Increased Monitoring of Physical Activity and Calories With Technology

NCT ID: NCT03961061

Last Updated: 2024-11-08

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

28 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-11-04

Study Completion Date

2022-12-01

Brief Summary

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Since severe obesity in youth has been steadily increasing. Specialized pediatric obesity clinics provide programs to aid in reducing obesity. Since the home environment and parental behavioral modeling are two of the strongest predictors of child weight loss during behavioral weight loss interventions, a family-based treatment approach is best. This strategy has been moderately successful in our existing, evidence-based pediatric weight management program, Brenner Families In Training (Brenner FIT). However, since programs such as Brenner Families in Training rely on face-to-face interactions and delivery, they are sometimes by the time constraints experienced by families. Therefore, the purpose of this study is to develop and pilot a tailored, mobile health component to potentially increase the benefits seen by Brenner FIT standard program components and similar pediatric weight management programs.

Detailed Description

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For this project, we will randomize 80 youth with obesity (13 - 18yrs) and a caregiver (dyads) to the Brenner Families in Training (FIT) group or the Brenner Families in Training Mobile (mFIT) group. All youth participants will receive a commercially available activity monitor. Caregivers will receive podcasts with a story about a caregiver supporting weight loss in a child by providing healthy foods/activities for his/her family, including healthy eating and physical activity information. Children will receive animated videos that contain healthy eating and physical activity messaging, with an engaging story of a child losing weight. All participants will have access to a website and mobile apps where they will track weight, diet, and physical activity for themselves (youth) or their child (parents). Based on their reports of weight, eating, and physical activity, the messaging received from clinical staff by the families will be individually tailored to promote healthy behaviors and overcome perceived barriers. The proposed research is innovative in that it explicitly incorporates theory into the intervention and evaluation components of the project and builds upon an existing literature on mobile health interventions that use mobile technology.

Conditions

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Weight Change, Body Behavior, Health Obesity, Childhood Parent-Child Relations

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

The control group will receive standard Brenner FIT care. The intervention group will receive standard Brenner FIT care in additional to mobile health components in the hopes of maximizing the benefits that are already seen with pediatric weight management programs like Brenner FIT.
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Brenner FIT (Standard Care)

Adolescents will participate in Brenner Families in Training along with their caregiver. They will receive all components of standard Brenner FIT treatments.

Group Type ACTIVE_COMPARATOR

Brenner mFIT (standard care)

Intervention Type BEHAVIORAL

Families attend an orientation, in which they are then scheduled for an initial introductory 2-hour intake group session and cooking class; these occur within 2-4 weeks of the orientation. Monthly 1-hour long visits with the dietitian, counselor, and PA specialist are held for 6 months, in which the child and caregiver see the pediatrician. During the 6 months of treatment, they attend 4 group classes, choosing from topics such as meal planning, PA, and parenting. Specialized visits with the PA specialist or dietician are scheduled as pertinent issues arise. Motivational interviewing, modified by Brenner FIT for use with families, is the key to treatment; family counselors are trained in cognitive behavioral therapy, parenting support/mindfulness, and employ these approaches to assist families in developing healthy habits.

Brenner mFIT (standard care plus mobile health components)

Adolescents will participate in Brenner Families in Training along with their caregiver.

Brenner mFIT (Families in Training + mobile health) includes all components of the standard Brenner FIT

Group Type EXPERIMENTAL

Brenner mFIT (standard care plus mobile health components)

Intervention Type BEHAVIORAL

Brenner mFIT includes all components of the standard Brenner FIT program in addition to six mobile health components.

The six mHealth components that will be used in addition to standard Brenner Families in Training program include-

1. a mobile-enabled website,
2. diet and physical activity tracking apps and physical activity tracker
3. tailored self-monitoring feedback
4. caregiver podcasts
5. animated videos for adolescent patients
6. social support via social media.

Interventions

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Brenner mFIT (standard care)

Families attend an orientation, in which they are then scheduled for an initial introductory 2-hour intake group session and cooking class; these occur within 2-4 weeks of the orientation. Monthly 1-hour long visits with the dietitian, counselor, and PA specialist are held for 6 months, in which the child and caregiver see the pediatrician. During the 6 months of treatment, they attend 4 group classes, choosing from topics such as meal planning, PA, and parenting. Specialized visits with the PA specialist or dietician are scheduled as pertinent issues arise. Motivational interviewing, modified by Brenner FIT for use with families, is the key to treatment; family counselors are trained in cognitive behavioral therapy, parenting support/mindfulness, and employ these approaches to assist families in developing healthy habits.

Intervention Type BEHAVIORAL

Brenner mFIT (standard care plus mobile health components)

Brenner mFIT includes all components of the standard Brenner FIT program in addition to six mobile health components.

The six mHealth components that will be used in addition to standard Brenner Families in Training program include-

1. a mobile-enabled website,
2. diet and physical activity tracking apps and physical activity tracker
3. tailored self-monitoring feedback
4. caregiver podcasts
5. animated videos for adolescent patients
6. social support via social media.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

Youth with obesity, 13 - 18yrs, who are enrolled or eligible to enroll in Brenner Families in Training (FIT). Caregivers must live in the home with their youth participants. Obesity is defined a BMI (35.9 +/- 8.6). Participants must also have access to a smartphone or tablet

Exclusion Criteria

Adolescents under the age of 13 will be excluded. If participants do not have access to a smartphone or tablet, they will not be able to participate.
Minimum Eligible Age

13 Years

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

NIH

Sponsor Role collaborator

Wake Forest University Health Sciences

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Justin B Moore, PhD

Role: PRINCIPAL_INVESTIGATOR

Wake Forest University Health Sciences

Locations

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Brenner Children's Hospital

Winston-Salem, North Carolina, United States

Site Status

Countries

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United States

References

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Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Document Type: Informed Consent Form

View Document

Other Identifiers

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R34DK119815

Identifier Type: NIH

Identifier Source: secondary_id

View Link

IRB00058207

Identifier Type: -

Identifier Source: org_study_id

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