PALS-CATCH Intervention for Obesity Prevention Among At-risk Toddlers

The University of Texas Health Science Center, Houston60 enrolled

Overview

The purpose of this study is to learn whether a combination of two research-proven programs, a responsive caregiving parenting program and a childhood obesity prevention program, will have an effect on toddlers' healthy nutrition and physical activity behaviors. Investigators hypothesize that the children participating in the intervention will have significantly lower BMI z-scores, lower intake of sugar sweetened beverages, and increased number of servings of fruits and vegetables, and minutes of physical activity.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Childhood Obesity

Interventions

ENRICHBEHAVIORAL

The intervention, called ENRICH (Encouraging Nurturing Responsiveness to Improve Child Health), is a 10-week home-based parent-centered curriculum designed to facilitate parents' mastery of skills for interacting with their toddler to increase opportunities for healthy eating and activity. Each weekly session is a 60 minute session implemented by a trained coach.

Control - monthly handoutsBEHAVIORAL

The control group receives monthly handouts (one per month) for 3 months that provides information on various topics including child cognitive and language development and child behaviors as it pertains to 2 and 3 year old children.

Eligibility

Sex: ALLMin age: 24 MonthsMax age: 48 Months

Medical Language ↔ Plain English

Inclusion Criteria: * child is 2 - 3 years at the time of enrollment * child is \>85th percentile for BMI * ability of the parents to speak and read in English at the 4th grade level * provide primarily in-home care for the children at the time of enrollment * child is Medicaid eligible Exclusion Criteria: * acute secondary complications of obesity for child (e.g., severe respiratory insufficiency) * child with endocrine abnormalities * child with severe obesity (\>99.5th BMI percentile) * children who have participated in an obesity treatment program within the past year * parent with significant sensory impairments (e.g. deaf, blind) * parent with BMI \>40.0

Locations (1)

University of Texas Health Science Center at Houston

Houston, Texas, United States

RECRUITING

Outcomes

Primary Outcomes

change in child Body Mass Index

Time frame: baseline and 10 weeks

Secondary Outcomes

change in intake of servings of sugar sweetened beverages for the child as assessed using 24 hour parent-reported recalls

investigators will assess intake of sugar sweetened beverages per day as collected using multiple 24 hour recalls with the parents conducted by trained interviewers.

Time frame: baseline and 10 weeks

change in total intake of servings fruits and vegetables for the child as assessed using 24 hour parent-reported recalls

investigators will assess total intake of servings of fruit and vegetable per day as collected using multiple 24 hour recalls with the parents conducted by trained interviewers.

Time frame: baseline and 10 weeks

change in daily minutes of physical activity for the child as assessed using accelerometers

Time frame: baseline and 10 weeks

Central Contacts

Shreela Sharma, PhD, RD

CONTACT

713-500-9244 Shreela.v.sharma@uth.tmc.edu

Data from ClinicalTrials.gov

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