Redesigning Pediatric Primary Care Obesity Treatment: Virtual House Calls

NCT ID: NCT06078774

Last Updated: 2025-12-23

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

10 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-01-24

Study Completion Date

2024-08-16

Brief Summary

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This study examines a redesign of pediatric primary care overweight/obesity treatment, augmenting typical in-person visits with: (1) direct-to-patient video telehealth to tailor counseling advice to families, (2) that leverages certified health coaches as a part of the care team, and (3) creates skills building in real-time within the home environment.

Detailed Description

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Investigators will recruit children with an elevated body mass index (BMI) (85th to \<99th percentile) and a parent. Dyads will participate in a 24-week intervention with a total of 26 contact hours. Dyads will participate in weekly education sessions for the first 12 weeks and bi-weekly sessions for the remaining 12 weeks. Additionally, dyads will participate in weekly exercise sessions.

Assessments will consist of anthropometric measures, psychological surveys, and nutritional evaluations. Assessments will be completed at baseline, 3-months and 6-months.

Conditions

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Obesity, Pediatric

Keywords

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Obesity House Calls Pediatric Primary Care Virtual Telehealth

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Virtual Health Coach - Parent/Child Dyad

Focuses on providing personalized care conveyed in an integrated and visually demonstrated way for parent-child pairs. Healthy lifestyle changes and behaviors covered in sessions are designed to initiate and maintain behavior change in nutrition and physical activity with BMI improvement.

Group Type EXPERIMENTAL

Virtual Health Coach

Intervention Type BEHAVIORAL

Dyads first session will be 60-minutes, totaling 1 hour. Dyads will participate in weekly 30-minute sessions for weeks 2-12, totaling 5.5 hours.

Dyads will participate bi-weekly 30-minute sessions for 12 weeks, totaling 3 hours.

Dyads will participate in weekly 30-minute exercise sessions for 24-weeks, totaling 12 hours.

Children will have 3, 30-minute visits with their primary care physician (PCP) every 3 months, totaling 1.5 hours.

Parents will have three, 60-minute individual sessions, totaling 3 hours. Total study duration is 24 weeks, with a total of 26 contact hours.

Sessions follow a behavior therapy approach, including guided goal-setting, self-monitoring, identifying barriers and solutions, contingency management, stimulus control, dealing with setbacks, maintenance and relapse prevention. Weight is assessed weekly by coaches, with MI-consistent, autonomy-supportive feedback provided. Parent sessions will focus on ways to support their child's weight management.

Interventions

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Virtual Health Coach

Dyads first session will be 60-minutes, totaling 1 hour. Dyads will participate in weekly 30-minute sessions for weeks 2-12, totaling 5.5 hours.

Dyads will participate bi-weekly 30-minute sessions for 12 weeks, totaling 3 hours.

Dyads will participate in weekly 30-minute exercise sessions for 24-weeks, totaling 12 hours.

Children will have 3, 30-minute visits with their primary care physician (PCP) every 3 months, totaling 1.5 hours.

Parents will have three, 60-minute individual sessions, totaling 3 hours. Total study duration is 24 weeks, with a total of 26 contact hours.

Sessions follow a behavior therapy approach, including guided goal-setting, self-monitoring, identifying barriers and solutions, contingency management, stimulus control, dealing with setbacks, maintenance and relapse prevention. Weight is assessed weekly by coaches, with MI-consistent, autonomy-supportive feedback provided. Parent sessions will focus on ways to support their child's weight management.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

Children:

* Ages 9-13 years
* BMI 85th to \<99th percentile
* Must be a patient within Health System Pediatric Primary Care
* Must be English or Spanish speaking

Parent:

-Must be English or Spanish speaking

Exclusion Criteria

Children:

* Cannot have an emotional, social, or physical disability that would prevent them from participating in the protocol
* Non-English or Non-Spanish speaking
* Cannot have a medical condition resulting in unintentional weight gain (i.e. Prader Willi)
* Females cannot be pregnant
* In addition, children will potentially be excluded from participation if they have a positive screen during an interview led pre-screening eating disorder questionnaire

Parent:

-Non-English or Non-Spanish speaking
Minimum Eligible Age

9 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Virginia Commonwealth University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Melanie Bean, PhD

Role: PRINCIPAL_INVESTIGATOR

Virginia Commonwealth University

Locations

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Virginia Commonwealth Universiy

Richmond, Virginia, United States

Site Status

Countries

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United States

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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HM20026673

Identifier Type: -

Identifier Source: org_study_id