervention

Intervention Type BEHAVIORAL

The intervention is a short educational handout regarding BMI and the effect of parental weight status on children.

Control Group

Parents assigned to the control group will proceed to their child's well child visit after their baseline data are collected.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Education Intervention

The intervention is a short educational handout regarding BMI and the effect of parental weight status on children.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

1\. Boys and girls ages 3 to 13 years old presenting with at least one biological parent for a routine health maintenance exam (WCC) at the Child Health Continuity Clinic will be eligible. Parents must be able and willing to have their height and weight measured at the clinic

Exclusion Criteria

1. Child has previously been referred to a nutritionist/dietician or specialized clinic/program for weight management
2. Child is currently being treated for failure to thrive
3. Child is on parenteral nutrition
4. Child is on chronic systemic steroid therapy
5. Child is non-mobile/wheelchair bound
6. The family has previously enrolled into the study with a prior sibling
7. Family is unable to be contacted at home
8. Presenting parent cannot speak and read English or Spanish at at least a 5th grade level
Minimum Eligible Age

3 Years

Maximum Eligible Age

13 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Colorado, Denver

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Christina Suh, MD

Role: PRINCIPAL_INVESTIGATOR

University of Colorado, Denver

Nancy F. Krebs, MD

Role: PRINCIPAL_INVESTIGATOR

University of Colorado, Denver

Allison Kempe, MD, MPH

Role: PRINCIPAL_INVESTIGATOR

Univeristy of Colorado Denver

Locations

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The Children's Hospital

Aurora, Colorado, United States

Site Status

Countries

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United States

References

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Ogden CL, Carroll MD, Curtin LR, McDowell MA, Tabak CJ, Flegal KM. Prevalence of overweight and obesity in the United States, 1999-2004. JAMA. 2006 Apr 5;295(13):1549-55. doi: 10.1001/jama.295.13.1549.

Reference Type BACKGROUND
PMID: 16595758 (View on PubMed)

Daniels SR, Arnett DK, Eckel RH, Gidding SS, Hayman LL, Kumanyika S, Robinson TN, Scott BJ, St Jeor S, Williams CL. Overweight in children and adolescents: pathophysiology, consequences, prevention, and treatment. Circulation. 2005 Apr 19;111(15):1999-2012. doi: 10.1161/01.CIR.0000161369.71722.10.

Reference Type BACKGROUND
PMID: 15837955 (View on PubMed)

Rhee KE, De Lago CW, Arscott-Mills T, Mehta SD, Davis RK. Factors associated with parental readiness to make changes for overweight children. Pediatrics. 2005 Jul;116(1):e94-101. doi: 10.1542/peds.2004-2479.

Reference Type BACKGROUND
PMID: 15995022 (View on PubMed)

Logue E, Sutton K, Jarjoura D, Smucker W. Obesity management in primary care: assessment of readiness to change among 284 family practice patients. J Am Board Fam Pract. 2000 May-Jun;13(3):164-71. doi: 10.3122/15572625-13-3-164.

Reference Type BACKGROUND
PMID: 10826863 (View on PubMed)

Wee CC, Davis RB, Phillips RS. Stage of readiness to control weight and adopt weight control behaviors in primary care. J Gen Intern Med. 2005 May;20(5):410-5. doi: 10.1111/j.1525-1497.2005.0074.x.

Reference Type BACKGROUND
PMID: 15963162 (View on PubMed)

Eckstein KC, Mikhail LM, Ariza AJ, Thomson JS, Millard SC, Binns HJ; Pediatric Practice Research Group. Parents' perceptions of their child's weight and health. Pediatrics. 2006 Mar;117(3):681-90. doi: 10.1542/peds.2005-0910.

Reference Type BACKGROUND
PMID: 16510647 (View on PubMed)

Jeffery AN, Voss LD, Metcalf BS, Alba S, Wilkin TJ. Parents' awareness of overweight in themselves and their children: cross sectional study within a cohort (EarlyBird 21). BMJ. 2005 Jan 1;330(7481):23-4. doi: 10.1136/bmj.38315.451539.F7. Epub 2004 Nov 26. No abstract available.

Reference Type BACKGROUND
PMID: 15567804 (View on PubMed)

Birch LL, Fisher JO. Development of eating behaviors among children and adolescents. Pediatrics. 1998 Mar;101(3 Pt 2):539-49.

Reference Type BACKGROUND
PMID: 12224660 (View on PubMed)

Epstein LH, Wing RR, Koeske R, Andrasik F, Ossip DJ. Child and parent weight loss in family-based behavior modification programs. J Consult Clin Psychol. 1981 Oct;49(5):674-85. doi: 10.1037//0022-006x.49.5.674. No abstract available.

Reference Type BACKGROUND
PMID: 7287977 (View on PubMed)

Golan M, Weizman A, Apter A, Fainaru M. Parents as the exclusive agents of change in the treatment of childhood obesity. Am J Clin Nutr. 1998 Jun;67(6):1130-5. doi: 10.1093/ajcn/67.6.1130.

Reference Type BACKGROUND
PMID: 9625084 (View on PubMed)

Other Identifiers

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07-0329

Identifier Type: -

Identifier Source: org_study_id

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