Mass in Motion Kids is a whole-of-community intervention in Fitchburg and New Bedford, Massachusetts that incorporates evidence-based interventions across multiple sectors and at multiple levels. The overall goal of the study is to examine the extent to which the comprehensive, systematic intervention reduces childhood obesity among underserved children. The clinical intervention implements evidence-based interventions each city's federally-qualified community health center. Intervention components aim to improve primary and secondary prevention of childhood obesity and implement changes at four levels: clinician; parent-family; organizational; and environmental. We additionally provide training and educational materials to other pediatric clinicians in the two communities. The clinical intervention components include (1) advanced training on clinical quality improvement and obesity prevention, assessment, management; (2) computerized, point-of-care decision support tools for clinicians; (3) implementation of multi-disciplinary weight management programs within the community health centers, e.g. Healthy Weight Clinics (HWC); (4) integrating community health workers into the primary care and HWC teams; and (5) health center environmental changes to support behavior change modification.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
PREVENTION
Masking
NONE
Enrollment
3,765
The clinical intervention components included (1) advanced training on clinical quality improvement and obesity prevention, assessment, management; (2) computerized, point-of-care decision support tools for clinicians; (3) implementation of multi-disciplinary weight management programs within the community health centers, e.g. Healthy Weight Clinics (HWC); (4) integrating community health workers into the primary care and HWC teams; and (5) health center environmental changes to support behavior change modification.
Community Health Connections, Inc.
Fitchburg, Massachusetts, United States
Greater New Bedford Community Health Center
New Bedford, Massachusetts, United States
Change from baseline Body Mass Index at 2 years
Longitudinal medical record data
Time frame: 2 years prior to intervention start through study end (expected average of 4 years)
Change from baseline Obesogenic Behaviors at 2 years
Measures include diet (fruit and vegetable consumption, sugar sweetened beverage intake), physical activity, screen time, television in child's bedroom and sleep.
Time frame: Baseline, 2 year
Change from baseline Child Quality of Life at 2 years
Measured using scales from the Pediatric Quality of Life Inventory (PedsQL) TM, parent report for child.
Time frame: Baseline, 2 year
Change from baseline Healthcare Satisfaction at 2 years
Questions adapted from the Patient Assessment of Chronic Care (PACIC) tool
Time frame: Baseline, 2 year
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