Trial Outcomes & Findings for Quincy Family, Youth & Technology For Lifestyle Change (FYT-4-LIFE) Study (NCT NCT02324361)

NCT ID: NCT02324361

Last Updated: 2020-10-22

Results Overview

We designed a scale for use in this study containing 8 questions on each of the family routines that we assessed (i.e., nutrition, frequency of family meals, child's screen time, bedtime routines, physical activity, and sleep hours). Each of the eight questions were assigned one point value. The scale was summative such that the lowest possible score was 0 and highest possible score was 8, from adding up scores to all eight questions. Higher scores indicated a better outcome.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

48 participants

Primary outcome timeframe

90 days

Results posted on

2020-10-22

Participant Flow

From July to October 2014, attempts were made to solicit the participation of primary caregivers of all children receiving care since 2013 at Quincy Pediatric Associates (QPA) via mailed recruitment letters.

Caregivers were phone-screened for English fluency, internet access, computer/smartphone ownership, and ownership of a Facebook account. Those with significant functional impairments or co-morbidities, those enrolled in another weight management intervention program, or had a sibling already enrolled in the study were excluded from participation.

Participant milestones

Participant milestones
Measure
Facebook Group
The intervention arm consists of evidence-based information on healthy family routines and parenting strategies (i.e., nutrition, frequency of family meals, child's screen time, bedtime routines, physical activity, and sleep) adapted for Facebook posts on a private study Facebook group. All index children were provided with a Physical Activity Monitor (Fitbit Zip) to wear during waking hours for the duration of the study.
Text Messaging (SMS) Group
The intervention consists of evidence-based information on healthy family routines and parenting strategies adapted for 140-character text messages. The automated text-messaging algorithm consists two types of messaging: 1-way messages containing education or motivation on the dimension topic that one is being coached on and 2-way messages, in which participants are able to respond to an educational message containing a number response prompt that will provide them with personalized feedback regarding a dimension they are being coached on. All index children were provided with a Physical Activity Monitor (Fitbit Zip) to wear during waking hours for the duration of the study.
Overall Study
STARTED
24
24
Overall Study
COMPLETED
19
22
Overall Study
NOT COMPLETED
5
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Facebook Group
The intervention arm consists of evidence-based information on healthy family routines and parenting strategies (i.e., nutrition, frequency of family meals, child's screen time, bedtime routines, physical activity, and sleep) adapted for Facebook posts on a private study Facebook group. All index children were provided with a Physical Activity Monitor (Fitbit Zip) to wear during waking hours for the duration of the study.
Text Messaging (SMS) Group
The intervention consists of evidence-based information on healthy family routines and parenting strategies adapted for 140-character text messages. The automated text-messaging algorithm consists two types of messaging: 1-way messages containing education or motivation on the dimension topic that one is being coached on and 2-way messages, in which participants are able to respond to an educational message containing a number response prompt that will provide them with personalized feedback regarding a dimension they are being coached on. All index children were provided with a Physical Activity Monitor (Fitbit Zip) to wear during waking hours for the duration of the study.
Overall Study
Lost to Follow-up
5
2

Baseline Characteristics

Quincy Family, Youth & Technology For Lifestyle Change (FYT-4-LIFE) Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Facebook Group
n=23 Participants
The intervention consists of evidence-based information on healthy family routines and parenting strategies adapted for Facebook posts on a private study Facebook group. Participating parents/guardians will have access to all features of the secret study Facebook group (e.g., create and view postings, comment and like existing posts and view user names of other members of the group (existing study participants and staff) for the duration of the study. All index children will be provided with a Physical Activity Monitor to wear during waking hours for the duration of the study.
Text Messaging
n=24 Participants
The intervention consists of evidence-based information on healthy family routines and parenting strategies adapted for 140-character text messages. The automated text-messaging algorithm consists of the delivery of two types of text messages: 1-way messages, in which participating parents/guardians will receive a piece of education or motivation on the dimension topic that they're being coached on and 2-way messages, in which participants are able to respond to an educational message containing a number response prompt that will provide them with personalized feedback regarding a dimension they are being coached on.
Total
n=47 Participants
Total of all reporting groups
Age, Continuous
4.9 years
STANDARD_DEVIATION 1.3 • n=5 Participants
5.3 years
STANDARD_DEVIATION 1.3 • n=7 Participants
5.0 years
STANDARD_DEVIATION 1.0 • n=5 Participants
Sex: Female, Male
Female
9 Participants
n=5 Participants
14 Participants
n=7 Participants
23 Participants
n=5 Participants
Sex: Female, Male
Male
14 Participants
n=5 Participants
10 Participants
n=7 Participants
24 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
3 Participants
n=7 Participants
3 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
23 Participants
n=5 Participants
21 Participants
n=7 Participants
44 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
4 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Race (NIH/OMB)
White
21 Participants
n=5 Participants
19 Participants
n=7 Participants
40 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 90 days

We designed a scale for use in this study containing 8 questions on each of the family routines that we assessed (i.e., nutrition, frequency of family meals, child's screen time, bedtime routines, physical activity, and sleep hours). Each of the eight questions were assigned one point value. The scale was summative such that the lowest possible score was 0 and highest possible score was 8, from adding up scores to all eight questions. Higher scores indicated a better outcome.

