Caregivers as the Agent of Change for Childhood Obesity and Chronic Disease Risk Among Latino Families
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Childhood Obesity
- Sponsor
- University of California, San Diego
- Enrollment
- 167
- Locations
- 1
- Primary Endpoint
- Child anthropometric change as measured by age and sex adjusted body mass index (BMIz)
- Status
- Active, not recruiting
- Last Updated
- last year
Overview
Brief Summary
The objective of this proposed study is to collect initial efficacy data on a telehealth family-based behavioral program for Latino children with overweight or obesity, which also includes additional caregiver support (PBT-AC), compared with health education (HE).
Detailed Description
The study will compare the efficacy of PBT-AC and health education program delivered via telehealth on child weight loss. Investigators will provide 6 months of a group program (PBT-AC or HE) and will follow participants at 12-months post-treatment (total time = 18 months). Investigators will recruit children with overweight or obesity and two caregivers. Families will be assessed at 5 timepoints: baseline, mid-treatment, post-treatment, 6-month and 12-month follow-up. Assessments will include the following for the child and primary caregiver: anthropometry, blood sample collection, eating behaviors, and family relationship measures. The other caregiver will complete surveys about eating behaviors and family relationships. This program of research has the potential to advance the standard of practice for Latino children with overweight or obesity by developing tailored interventions which can be easily disseminated.
Investigators
Kerri Boutelle
Professor of Pediatrics, Psychiatry, and Herbert Wertheim School of Public Health and Human Longevity Science
University of California, San Diego
Eligibility Criteria
Inclusion Criteria
- •A child with overweight/obesity (85% BMI and above for age) aged 5 to 12 years
- •Primary parent who is responsible for food preparation willing to participate and complete all assessments
- •At least one other caregiver who is over 18 years of age (parent, grandparent, other close family member, friend or child care provider) who is willing to commit to attending at least 50% of all treatment visits
- •Parent and caregiver can read Spanish or English at a minimum of a 5th grade level, and willing to participate in a group setting in Spanish or English together
- •Parent and Child is on a stable medication regimen (minimum of 3 months) for anything that could impact weight.
- •Parent and caregiver have access to a device that can facilitate zoom meetings. If the parent and caregiver do not have access to a device, the family will be provided with such.
- •Family must plan to remain in the San Diego or surrounding areas within the time frame of the study
- •One of the parent or caregivers identifies as Hispanic/Latino
- •Exclusion Criteria
- •Child diagnosis of a serious chronic physical disease (e.g., cystic fibrosis, type 1 diabetes) for which physician supervision of diet and/or exercise is needed
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Child anthropometric change as measured by age and sex adjusted body mass index (BMIz)
Time Frame: Change from baseline to month 3, 6, 12, and 18
age and sex adjusted BMI (kg/m\^2)
Secondary Outcomes
- Child HgbA1c levels as measured by blood collection(Change from baseline to month 6, 12, and 18)
- Child lipid (e.g., cholesterol) levels as measured by blood collection(Change from baseline to month 6, 12, and 18)
- Parent body mass index (BMI) as measured by height and weight(Change from baseline to month 3, 6, 12, and 18)
- Child dietary intake as measured by 2, 24-hour dietary recalled obtained from the primary parent(Change from baseline to month 6, 12, and 18)
- Parent dietary intake as measured by the Automated Self-Administered 24-Hour (ASA24®) Dietary Assessment Tool(Change from baseline to month 6, 12, and 18)
- Parent physical activity as measured by the International Physical Activity Questionnaire (IPAQ)(Change from baseline to month 6, 12, and 18)
- Parenting strategies, confidence, and self-efficacy as measured by the Alabama Parenting Questionnaire (APQ)(Change from baseline to month 6, 12, and 18)
- Families' home food environment as measured by the Home Food Interview (HFI)(Change from baseline to month 6, 12, and 18)
- Child physical activity as measured by parent reported participation in physical and sedentary activity(Change from baseline to month 6, 12, and 18)
- Family functioning as measured by the McMaster Family Assessment Device (FAD)(Change from baseline to month 6, 12, and 18)
- Child eating behavior as measured by the Child Eating Behavioral Questionnaire (CEBQ)(Change from baseline to month 6, 12, and 18)
- Parent eating behavior as measured by the Adult Eating Behavioral Questionnaire (AEBQ)(Change from baseline to month 6, 12, and 18)