Exergaming for Health: Impact of a Community-Based Active Video Gaming Curriculum in Pediatric Weight Management

Not Applicable

Completed

Conditions: Pediatric Obesity

Interventions: Behavioral: Exergaming
Behavioral: Didactic health teaching

Registration Number: NCT02436330

Lead Sponsor: University of Illinois at Chicago

Brief Summary: Evaluation of the effectiveness of Exergaming for Health, a community-based multifaceted weight management program in a randomized controlled trial (RCT). Primary objective: to assess impact of the program on BMI z-scores. Secondary objectives: to measure impact on cardiovascular fitness, self-worth, sedentary screen time, and the influence of exergaming component on attendance and participation.

Detailed Description: Eighty-four overweight pediatric subjects will be enrolled sequentially and randomized 2:1 in experimental and control groups for six months of weight management programming. The experimental group and their parents/guardians will participate in ten weekly 2-hour sessions, comprised of 1 hour of exergaming or exergaming combined with traditional exercise and 1 hour of didactic classes focusing on nutrition and psychosocial behaviors related to weight management. Following these 10 weeks, they will attend monthly 1-hour maintenance didactic classes. The control group and their parents/guardians will participate only in the didactic portion of the curricula for the same duration of time, 10 weeks, followed by monthly maintenance classes for the remainder of the 6 month period. The control group will then be offered participation in the Exergaming for Health program upon study completion.

Comparisons between the two groups will be obtained through changes in the measurements of weight, height, BMI z-scores, shuttle run times, and responses to questionnaires about screen time, self-perception, and nutrition. Measurements of both groups will be obtained at baseline and 6 months and another set of measurements will be obtained on the experimental group at 12 months.

Recruitment & Eligibility

Status: COMPLETED

Sex: All

Target Recruitment: 84

Inclusion Criteria

Child with BMI greater than or equal to 85th percentile.
English speaking
Approval by Primary Care Doctor

Exclusion Criteria

Participants with medical, developmental or psychiatric diagnoses which preclude participation in both the physical activity and classroom portions of the curriculum.
Participants who are taking medications that positively or negatively affect weight.

Study & Design

Study Type: INTERVENTIONAL

Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Exergaming and Didactic health teaching	Didactic health teaching	Participation of child and parent/guardian in 6 months of weight management programming consisting of exergaming combined with didactic teaching.
Didactic health teaching	Didactic health teaching	Participation of child and parent/guardian in 6 months of weight management programming consisting only of didactic teaching.
Exergaming and Didactic health teaching	Exergaming	Participation of child and parent/guardian in 6 months of weight management programming consisting of exergaming combined with didactic teaching.

Primary Outcome Measures

Name	Time	Method
BMI Z-score Change	Change from baseline BMI z-score at 1 year	Measure was only taken on the subjects who participated in the Intervention group (exergaming combined with didactic teaching).

