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Translational Obesity Research (Pathways)

This study has been completed.
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Information provided by (Responsible Party):
University of Southern California Identifier:
First received: November 6, 2008
Last updated: March 22, 2017
Last verified: March 2017
The proposed project takes an innovative approach to childhood obesity prevention, for which there currently no evidence-based programs, and for which results of current trials have produced mainly short-term or disappointing effects. The aim of this project is to adapt and revise parts of two nationally recognized programs for drug prevention for use with children in grades 4-6 with the express purpose of obesity prevention. The current study will attempt to promote emotion regulation, neuro-cognitive function, and social competence in order to prevent obesity. A total of 24 elementary schools from two of the largest districts in Orange County will be randomly assigned to either the obesity prevention program or control group (N=1587) 4th grade students and their parents). A cohort of students will be followed from the 4th through 6th grades. Intervention students will be administered the Pathways obesity prevention program by trained teachers. The population is ethnically diverse (36% white, 57% Hispanic, 6%Asian; 48% on free/reduced lunch programs). Self-report measures, BMI, and waist circumference will be administered at the beginning of 4th grade, and at end of 4th , 5th , and 6th grade. Teacher, administrative, and parent surveys will be administered on the same schedule to measure school environment. Program implementation will be measured by teacher self-report and research staff observations. Data will be analyzed with statistical approaches that capture effects of school and classroom, test the theoretical model of change, and evaluate developmental trends in mediators and outcomes across the three grades. Findings should be generalizable to most elementary schools, and will be used to develop evidence-based program standards for childhood obesity prevention.

Condition Intervention
Behavioral: Pathways

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: No masking
Primary Purpose: Prevention
Official Title: Translational Research: Applying Drug Prevention to Obesity Prevention

Further study details as provided by University of Southern California:

Primary Outcome Measures:
  • Food Intake [ Time Frame: 9 month posttest, 21 month follow-up, 33 month follow-up ]
  • Physical Activity [ Time Frame: baseline, 9 month posttest, 21 month posttest, 33 month posttest ]
  • Body Mass Index [ Time Frame: baseline, 9 month posttest, 21 month posttest, 33 month posttest ]

Secondary Outcome Measures:
  • Executive Cognitive Function [ Time Frame: baseline, 9 month posttest, 21 month posttest, 33 month posttest ]
  • Stress [ Time Frame: baseline, 9 month posttest, 21 month posttest, 33 month posttest ]
  • Attitudes toward healthy eating and physical activity [ Time Frame: baseline, 9 month posttest, 21 month posttest, 33 month posttest ]

Enrollment: 1005
Study Start Date: May 2007
Study Completion Date: February 28, 2014
Primary Completion Date: April 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: 1
Receives Pathways universal school-based health promotion curriculum from 4th-6th grade
Behavioral: Pathways
3-year, 30 lesson, School-based universal health promotion curriculum with parent component.
No Intervention: 2
Control group of students who do not receive the intervention


Ages Eligible for Study:   Child, Adult, Senior
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • 4th grade students at participating schools

Exclusion Criteria:

  Contacts and Locations
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Please refer to this study by its identifier: NCT00787709

United States, California
University of Southern California
Alhambra, California, United States, 91803
Sponsors and Collaborators
University of Southern California
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Principal Investigator: Mary Ann Pentz, PhD University of Southern California
Principal Investigator: Nathaniel R Riggs, PhD University of Southern California
  More Information

Publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: University of Southern California Identifier: NCT00787709     History of Changes
Other Study ID Numbers: HS-08-00437
R01HD052107 ( US NIH Grant/Contract Award Number )
Study First Received: November 6, 2008
Last Updated: March 22, 2017

Keywords provided by University of Southern California:
Obesity prevention
Health promotion
School based curriculum

Additional relevant MeSH terms:
Nutrition Disorders
Body Weight
Signs and Symptoms processed this record on April 28, 2017