The objective of this project is to pilot test a behavioral intervention that includes a home visit component compared to a clinic only and standard of care for the treatment of obesity in preschool age children. The results of this study will inform the design of a larger randomized control trial. H1: The clinic + home intervention will result in a significantly greater decrease in BMIz compared to the in clinic only intervention or pediatric standard of care at 6 months post-treatment.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
60
A 6 month intervention consisting of two phases: Phase I Intensive intervention is 12 weekly sessions that alternate between a group-based clinic session (concurrent parent and child groups) and individual home visits. Phase II Maintenance is 12 weeks of every other week visits alternating between clinic and home. Treatment targets 3 components: Dietary education, physical activity and parenting training.
A one-time 45 minute visit with a board certified pediatrician that focuses on the AAP guidelines for eating and physical activity for preschool aged children.
Cincinnati Children's Hospital Medical Center
Cincinnati, Ohio, United States
Change in BMI z score
Body mass index z score
Time frame: Change from Baseline to 6 months
Change in Parent weight loss
Time frame: Change from baseline to 6 months
Change in Child caloric intake
Time frame: Change from baseline to 6 months
Change in Home food and activity environment
Time frame: Change from baseline to 6 months
Change in Child physical activity
Time frame: Change from baseline to 6 months
Change in Parent-child mealtime interactions
Time frame: Change from baseline to 6 months
Change in Health related quality of life
Time frame: Change from baseline to 6 months
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A 6 month intervention consisting of two phases: Phase I Intensive intervention is 6 sessions delivered in a group-based format in clinic (concurrent parent and child groups) every other week. Phase II Maintenance is 3 monthly clinic visits. Treatment targets 3 components: Dietary education, physical activity and parenting training.