Examination of a Treatment Program for Overweight Children, Adolescents, and Their Families
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Purpose
The current study examined the effectiveness of a behaviorally-based group intervention for overweight children and their families. The target intervention was compared to an enhanced standard of care treatment. The impact of both treatment programs on numerous outcomes was explored.
| Condition | Intervention |
|---|---|
|
Obesity |
Behavioral: Positively Fit Other: Brief Family Intervention (Primarily education) |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Effectiveness of a Treatment Program for Pediatric Obesity |
- BMI Percentile Change [ Time Frame: Treatment completion, 1 year follow up ] [ Designated as safety issue: No ]
- Quality of Life - The PedsQL™ (version 4.0;Varni et al., 2001) [ Time Frame: treatment completion, one year follow up ] [ Designated as safety issue: No ]
- Child Psychosocial Adjustment -- the Behavioral Assessment System for Children- Parent report form (BASC-PRF) and the BASC-Child Self Report (BASC-CSR; Reynolds & Kamphaus, 2002) [ Time Frame: Treatment completion, one year follow up ] [ Designated as safety issue: No ]
- Cost-effectiveness [ Time Frame: Treatment completion, one year follow up ] [ Designated as safety issue: No ]
- Consumer Satisfaction [ Time Frame: Treatment completion ] [ Designated as safety issue: No ]
| Enrollment: | 93 |
| Study Start Date: | July 2006 |
| Study Completion Date: | May 2010 |
| Primary Completion Date: | December 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: Brief Family Intervention (Primarily education)
Behaviorally based family group intervention using standard education and nutrition counseling. Three hours of client contact
|
Other: Brief Family Intervention (Primarily education)
3 hours of contact with registered dietician for education and nutritional counseling.
|
|
Experimental: Positively Fit
12 week (90 minute per session) behavioral group intervention for children and their parents. Children and parent attend parallel group with identical (but developmentally appropriate) information presented.
|
Behavioral: Positively Fit
12-week group intervention for children with obesity and their parents/caregivers
|
Detailed Description:
The primary objective of the present investigation was to determine the effectiveness of an empirically supported intervention for pediatric overweight in two outpatient clinical settings. A number of previous randomized clinical trials have demonstrated the efficacy of behaviorally-based group interventions for overweight children and their families. As called for by Kazdin and Weisz (1998) and Chambless and Hollon (1998) the proposed investigation was designed to demonstrate the effectiveness of such a treatment in a clinical setting, and to examine the effects of the intervention on children's quality of life (QOL). Because the clinical impact of empirically supported interventions is mitigated by economic and consumer variables, a secondary aim of the proposed investigation was to examine (1) the cost-effectiveness of an outpatient group intervention for pediatric obesity, and (2) the consumer satisfaction with the proposed intervention. Finally, an additional exploratory aim was to examine predictors of adherence to treatment for the intervention.
Eligibility| Ages Eligible for Study: | 7 Years to 17 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Child between ages 7 and 17 (inclusive)
- Child BMI at or above the 85th percentile based on norms provided for age and gender
- Child's parent/guardian provides informed consent for treatment of the child as well as consent for study participation
- Child's parent/caregiver is willing to participate with the child in the program
Exclusion Criteria:
- Presence of serious mental illnesses or significant developmental delay that would reasonably predict altered ability to adhere to the treatment protocol
- Current physical illness or hospitalization of the child that would interfere with group attendance or protocol adherence
Contacts and Locations| United States, Kansas | |
| University of Kansas Medical Center | |
| Kansas City, Kansas, United States, 66160 | |
| University of Kansas | |
| Lawrence, Kansas, United States, 66045 | |
| Principal Investigator: | Ric G Steele, Ph.D. | University of Kansas |
| Principal Investigator: | Ann M. Davis, Ph.D. | University of Kansas |
More Information
Publications:
| Responsible Party: | University of Kansas |
| ClinicalTrials.gov Identifier: | NCT00365807 History of Changes |
| Other Study ID Numbers: | R40MC06631-01-00 |
| Study First Received: | August 17, 2006 |
| Last Updated: | November 2, 2012 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by University of Kansas:
|
Obesity Overweight Behavioral treatment Family involvement |
Additional relevant MeSH terms:
|
Obesity Overnutrition Nutrition Disorders |
Overweight Body Weight Signs and Symptoms |
ClinicalTrials.gov processed this record on May 16, 2013