Secondary Outcome Measures

Name	Time	Method
Shuttle Run Change in Number of Shuttle Runs	Change in number from 6 month shuttle run at 1 year	The shuttle run was completed again by participants in the Experimental group at 1 year. The shuttle run is a standardized field assessment that requires participants to run 20 meters within sequentially shortened time frames of recorded beeps.
Change in Dietary Intake: Number of Fruit Servings (Block Alive FFQ)	Change from baseline at 6 months	The Block Alive FFQ: administered at the start and at 6 months to all participants in both groups. FFQ inquires about typical dietary patterns over the previous six months. Total number of fruit servings per day is then estimated based upon participant responses.
Waist Circumference Change	Change from 6 month waist circumference at 1 year
Systolic Blood Pressure Change	Change from 6 month Systolic BP at 1 year
Heart Rate Change From Baseline to 6 Months	Change from baseline at 6 months
After School Screen Time as Reported on Questionnaire	Change from baseline at 6 months	Change in after school screen time (reported out as fraction of 1 hour) will be measured by subject response on questionnaire taken at baseline and at 6 months for both groups. After school screen time was defined as the amount of time spent on any screen, on the average weekday afternoon/evening, including: watching television, computer use (laptop, desk top, tablet) or playing video games on the television or other hand held device.
Saturday Screen Time as Assessed by Questionnaire	Change in hours from baseline at 6 months	Change in Saturday screen time (reported out as fraction of an hour) will be measured by subject response on questionnaire taken at baseline and at 6 months for both groups. Saturday screen time was defined as the amount of time spent on any screen, on an average Saturday, including: watching television, computer use (laptop, desk top, tablet) or playing video games on the television or other hand held device.
Activity Levels Measured by Pedometers (Weekly Steps)	Change from week 1 to week 24	Activity will be measured by pedometers (number of steps) during week 1 and week 24 for both groups. Subjects used the Yamax 200 pedometer to count the steps they took over 1 weeks time.
Self Perception as Assessed Using the Children and Youth Physical Self-Perception Profile (CY-PSPP): Physical Self-Worth Changes in Physical Self-worth	Change from baseline at 6 months	CY-PSPP questionnaire was completed by participants in both groups at baseline and at 6 months. Change in the Physical Self-worth scores, which was 1 of 6 sub-domains, is analyzed. This sub-domain contains 6 questions with responses ranging from 1-4 for each question with 1 being the minimum and 4 being the maximum (best) score. The sub-domain score is then calculated as the mean of the 6 responses (minimum to maximum of 1 to 4).The change in score from baseline to 6 months was compared.
Self Perception as Assessed Using the Children and Youth Physical Self-Perception Profile (CY-PSPP): Global Self-Worth Score	Change from baseline to 6 months	CY-PSPP questionnaire was completed by participants in both groups at baseline and at 6 months. Change in the Global Self-worth scores, which was 1 of 6 sub-domains, is analyzed. This sub-domain contains 6 questions with responses ranging from 1-4 for each question with 1 being the minimum and 4 being the maximum (best) score. The sub-domain score is then calculated as the mean of the 6 responses (minimum to maximum of 1 to 4).The change in score from baseline to 6 months was compared.
Dietary Change:Total Calorie Intake (kcal/Day) (Block Alive FFQ)	Change from baseline at 6 months	The Block Alive FFQ: administered at the start and at 6 months to all participants in both groups. FFQ inquires about typical dietary patterns over the previous six months. Total kcal/kg/day is then estimated based upon participant responses.
Change in Dietary Intake: % Fat (Block Alive FFQ)	Change from baseline at 6 months	The Block Alive FFQ: administered at the start and at 6 months to all participants in both groups. FFQ inquires about typical dietary patterns over the previous six months. Total %dietary fat intake per day is then estimated based upon participant responses.
Change in Dietary Intake: % Carbohydrates (Block Alive FFQ)	Change from baseline at 6 months	The Block Alive FFQ: administered at the start and at 6 months to all participants in both groups. FFQ inquires about typical dietary patterns over the previous six months. Total % dietary carbohydrates is then estimated based upon participant responses.
Change in Dietary Intake: Number of Vegetable Servings (Block Alive FFQ)	Change from baseline at 6 months	The Block Alive FFQ: administered at the start and at 6 months to all participants in both groups. FFQ inquires about typical dietary patterns over the previous six months. Total number of vegetable servings per day is then estimated based upon participant responses.
Change in Dietary Intake: Number of Sugar Sweetened Beverages (Block Alive FFQ)	Change from baseline at 6 months	The Block Alive FFQ: administered at the start and at 6 months to all participants in both groups. FFQ inquires about typical dietary patterns over the previous six months. Total number of sugar sweetened beverages per day is then estimated based upon participant responses.
Exergaming Program Component Influence on Attendance	6 months	The experimental group will answer a questionnaire at the end of the 6 month study period, measuring the importance of specific components of the curriculum and motivators which influenced enrollment and compliance with participation. Of interest is measuring the influence of the exergaming curriculum as compared to these other factors. This is a 16-item, 3-point Likert-scale (1 = least important and 3 = most important) questionnaire created specifically for this study. Results were reported based on % of participants rating "3" ,most important, for each curriculum component.
Heart Rate Change	Change from 6 month Heart rate at 1 year