Promoting Health in Healthy Living Centres - a Clinical Study Among Children

NCT ID: NCT02290171

Last Updated: 2019-10-10

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

152 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-08-31

Study Completion Date

2017-12-31

Brief Summary

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The overall aim is to evaluate if a familybased intervention, targeting overweight and obese children and their parents, has a long-term positive effect on weight development and health of the children. The alternative hypothesis to the zero hypothesis is that the children with overweight and obesity who participate in a one-year intervention together with their parents, both at completion of the six months intervention and at long term follow up will have reduced their BMI-for-age z-score (Iso-BMI) and have adopted healthy habits. The behavioral models and educational strategies will be tailored (by age, gender etc.) and include both general information and practical learning sessions.

Detailed Description

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The investigators intend to perform a controlled clinical trial on interventions on a systemic level.

The target group is overweight and obese children between 6 and 10 years old, their parents, community administrators and public health nurses. The overall aim is to evaluate if a familybased intervention, targeting overweight and obese children and their parents, has a long-term positive effect on weight development of the children. The alternative hypothesis to the zero hypothesis is that the children with overweight and obesity who participate with their parents, both at completion of the six months intervention and at long term follow up (2 years) will have reduced their BMI-for-age z-score (Iso-BMI). The behavioral models and educational strategies will be tailored (by age, gender etc.) and include both general information and practical learning sessions. The program will offer guided active play, defined as spontaneous gross locomotor movement in which children engage to amuse and to occupy themselves.

Parents will attend to workshops intending to increase knowledge and awareness of family structure, healthy eating habits and practical suggestions for implementing healthy behaviors into everyday life. Parents will be educated on how to use these strategies at home, to further support their children in improving their behaviors. This community based study is the support by the local leadership and collaboration with locally based sports clubs. The primary outcome variable, child BMI-for-age z-score will be measured at referral, inclusion, after 6 months, and at 1 and 2 years post intervention. Secondary outcome variables, measured at inclusion and at the end of intervention, are child activity pattern, screen viewing time, eating habits, sleeping patterns and body composition as well as parent BMI, body composition, exercise habits, perception of health, experience of parenthood and level of parental stress.

Physical activity level as well as sleep duration and -quality will be recorded using biaxial accellerometers. A validated food diary will be used. The participants will also be asked to complete a questionnaire including questions about screen viewing time, self-perceived healt, sleeping patterns (children) and perceived autonomy support and autonomous regulations (parents).

Conditions

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Health Behavior

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Intervention group

The intervention groups start the intervention 6 months ahead of the control group.

Group Type ACTIVE_COMPARATOR

Activity groups

Intervention Type BEHAVIORAL

Children attend to activity groups weekly during the intervention periode.

Group based dietary counselling

Intervention Type BEHAVIORAL

Parents attend to four sessions of group based dietary counselling

Individual counselling

Intervention Type BEHAVIORAL

Parents attend to individual counselling focusing on parental skills and family structure

Delayed intervention group

The control groups will start intervention with 6 months delay

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Activity groups

Children attend to activity groups weekly during the intervention periode.

Intervention Type BEHAVIORAL

Group based dietary counselling

Parents attend to four sessions of group based dietary counselling

Intervention Type BEHAVIORAL

Individual counselling

Parents attend to individual counselling focusing on parental skills and family structure

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Iso-BMI\>25,
* able to participate in activity groups

Exclusion Criteria

* Children being unable to participate in activity groups,
* parents not able to participate in group based and individual counseling
Minimum Eligible Age

6 Years

Maximum Eligible Age

10 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Agder

OTHER

Sponsor Role collaborator

Eivind Meland

OTHER

Sponsor Role lead

Responsible Party

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Eivind Meland

Professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Eivind Meland, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Dept of Glob Publ Health and Primary Care, University of Bergen

Locations

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University of Bergen

Bergen, Hordaland, Norway

Site Status

University of Agder

Kristiansand, Vest-Agder, Norway

Site Status

Countries

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Norway

References

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Stea TH, Vettore MV, Ovrebo B, Abildsnes E. Changes in dietary habits and BMI z-score after a 6-month non-randomized cluster-controlled trial among 6-12 years old overweight and obese Norwegian children. Food Nutr Res. 2023 Dec 12;67. doi: 10.29219/fnr.v67.9617. eCollection 2023.

Reference Type DERIVED
PMID: 38187797 (View on PubMed)

Other Identifiers

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NCT02290171

Identifier Type: -

Identifier Source: org_study_id

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