Treatment Efforts Addressing Child Weight Management by Unifying Patients, Parents & Providers

Summary

The US Preventive Services Task Force (USPSTF) recommends that providers screen children aged 6 years and older for obesity and offer or refer them to a comprehensive behavioral intervention (≥26 hours over a period of up to 12 months) to promote improvement in weight status. Family-based behavioral treatment (FBT) is an effective treatment that targets both child and parents and meets the USPSTF recommendations. By contrast, the American Medical Association (AMA) recommends a staged approach to childhood obesity screening and counseling, which begins with prevention counseling by the primary care provider (PCP) and includes assessment of weight status, patient/family motivation and readiness to change, promotion of healthy eating and activity habits, and use of health behavior change strategies. Our study compares a staged approach enhanced standard of care (eSOC) vs. eSOC + FBT, to provide families and PCPs with information on the best intervention approach for the behavioral treatment of childhood obesity. Our project seeks to fill the gap in the evidence on family-based weight management in primary care settings among diverse and underserved populations with a special focus on Black children, families insured by Medicaid, and sex differences.

Conditions

• Obesity, Childhood
• Pediatric Obesity
• Childhood Obesity
• Adolescent Obesity
• Overweight
• Overweight and Obesity
• Overweight or Obesity
• Overweight Adolescents
• Weight Gain
• Overnutrition
• Body Weight
• Body Weight Changes
• Nutrition Disorders

Interventions

BEHAVIORAL

eSOC program

American Medical Association (AMA) recommended staged approach to childhood obesity screening and counseling

BEHAVIORAL

FBT program

An intensive,comprehensive, behavioral intervention aligned with the US Preventive Services Task Force recommendations for childhood obesity screening and counseling.

Sponsors & Collaborators

• Patient-Centered Outcomes Research Institute

  collaborator OTHER

• Blue Cross and Blue Shield of Louisiana

  collaborator UNKNOWN

• American Academy of Pediatrics

  collaborator OTHER

• Pennington Biomedical Research Center

  collaborator OTHER

• Louisiana Healthcare Connections

  collaborator UNKNOWN

• Nationwide Children s Hospital in Columbus, Ohio

  collaborator UNKNOWN

• University of Rochester

  collaborator OTHER

• Washington University School of Medicine

  lead OTHER

Principal Investigators

• Denise E. Wilfley, PhD · Washington University School of Medicine

• Stephen Cook, MD, MPH · University of Rochester

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

6 Years

Max Age

15 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2019-09-12

Primary Completion

2024-06-26

Completion

2024-07-26

Countries

• United States

Study Locations