An Evaluation of a Web-based System for Optimization of Behavioral Childhood Obesity Treatment

Karolinska Institutet28 enrolled

Overview

This study evaluates the families' and health care professional's experience from using a web based support system including mobile applications for self-monitoring weight and physical activity. Changes in BMI standard deviation score are compared between usual care (control) and usual care with complementary web-based support system (intervention).

In this study children with obesity were randomized to either usual care according to regular routine (control group) or to usual care plus a web-based support system (intervention group). The system is based on a smartphone application connected to a scale and an activity measuring wrist-band. Data is automatically transferred from the accessories to the smartphone, where data is presented graphically. The data is transferred to the clinic for support. The system is developed for communication between the clinic and family. The randomization was done at the start of individual treatment and lasted for 6 months. Investigators studied the families and health care professional's experience of using the web-based support system as well as changes in BMI standard deviation score in the control and intervention group.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Childhood Obesity

Interventions

CLOSSBEHAVIORAL

Usual care plus using mobile application's to register weight and physical activity as well as for communication with the clinic. A web-based system enables health care professionals to follow the the patient's daily weight registration online.

Usual careBEHAVIORAL

Usual care. The child and parent(s) at regular visits to the nurse at the clinic

Eligibility

Sex: ALLMin age: 5 YearsMax age: 12 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Obesity according to International Obesity Task Force (IOTF) * Swedish speaking parents * Parents able to use a smart phone * No pharmacological treatment that could intervene the obesity treatment Exclusion Criteria: * Diagnosed with or undergoing assessment of neuropsychiatric disorder * Structured obesity treatment the past 6 months * Hypothalamic obesity

Locations (3)

National Childhood Obesity Center, Karolinska University hospital

Huddinge, Sweden

Outpatient paediatric clinic at Norrtälje Hospital

Norrtälje, Sweden

Outpatient paediatric clinic at Södertälje Hospital

Södertälje, Sweden

Outcomes

Primary Outcomes

Familie's experience and feasibility of the treatment

CLOSS specific questionnaire, control vs intervention

Time frame: 6 months after baseline

Secondary Outcomes

Health care professional's required working time for control vs intervention

Time report

Time frame: During the intervention 6 months

Health care professional's experience using the web based support system

CLOSS specific questions regarding the application

Time frame: During the intervention 3 and 6 months

Data from ClinicalTrials.gov

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