Evira is a digital treatment tool developed for treatment of childhood obesity. Through daily weighings at home using a special scale together with a message function in the Evira application, parents and the clinicians can easily follow the child's weight development. The primary aim of this study is to evaluate its efficacy for childhood obesity treatment in Abu Dhabi, with a secondary objective to establish non-inferiority compared to outcomes in a cohort in Stockholm, Sweden.
Obesity remains a critical global health concern. Traditional treatment often yields limited results, necessitating innovative solutions. In this study, participants aged 6-15.9 years with obesity at the Sheikh Shakabout Medical City in Abu Dhabi, will be asked for participation. If agreed to participate, they will use a digital treatment tool as a complement to behavioral treatment.The treatment is based on outcome goals set by the treatment staff together with the family. Briefly, the families follow the child's weight outcome via daily weight measurements and the outcome is shown graphically in the mobile application as BMI SDS with the BMI SDS weight goals as background. The staff will provide support to the families via the app. The staff is encouraged to react and contact the families if the weight goals are not reached or if they fail to perform the daily weighings. Regular physical visits at baseline, 3 months, and 6 months, alongside questionnaire assessments, will facilitate data collection via electronic case report forms. The purpose of this study is to evaluate the treatment tools efficacy for childhood obesity treatment in Abu Dhabi. Furthermore, the study aims to establish non-inferiority compared to outcomes in Stockholm, Sweden (referred to as the "Stockholm cohort"), on 107 children and adolescents who were treated with the same treatment method between October 2018 and August 2019 (Clinicaltrials.gov ID: NCT04323215).
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
A support tool named Evira will be used to provide behavioral treatment. Through daily weightings at home using a special designed scale, which sends data directly to an application on the parents phone and to a clinic homepage, the child's weight development can be easily monitored.
Sheikh Shakhbout Medical City
Abu Dhabi, United Arab Emirates
Change in degree of obesity
Measured by BMI standard deviation score.
Time frame: From start of treatment to six months follow-up
Proportion of individuals reaching a clinically significant change in relative weight
Proportion of individuals reaching a clinically significant change in relative weight defined as a decrease of -0.20 BMI SDS units. Abu Dhabi cohort vs. Stockholm cohort
Time frame: From start of treatment to six months follow-up
Proportion of individuals in obesity remission
Obesity remission defined as no longer having obesity class 1. Abu Dhabi cohort vs. Stockholm cohort
Time frame: From start of treatment to six months follow-up
The use of the support tool - weighings
Number of weighings/week. Abu Dhabi cohort vs. Stockholm cohort
Time frame: From start of treatment to six months follow-up
The use of the support tool - text messages
Number of weighings/week. Abu Dhabi cohort vs. Stockholm cohort
Time frame: From start of treatment to six months follow-up
Number of physical visits
Visits to the clinic. Abu Dhabi cohort vs. Stockholm cohort
Time frame: From start of treatment to six months follow-up
Number of cancelation of physical visits
Visits to the clinic. Abu Dhabi cohort vs. Stockholm cohort
Time frame: From start of treatment to six months follow-up
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Number of patients not showing up to physical visits
Visits to the clinic. Abu Dhabi cohort vs. Stockholm cohort
Time frame: From start of treatment to six months follow-up
Psycho-social health measures
Psycho-social health assessed by Patient-Reported Outcomes Measurement Information System (PROMIS) questionnaire. The PROMIS questionnaire is a set of person-centered measures that evaluates and monitors physical, mental, and social health in adults and children. The output from a PROMIS score is represented as a T score. Higher scores indicate more of the domain being measured (e.g., more fatigue, more pain).
Time frame: From start of treatment to six months follow-up
Drop-out rate
Number of drop-outs. Abu Dhabi cohort vs. Stockholm cohort
Time frame: From start of treatment to six months follow-up
Change in degree of obesity. Abu Dhabi cohort vs. Stockholm cohort
Measured by BMI standard deviation score
Time frame: From start of treatment to six months follow-up