An Ecological Approach to Addressing Childhood Obesity Issues in Imperial County
NCT ID: NCT02197390
Last Updated: 2025-07-18
Study Results
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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COMPLETED
NA
1184 participants
INTERVENTIONAL
2012-05-31
2021-09-30
Brief Summary
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Detailed Description
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Conditions
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Study Design
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NON_RANDOMIZED
FACTORIAL
PREVENTION
NONE
Study Groups
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Health Care plus Public Health
The Health Care intervention involves the implementation of an obesity care model within a Federally Qualified Health Center (FQHC) and includes a Family Wellness Program delivered by Community Health Workers (CHWs). The Public Health intervention involves working with early care and education centers, schools, community recreation organizations, and restaurants to promote four health behaviors: fruit and vegetable consumption, physical activity, water consumption, and quality sleep.
Family wellness workshops
Nine family wellness workshops and eight family physical activity sessions facilitated by community health workers.
Obesity chronic care model
Physical activity, healthy eating, water drinking, healthy sleep promotion
Environment, policy, systems changes in clinic setting only
Environment, policy, and systems changes in schools, early child care education & recreation
Health Care
The Health Care intervention involves the implementation of an obesity care model within a Federally Qualified Health Center (FQHC) and includes a Family Wellness Program delivered by Community Health Workers (CHWs).
Family wellness workshops
Nine family wellness workshops and eight family physical activity sessions facilitated by community health workers.
Obesity chronic care model
Physical activity, healthy eating, water drinking, healthy sleep promotion
Environment, policy, systems changes in clinic setting only
Public Health
The Public Health intervention involves working with early care and education centers, schools, community recreation organizations, and restaurants to promote four health behaviors: fruit and vegetable consumption, physical activity, water consumption, and quality sleep.
Physical activity, healthy eating, water drinking, healthy sleep promotion
Environment, policy, systems changes in clinic setting only
Control
No intervention.
No intervention
No intervention.
Interventions
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Family wellness workshops
Nine family wellness workshops and eight family physical activity sessions facilitated by community health workers.
Obesity chronic care model
Physical activity, healthy eating, water drinking, healthy sleep promotion
Environment, policy, systems changes in clinic setting only
No intervention
No intervention.
Environment, policy, and systems changes in schools, early child care education & recreation
Eligibility Criteria
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Inclusion Criteria
* If family had preschool-age child, family must reside in one of three designated cities.
* Children ages 2-11 years old
* Maximum two children per household
* Children above the 5th percentile body mass index
* Family agrees to remain in the area throughout the duration of the study
* Participating parent had to understand English or Spanish
Exclusion Criteria
2 Years
11 Years
ALL
Yes
Sponsors
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Centers for Disease Control and Prevention
FED
San Diego State University
OTHER
Responsible Party
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Principal Investigators
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Guadalupe X Ayala, PhD, MPH
Role: PRINCIPAL_INVESTIGATOR
San Diego State University
Leticia Ibarra, MPH
Role: STUDY_DIRECTOR
Clinicas de Salud del Pueblo, Inc.
Amy Binggeli-Vallarta, DrPH, RD
Role: STUDY_DIRECTOR
Imperial County Public Health Department
Locations
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Our Choice
El Centro, California, United States
San Diego State University Research Foundation
San Diego, California, United States
Countries
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References
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Chuang E, Ayala GX, Schmied E, Ganter C, Gittelsohn J, Davison KK. Evaluation protocol to assess an integrated framework for the implementation of the Childhood Obesity Research Demonstration project at the California (CA-CORD) and Massachusetts (MA-CORD) sites. Child Obes. 2015 Feb;11(1):48-57. doi: 10.1089/chi.2014.0049. Epub 2014 Nov 25.
Ayala GX, Ibarra L, Binggeli-Vallarta A, Moody J, McKenzie TL, Angulo J, Hoyt H, Chuang E, Ganiats TG, Gahagan S, Ji M, Zive M, Schmied E, Arredondo EM, Elder JP. Our Choice/Nuestra Opcion: the Imperial County, California, Childhood Obesity Research Demonstration study (CA-CORD). Child Obes. 2015 Feb;11(1):37-47. doi: 10.1089/chi.2014.0080. Epub 2015 Jan 13.
Chuang E, Brunner J, Moody J, Ibarra L, Hoyt H, McKenzie TL, Binggeli-Vallarta A, Cervantes G, Finlayson TL, Ayala GX. Factors Affecting Implementation of the California Childhood Obesity Research Demonstration (CA-CORD) Project, 2013. Prev Chronic Dis. 2016 Oct 20;13:E147. doi: 10.5888/pcd13.160238.
Schmied EA, Madanat H, Chuang E, Moody J, Ibarra L, Cervantes G, Strong D, Boutelle K, Ayala GX. Factors predicting parent engagement in a family-based childhood obesity prevention and control program. BMC Public Health. 2023 Mar 8;23(1):457. doi: 10.1186/s12889-023-15359-7.
Related Links
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Click here for more information about the San Diego State University investigators at the Institute for Behavioral \& Community Health.
Other Identifiers
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