As part of Children's Hospital Association's Focus on a Fitter Future III Obesity Task Force, this project will target patient and family expectations across the domains of nutrition, physical activity and behavior change/family support as a means of patient engagement and retention in pediatric weight management. This will be a prospective, non-randomized, uncontrolled, single-arm trial for children between 2 and 18 years of age and a parent/guardian, who are starting a pediatric weight management program/clinic in one of the participating centers. The parent/guardian and child if 12 years of age or older receive a survey at the first visit, which asks about their expectations and goals for the visit. This information will then be used as part of clinical care to tailor treatment. After 3 months, the parent/guardian and adolescent, if applicable, will receive a follow up survey asking about their progress in these areas.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
405
Baseline Expectations survey (parent/guardian and adolescents 12 and older)
3 month follow up survey (parent/guardian and adolescents 12 and older)
Children's Hospital, Colorado
Denver, Colorado, United States
Connecticut Children's Medical Center
Hartford, Connecticut, United States
Children's Hospital of Illinois
Peoria, Illinois, United States
Kosair Children's Hospital
Louisville, Kentucky, United States
Mt. Washington Pediatric Hospital
Baltimore, Maryland, United States
Boston Children's Hospital
Boston, Massachusetts, United States
C.S. Mott Children's Hospital
Ann Arbor, Michigan, United States
Helen DeVos Children's Hospital
Grand Rapids, Michigan, United States
Children's Mercy Hospitals & Clinics
Kansas City, Missouri, United States
Children's Hospital and Medical Center, Omaha
Omaha, Nebraska, United States
...and 2 more locations
Attrition at 3 months
Defined for treatment clinics (i.e., no set end point) as attending an initial appointment but no further appointments in a 3 month period. For treatment programs (i.e., set end point), attrition is defined as attending \<25% of visits in a 3 month period
Time frame: 3 months
Congruence of learning needs and achieved outcomes
Defined as a match between the identified most important treatment expectation in each of the domains at baseline and the most helpful treatment domains at 3 months. Congruent = at least 4 out 6 possible matches.
Time frame: 3 months
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