The overall goal of this study is to increase access to and adoption of the Healthy Weight Clinic package in primary care settings serving low income families in the United States who have a disproportionately high prevalence of childhood obesity. Two federally-qualified health centers in Mississippi and two health centers in Massachusetts will be implementing a Healthy Weight Clinic Program. The Healthy Weight Clinic is staffed by a medical provider, a Dietitian/Nutritionist, and a Community Healthy Worker. Patients attend individual medical visits (once per month for 12 months) with the multidisciplinary team, group visits led by a member of the team (once per month for 6 months), and phone follow-up between visits. All patients who receive care at the pilot implementation sites will be exposed to the systems-level intervention. A subset of patients will be invited to participate in a research evaluation of the program.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
191
Patients meet with a multi-disciplinary team over a 12 month period. In addition to the clinical visits, group visits, and phone calls, patients will also receive education materials, community resources, and an optional text messaging/social media library of messages.
Massachusetts General Hospital
Boston, Massachusetts, United States
Change in Child BMI at 12 months
Weight and height will be combined to report BMI in kg/m\^2 based on CDC growth curves.
Time frame: 0-12 months
Change in Child BMI percent of the 95th percentile at 12 months
Weight and height will be combined to report BMI in kg/m\^2 based on CDC growth curves.
Time frame: 0-12 months
Change in Child BMI z-score at 12 months
Weight and height will be combined to report BMI z-score based on CDC growth curves
Time frame: 0-12 months
Change in Child Quality of Life at 12 months based on Sizing Them Up Questionnaire
Time frame: 0-12 months
Change in Child Binge Eating at 12 months based on Questionnaire
Time frame: 0-12 months
Change in Child Parental Stress at 12 months based on Questionnaire
Time frame: 0-12 months
Change in Family Food Insecurity at 12 months based on Hunger Vital Signs Questionnaire
Time frame: 0-12 months
Change in Child Nutrition at 12 months based on Questionnaire
Time frame: 0-12 months
Change in Child Physical Activity at 12 months based on Questionnaire
Time frame: 0-12 months
Change in Child Sleep at 12 months based on Questionnaire
Time frame: 0-12 months
Change in Child Screen Time at 12 months based on Questionnaire
Time frame: 0-12 months
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