Childhood Obesity Prevention Program for Hispanics - Full Text View

Purpose

The purpose of this study is to evaluate the efficacy of a culturally-appropriate childhood obesity intervention with Hispanic families. The program aims at preventing childhood obesity by targeting parents to address nutrition, physical activity, and sedentary behaviors in their children.

Condition	Intervention
Childhood Obesity	Behavioral: Healthy Families-Childhood Obesity Prevention and Oral Health


Study Type:	Interventional
Study Design:	Allocation: Randomized Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Prevention
Official Title:	Culturally-Appropriate Childhood Obesity Prevention Program for Hispanic Families

Further study details as provided by Meharry Medical College:

Primary Outcome Measures:

Body Mass Index (BMI)-for-age percentile [ Time Frame: one year ]

Secondary Outcome Measures:

Child eating behaviors [ Time Frame: One year ]
Child physical activity (accelerometers) [ Time Frame: One year ]
Parenting strategies [ Time Frame: One year ]
parent physical activity [ Time Frame: one year ]


Enrollment:	319
Study Start Date:	May 2010
Study Completion Date:	May 2016
Primary Completion Date:	November 2013 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
Experimental: Active Intervention: Obesity Prevention	Behavioral: Healthy Families-Childhood Obesity Prevention and Oral Health The active intervention was adapted from the We Can! parent intervention to be culturally-appropriate for Hispanic families of children ages 5-7. The tailored intervention is based on Social Cognitive Theory and Behavioral Choice Theory to provide parents and children with cognitive and behavioral skills to enable change in the target behaviors, and to encourage them to practice using these skills to strengthen their perceived competence in using these behaviors effectively.
Experimental: Alternative Intervention/control: Oral Health	Behavioral: Healthy Families-Childhood Obesity Prevention and Oral Health The active intervention was adapted from the We Can! parent intervention to be culturally-appropriate for Hispanic families of children ages 5-7. The tailored intervention is based on Social Cognitive Theory and Behavioral Choice Theory to provide parents and children with cognitive and behavioral skills to enable change in the target behaviors, and to encourage them to practice using these skills to strengthen their perceived competence in using these behaviors effectively.

Arms

Assigned Interventions

Experimental: Active Intervention: Obesity Prevention

Behavioral: Healthy Families-Childhood Obesity Prevention and Oral Health

The active intervention was adapted from the We Can! parent intervention to be culturally-appropriate for Hispanic families of children ages 5-7. The tailored intervention is based on Social Cognitive Theory and Behavioral Choice Theory to provide parents and children with cognitive and behavioral skills to enable change in the target behaviors, and to encourage them to practice using these skills to strengthen their perceived competence in using these behaviors effectively.

Experimental: Alternative Intervention/control: Oral Health

Behavioral: Healthy Families-Childhood Obesity Prevention and Oral Health

The active intervention was adapted from the We Can! parent intervention to be culturally-appropriate for Hispanic families of children ages 5-7. The tailored intervention is based on Social Cognitive Theory and Behavioral Choice Theory to provide parents and children with cognitive and behavioral skills to enable change in the target behaviors, and to encourage them to practice using these skills to strengthen their perceived competence in using these behaviors effectively.

Detailed Description:

Childhood obesity has been ranked as a critical public health threat in the U.S. due to the increasing prevalence of obesity among children over the past three decades. Childhood obesity poses both intermediate and long-term health risks, as well as considerable economic costs. While this epidemic affects all socioeconomic levels, certain racial/ethnic groups are disproportionately affected, including Hispanics.The long-term goal of the current research is to contribute to the reduction of racial/ethnic disparities in obesity and obesity-related outcomes among Hispanics by testing a childhood obesity prevention program that has been culturally tailored for the Hispanic population through a participatory process. This developmental community-based participatory research (CBPR) project is a collaborative community-academic partnership between Meharry Medical College (MMC), Tennessee State University-Center for Health Research (TSU-CHR), and a grassroots community-based organization called Progreso Community Center (PCC). The Childhood Obesity Study is designed to evaluate two programs for Hispanic children ages 5 to 7 and their parents. One program focuses on nutrition and physical activity (based on NIH's "We Can!" program), and a parallel program focuses on oral health (developed by TSU's Dental Hygiene Program). Upon enrollment in the Study, parents and children will respond to an initial interview involving body measurement and questionnaire. Families will be given physical activity monitor to be worn for 7 days and randomly assigned to one of two groups. The families assigned to the Nutrition and Physical Activity Program will attend eight (8) bi-weekly classes (one every two weeks for four months) dealing with nutrition and physical activity. In the Oral Health Program families will attend 4 monthly classes (once a month for four months). These sessions deal with ways to take care of children's teeth and oral health. In addition, these families will have the opportunity to sign up for a free dental cleaning and assessment at the Dental Hygiene Clinic at Tennessee State University.

Eligibility


Ages Eligible for Study:	5 Years to 8 Years (Child)
Sexes Eligible for Study:	All
Accepts Healthy Volunteers:	Yes

Criteria

Inclusion Criteria:

Children:

5-7 year-old female or male of Hispanic origin (identified by parent)
resident of Davidson County or adjacent counties
≥25th percentile of age- and sex-specific BMI (CDC growth charts) or one parent/caregiver with BMI ≥ 25 kg/m2
More than one child may enroll per family

Parents:

Hispanic origin (self-identified)
Spanish speaker
adult age 18 or older
parent of at least one eligible child
Only one parent per family may enroll as a study participant and respond to questionnaires

Exclusion Criteria:

Children:

BMI ≥ 35 kg/m2
Medical conditions affecting growth
Conditions limiting participation in the interventions or measurements
Taking medications affecting growth
No consent or inability to understand informed consent
Incomplete or missed baseline assessments
Plan to move from geographic area within the next 12 months.

Parents:

No exclusions

Contacts and Locations

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01156402

Locations


United States, Tennessee
Vanderbilt University
Nashville, Tennessee, United States, 37203
Meharry Medical College
Nashville, Tennessee, United States, 37208

Sponsors and Collaborators

Meharry Medical College

Vanderbilt University

More Information

Publications:

Zoorob R, Buchowski MS, Beech BM, Canedo JR, Chandrasekhar R, Akohoue S, Hull PC. Healthy families study: design of a childhood obesity prevention trial for Hispanic families. Contemp Clin Trials. 2013 Jul;35(2):108-21. doi: 10.1016/j.cct.2013.04.005. Epub 2013 Apr 26.


Responsible Party:	Meharry Medical College
ClinicalTrials.gov Identifier:	NCT01156402 History of Changes
Other Study ID Numbers:	030425PC062 03 (Meharry IRB)
Study First Received:	June 14, 2010
Last Updated:	May 5, 2016

Keywords provided by Meharry Medical College:


Obesity Pediatric Obesity

Additional relevant MeSH terms:


Obesity Pediatric Obesity Overnutrition Nutrition Disorders	Overweight Body Weight Signs and Symptoms

ClinicalTrials.gov processed this record on July 25, 2017