Texas Childhood Obesity Research Demonstration (TX CORD) Project

Summary

A systems approach emphasizes the linkage between individual behavior change strategies and social and physical environmental changes, which act synergistically to facilitate (or inhibit) healthy eating and active living. The hypothesis of this study is that among low-income, ethnically diverse overweight and obese children, aged 2-12 years, a systems approach to child obesity will reduce body mass index (BMI) compared to primary prevention alone.

Conditions

• Childhood Obesity

Interventions

BEHAVIORAL

BMI screening

Physician screening of patients to identify patients who are overweight or obese.

BEHAVIORAL

Next Steps brief clinical intervention

This intervention included identification of children who were overweight or obese, and Next Steps brief counseling materials for the healthcare provider (prior to enrollment in the intervention).

BEHAVIORAL

MEND/CATCH

MEND 2-5 and MEND/CATCH 6-12 programs are multi-component interventions including behavioral, nutrition, and physical activity sessions. In the intensive (first 3 months) phase, MEND 2-5 entailed nine weekly sessions and MEND 6-12 entailed 18 twice weekly sessions.

BEHAVIORAL

MEND/CATCH Transition Phase

The transition phase (next 9 months of the 12-month program) included monthly 90-minute sessions for parents and children included MEND reviews, cooking classes, Being Well book, CATCH activities and MEND World activities. Children were enrolled in YMCA sports teams or programs offered twice weekly to encourage physical activity. Weekly text messages were sent to parents to reinforce behavioral objectives of the intervention.

BEHAVIORAL

Next Steps Self-Paced Booklet

Next Steps booklet for parents and children to work on nutrition and physical activity targets in a self-directed manner. Families were encouraged to seek repeated clinical visits to address child obesity as a follow up to the self-paced booklet.

Sponsors & Collaborators

• Centers for Disease Control and Prevention

  collaborator FED

• Baylor College of Medicine

  collaborator OTHER

• Seton Healthcare Family

  collaborator OTHER

• Texas Department of State Health Services

  collaborator OTHER

• Duke University

  collaborator OTHER

• City University of New York, School of Public Health

  collaborator OTHER

• The University of Texas Health Science Center, Houston

  lead OTHER

Principal Investigators

• Deanna M Hoelscher, PhD · The University of Texas Health Science Center, Houston

• Nancy F Butte, PhD · Children's Nutrition Research Center, Baylor College of Medicine

Study Design

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

2 Years

Max Age

12 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2012-08-31

Primary Completion

2014-12-31

Completion

2015-02-28