Primary Care, Communication, and Improving Children's Health
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 100
- 试验地点
- 1
- 主要终点
- Percent overweight
研究概览
简要总结
The purpose of this study is to determine communication content and strategies in primary care that predict improvement in weight status among overweight school-age children.
详细描述
We will test whether 1) pediatrician-patient communication regarding overweight status, behavior/risk-factor counseling, and the frequency and time to next follow-up visit, compared with either no communication or incomplete communication (communicating only high weight status without behavior/risk-factor counseling or a follow-up visit) will predict improvement in weight status at one year follow-up, and 2) during pediatrician-patient communication regarding weight and weight management, higher patient-centeredness will predict improvement in weight status at one year follow-up. The communication content identified will generate new information about the most effective content and style of pediatrician-patient communication that predict weight-status improvement. Because we prospectively will examine clinical practice elements in the one-year interval between well-child visits, acknowledging that communication regarding high weight status may initiate assessment of risk factors for heart disease (such as high cholesterol and blood sugar), more frequent follow-up visits, or prompt a nutrition referral, we will generate novel information about the most effective clinical practices and follow-up interval and frequency that predict weight-status improvement in overweight children. We also will examine if the content and style of communication are related to improvements in diet and lifestyle behaviors at one-year follow-up.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 6 Years 至 12 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Schedule a well-child visit with a participating pediatrician
- •Agree to return in one year for the follow-up well-child visit
- •Overweight
- •6-12 years old
- •Have a working telephone and/or e-mail address
- •Child/parent willing to provide assent/consent
排除标准
- •Unstable illness (such as uncontrolled asthma)
- •Developmental condition (such as trisomy 21)
- •Planning to move/leave practice within two years
结局指标
主要结局
Percent overweight
时间窗: From recorded well-child visit to next well-child visit, approximately 12 months later
The percent over the median BMI percentile for age and gender. This measure changes comparably for similar weight changes in overweight and severely-obese children. In contrast, an overweight child would have to lose substantially less weight than a severely-obese child for the same change in BMI z-score.
次要结局
- BMI z-score(From recorded well-child visit to next well-child visit, approximately 12 months later)