Reducing Barriers to Behavior Change Among Youth With Pediatric Overweight and Obesity

This study has been terminated.
(Study was terminated due to poor enrollment.)
Sponsor:
Collaborators:
Children's Health System, Inc.
Wisconsin Department of Health and Family Services
Information provided by:
Medical College of Wisconsin
ClinicalTrials.gov Identifier:
NCT00863083
First received: March 16, 2009
Last updated: June 17, 2010
Last verified: June 2010

March 16, 2009
June 17, 2010
February 2009
July 2009   (final data collection date for primary outcome measure)
  • dietary habits [ Time Frame: pre, post, quarterly follow ups ] [ Designated as safety issue: No ]
  • physical and sedentary activity [ Time Frame: pre, post, quarterly follow ups ] [ Designated as safety issue: No ]
Same as current
Complete list of historical versions of study NCT00863083 on ClinicalTrials.gov Archive Site
  • body mass index [ Time Frame: pre, post, quarterly follow ups ] [ Designated as safety issue: No ]
  • participant satisfaction [ Time Frame: post intevention ] [ Designated as safety issue: No ]
Same as current
Not Provided
Not Provided
 
Reducing Barriers to Behavior Change Among Youth With Pediatric Overweight and Obesity
Reducing Barriers to Behavior Change Among Youth With Pediatric Overweight and Obesity

The purpose of the study is to examine the extent to which two different reward systems implemented in the context of a multi-family pediatric weight management group differentially promote adoption of healthy eating and activity habits among overweight and obese 8-17 year old youth. Participants will be randomly assigned to one of two reward conditions: rewards for attendance only or rewards for attendance and goal attainment. We hypothesize that all participants will demonstrate significant increases in healthy nutritional choices and physical activity and significant reductions in sedentary activity from pre-intervention to post intervention. We expect that participants in attendance plus goal attainment reward condition will demonstrate significantly greater improvements than participants in the attendance only condition.

Pediatric overweight and obesity are significant public health concerns, and group based interventions incorporating behavioral, nutrition, and activity disciplines have showed modest success in improving youth health and weight status. The role of financial rewards in encouraging attendance at weight management sessions and acquisition of healthy eating and activity habits is not well understood in the context of pediatric weight management, however. Behavior theory suggests that positive reinforcement can increase the frequency of desirable behaviors. As such, the primary goal of the study is to evaluate the role of different reinforcement systems in increasing healthy nutritional choices, increasing physical activity, and decreasing sedentary activity among youth participating in a multifamily group based pediatric overweight/obesity intervention program. An additional aim of the study is to evaluate the role of different levels of rewards in decreasing BMI among youth participating in a multifamily group based pediatric overweight/obesity intervention program. Participants will be randomly assigned to one of two different reward conditions: Condition A (rewards for attendance only) and Condition A+G (rewards for attendance and goal attainment).

Up to 80 participants will be recruited to participate. Eligibility criteria include patient age 8-17 years, patient with public insurance managed by Children's Community Health Network, English speaking patient and parent, and patient body mass index at or above the 85th percentile for age and sex. Exclusion criteria include: significant patient developmental or cognitive delay, or concurrent involvement in another formal weight management program.

Pre and post intervention assessments of anthropometric, psychosocial, nutritional, and physical fitness variables will be conducted, and participants will complete 8 weekly multi-family group-based weight management intervention sessions involving psychology, physical therapy, and dietitian disciplines. Following this intensive phase, families will follow up on a quarterly basis for one year. Families will receive financial rewards for attending program sessions (Conditions A and A+G) and for completing behavioral monitoring assignments (Condition A+G).

Interventional
Not Provided
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
  • Pediatric Obesity
  • Pediatric Overweight
Behavioral: Multifamily weight management intervention
8 week multifamily group weight management intervention incorporating behavioral health, nutrition, and activity disciplines.
  • Active Comparator: 1
    Multifamily group weight management intervention plus rewards for program attendance
    Intervention: Behavioral: Multifamily weight management intervention
  • Active Comparator: 2
    Multifamily group weight management intervention plus rewards for attendance and goal attainment
    Intervention: Behavioral: Multifamily weight management intervention
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Terminated
12
July 2009
July 2009   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • patient age 8-17 years
  • patient with public insurance managed by Children's Community Health Network
  • English speaking patient and parent
  • patient body mass index at or above the 85th percentile for age and sex
  • parent or legal guardian willing to participate

Exclusion Criteria:

  • significant patient developmental or cognitive delay
  • concurrent involvement in another formal weight management program.
Both
8 Years to 17 Years
No
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT00863083
CHW 08/101
No
Rachel Neff Greenley PhD/Principal Investigator, Medical College of Wisconsin
Medical College of Wisconsin
  • Children's Health System, Inc.
  • Wisconsin Department of Health and Family Services
Principal Investigator: Rachel Neff Greenley, PhD Medical College of Wisconsin
Medical College of Wisconsin
June 2010

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP