In 2007 the Expert Committee published recommendations on the prevention and treatment of childhood obesity. These recommendations outlined four interventions intended for advancement based on the child's age, body mass index (BMI), and response to treatment. The initial stage, Prevention Plus, is to be implemented in the primary care setting and focuses on primary care providers monitoring growth monthly and delivering intervention messages that target dietary and leisure-time behaviors that most contribute to energy imbalance in children. Little research has evaluated the efficacy of these recommendations. Thus the primary goal of the proposed pilot study is to test the feasibility of the Prevention Plus stage for treating childhood overweight and obesity in a primary care setting. As the cost of interventions is a large barrier to the translation of evidence-based research into primary care settings, a second goal of the project is to evaluate program cost-effectiveness.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
22
Caretakers will be encouraged to monitor child growth monthly.
Caretakers will monitor growth monthly in addition participating in family-based behavioral counseling
Knoxville Pediatric Associates
Knoxville, Tennessee, United States
Healthy Eating and Activity Laboratory
Knoxville, Tennessee, United States
Weight Status
BMI z-score
Time frame: Baseline and 6-month
Dietary Intake
dietary intake (sweetened beverages, fruits and vegetables, energy, and percent energy from fat)
Time frame: baseline and 6-months
Leisure-time Behaviors
leisure-time behaviors (moderate-intense physical activity and television viewing)
Time frame: Baseline and 6-months
Caretaker Feeding Behaviors
Caretaker feeding behaviors (authoritative, authoritarian, permissive, restrictive) assessed by questionnaires
Time frame: Baseline and 6-months
Cost Effectiveness
The total program cost per 0.1 change in BMI z-score
Time frame: 6-months
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