This study aims to evaluate if a web-based support system with daily self-monitoring of weight, use of an activity measuring wrist-band, and communication between the clinic and the parents gives better results on degree of obesity compared with usual care. Changes in BMI standard deviation score (SDS) are compared between usual care (control) and usual care with complementary web-based support system (intervention).
In this study children with obesity will be randomized to either usual care according to regular routine (control) or to usual care plus a web-based support system (intervention). Based on previous reviews on mobile health and obesity in combination with the investigators' experiences of childhood obesity treatment components were identified which the researchers hypothesize are of major importance for a web-based system for childhood obesity treatment: Frequent self-monitoring of weight and physical activity, goals for weight loss, and feedback from the treatment team. The system is based on a smart phone application connected to a scale and an activity measuring wrist-band. Data is automatically transferred from the accessories to the smart phone, where data is presented graphically. The data is further transferred to the clinic for support and communication between the clinic and the parents. The randomization will be done at the start of individual treatment and will last for 12 months. The main aim is to evaluate if use of the web-based support system will give better results on degree of obesity compared with usual care.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
82
The child and parent(s) at regular visits to the pediatric clinic for childhood obesity treatment
Usual care plus using mobile applications to register weight and physical activity as well as for communication with the clinic. A web-based support system enables health care professionals to follow the patient's daily objectively measured weight and physical activity online.
Outpatient pediatric clinic at Hisingen
Gothenburg, Sweden
Outpatient pediatric clinic in Kungshöjd
Gothenburg, Sweden
Outpatient pediatric clinic at Hässleholm hospital
Hässleholm, Sweden
Changes in degree of obesity
Measured by BMI standard deviation score control vs intervention
Time frame: 6 and 12 months after baseline
Number of physical visits
Control vs intervention
Time frame: During the intervention 12 months
Cancelation of physical visits
Control vs intervention
Time frame: During the intervention 12 months
Time consumption for the health care professionals
Time for physical visits, communication and documentation reported by health care professionals. Control vs intervention
Time frame: During the intervention 12 months
Parental experience of treatment
Measured by web-based CLOSS specific questions. Control vs intervention
Time frame: During the intervention 3, 6 and 12 months
Health care professional's experiences using the web-based support system
CLOSS specific questions regarding the application
Time frame: During the intervention 3, 6 and 12 months
Physical activity level
Measured by time and intensity through the activity measuring wrist-band. Only intervention
Time frame: During the intervention 12 months
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Helsingborg, Sweden
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Jönköping, Sweden
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Karlstad, Sweden
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Stockholm, Sweden
Pediatric clinic, Umeå University Hospital
Umeå, Sweden
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Västerås, Sweden
Outpatient pediatric clinic at Ystad hospital
Ystad, Sweden