Managing Patient Expectations in Pediatric Weight Management
- Conditions
- Obesity
- Interventions
- Behavioral: Patient Expectations
- Registration Number
- NCT01753063
- Lead Sponsor
- Boston Children's Hospital
- Brief Summary
As part of Children's Hospital Association's Focus on a Fitter Future III Obesity Task Force, this project will target patient and family expectations across the domains of nutrition, physical activity and behavior change/family support as a means of patient engagement and retention in pediatric weight management. This will be a prospective, non-randomized, uncontrolled, single-arm trial for children between 2 and 18 years of age and a parent/guardian, who are starting a pediatric weight management program/clinic in one of the participating centers. The parent/guardian and child if 12 years of age or older receive a survey at the first visit, which asks about their expectations and goals for the visit. This information will then be used as part of clinical care to tailor treatment. After 3 months, the parent/guardian and adolescent, if applicable, will receive a follow up survey asking about their progress in these areas.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 405
- Subject conversant in English or Spanish
- Parent/guardian conversant in English or Spanish
- Patient aged 2-18 years
Exclusion Criteria (For Adolescent):
• Parent-reported cognitive issues preventing completion of the form, such as in-school aide>50% of the school day; special education classes >50% of school day
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Patient Expectations Patient Expectations At the family's initial visit to the pediatric weight management program/clinic each parent/guardian and adolescent (if age 12 yrs. or older) will complete the survey tool. At 3 months, families will be asked to complete a follow up survey. This will be fielded at a visit for those returning to clinic or by phone/mail for those not returning.
- Primary Outcome Measures
Name Time Method Attrition at 3 months 3 months Defined for treatment clinics (i.e., no set end point) as attending an initial appointment but no further appointments in a 3 month period. For treatment programs (i.e., set end point), attrition is defined as attending \<25% of visits in a 3 month period
- Secondary Outcome Measures
Name Time Method Congruence of learning needs and achieved outcomes 3 months Defined as a match between the identified most important treatment expectation in each of the domains at baseline and the most helpful treatment domains at 3 months. Congruent = at least 4 out 6 possible matches.
Trial Locations
- Locations (12)
Mt. Washington Pediatric Hospital
🇺🇸Baltimore, Maryland, United States
Children's Hospital of Illinois
🇺🇸Peoria, Illinois, United States
Children's Hospital, Colorado
🇺🇸Denver, Colorado, United States
Children's Hospital and Medical Center, Omaha
🇺🇸Omaha, Nebraska, United States
Doernbecher Children's Hospital OHSU
🇺🇸Portland, Oregon, United States
Kosair Children's Hospital
🇺🇸Louisville, Kentucky, United States
Boston Children's Hospital
🇺🇸Boston, Massachusetts, United States
Nationwide Children's Hospital
🇺🇸Columbus, Ohio, United States
Connecticut Children's Medical Center
🇺🇸Hartford, Connecticut, United States
C.S. Mott Children's Hospital
🇺🇸Ann Arbor, Michigan, United States
Helen DeVos Children's Hospital
🇺🇸Grand Rapids, Michigan, United States
Children's Mercy Hospitals & Clinics
🇺🇸Kansas City, Missouri, United States