Outcome measures

Outcome measures
Measure
Facebook Group
n=23 Participants
The intervention arm consists of evidence-based information on healthy family routines and parenting strategies (i.e., nutrition, frequency of family meals, child's screen time, bedtime routines, physical activity, and sleep) adapted for Facebook posts on a private study Facebook group. All index children were provided with a Physical Activity Monitor (Fitbit Zip) to wear during waking hours for the duration of the study.
Text Messaging (SMS) Group
n=24 Participants
The intervention consists of evidence-based information on healthy family routines and parenting strategies adapted for 140-character text messages. The automated text-messaging algorithm consists two types of messaging: 1-way messages containing education or motivation on the dimension topic that one is being coached on and 2-way messages, in which participants are able to respond to an educational message containing a number response prompt that will provide them with personalized feedback regarding a dimension they are being coached on. All index children were provided with a Physical Activity Monitor (Fitbit Zip) to wear during waking hours for the duration of the study.
Parent/Guardian Knowledge of Healthy Family Routines and of Parenting Strategies That Are Preventive of Child Overweight and Obesity
1.2 units on a scale
Interval 0.6 to 1.7
0.9 units on a scale
Interval 0.2 to 1.6

SECONDARY outcome

Timeframe: 90 days

Baseline to 90-days post-intervention change in child sleep duration (hours per day)

Outcome measures

Outcome measures
Measure
Facebook Group
n=23 Participants
The intervention arm consists of evidence-based information on healthy family routines and parenting strategies (i.e., nutrition, frequency of family meals, child's screen time, bedtime routines, physical activity, and sleep) adapted for Facebook posts on a private study Facebook group. All index children were provided with a Physical Activity Monitor (Fitbit Zip) to wear during waking hours for the duration of the study.
Text Messaging (SMS) Group
n=24 Participants
The intervention consists of evidence-based information on healthy family routines and parenting strategies adapted for 140-character text messages. The automated text-messaging algorithm consists two types of messaging: 1-way messages containing education or motivation on the dimension topic that one is being coached on and 2-way messages, in which participants are able to respond to an educational message containing a number response prompt that will provide them with personalized feedback regarding a dimension they are being coached on. All index children were provided with a Physical Activity Monitor (Fitbit Zip) to wear during waking hours for the duration of the study.
Change in Sleep
0.3 hours per day
Interval -0.8 to 0.7
0.3 hours per day
Interval 0.0 to 0.5

SECONDARY outcome

Timeframe: 90 days

Baseline to 90-days post-intervention change in child screen time exposure (hours per day)

Outcome measures

Outcome measures
Measure
Facebook Group
n=23 Participants
The intervention arm consists of evidence-based information on healthy family routines and parenting strategies (i.e., nutrition, frequency of family meals, child's screen time, bedtime routines, physical activity, and sleep) adapted for Facebook posts on a private study Facebook group. All index children were provided with a Physical Activity Monitor (Fitbit Zip) to wear during waking hours for the duration of the study.
Text Messaging (SMS) Group
n=24 Participants
The intervention consists of evidence-based information on healthy family routines and parenting strategies adapted for 140-character text messages. The automated text-messaging algorithm consists two types of messaging: 1-way messages containing education or motivation on the dimension topic that one is being coached on and 2-way messages, in which participants are able to respond to an educational message containing a number response prompt that will provide them with personalized feedback regarding a dimension they are being coached on. All index children were provided with a Physical Activity Monitor (Fitbit Zip) to wear during waking hours for the duration of the study.
Change in Child Screen Time Exposure
-0.7 hours per day
Interval -1.5 to 0.1
-0.4 hours per day
Interval -1.1 to 0.4

SECONDARY outcome

Timeframe: 90 days

Baseline to 90-days post-intervention change in child sugar sweetened beverage intake (servings per day)

Outcome measures

Outcome measures
Measure
Facebook Group
n=23 Participants
The intervention arm consists of evidence-based information on healthy family routines and parenting strategies (i.e., nutrition, frequency of family meals, child's screen time, bedtime routines, physical activity, and sleep) adapted for Facebook posts on a private study Facebook group. All index children were provided with a Physical Activity Monitor (Fitbit Zip) to wear during waking hours for the duration of the study.
Text Messaging (SMS) Group
n=24 Participants
The intervention consists of evidence-based information on healthy family routines and parenting strategies adapted for 140-character text messages. The automated text-messaging algorithm consists two types of messaging: 1-way messages containing education or motivation on the dimension topic that one is being coached on and 2-way messages, in which participants are able to respond to an educational message containing a number response prompt that will provide them with personalized feedback regarding a dimension they are being coached on. All index children were provided with a Physical Activity Monitor (Fitbit Zip) to wear during waking hours for the duration of the study.
Change in Sugar Sweetened Beverage Intake
-0.1 servings per day
Interval -0.3 to 0.2
-0.4 servings per day
Interval -0.8 to 0.0

Adverse Events

Facebook Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Text Messaging (SMS) Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Study Project Manager

Partners Healthcare

Phone: 4259856430

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place