Mass in Motion Kids in the Clinical Setting

Not Applicable

Completed

• Conditions: Obesity; Overweight
• Interventions: Other: Primary Care Practice Changes

• Registration Number: NCT02110615
• Lead Sponsor: Massachusetts General Hospital

Brief Summary

Mass in Motion Kids is a whole-of-community intervention in Fitchburg and New Bedford, Massachusetts that incorporates evidence-based interventions across multiple sectors and at multiple levels. The overall goal of the study is to examine the extent to which the comprehensive, systematic intervention reduces childhood obesity among underserved children.

The clinical intervention implements evidence-based interventions each city's federally-qualified community health center. Intervention components aim to improve primary and secondary prevention of childhood obesity and implement changes at four levels: clinician; parent-family; organizational; and environmental. We additionally provide training and educational materials to other pediatric clinicians in the two communities. The clinical intervention components include (1) advanced training on clinical quality improvement and obesity prevention, assessment, management; (2) computerized, point-of-care decision support tools for clinicians; (3) implementation of multi-disciplinary weight management programs within the community health centers, e.g. Healthy Weight Clinics (HWC); (4) integrating community health workers into the primary care and HWC teams; and (5) health center environmental changes to support behavior change modification.

Detailed Description

Not available

Study Timeline

• Study Start: 2011-12
• Study First Submitted: 2014-04-02
• Study First Submitted QC: 2014-04-08
• Study First Posted: 2014-04-10
• Primary Completion: 2015-08
• Study Completion: 2015-08
• Status Verified: 2017-03
• Last Update Submitted: 2017-03-21
• Last Update Posted: 2017-03-22

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 3765

Inclusion Criteria

• Children aged 2-12 years
• Patient of the community's federally qualified health center

Exclusion Criteria

Not provided

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Primary Care Practice Changes	Primary Care Practice Changes	The clinical intervention components included (1) advanced training on clinical quality improvement and obesity prevention, assessment, management; (2) computerized, point-of-care decision support tools for clinicians; (3) implementation of multi-disciplinary weight management programs within the community health centers, e.g. Healthy Weight Clinics (HWC); (4) integrating community health workers into the primary care and HWC teams; and (5) health center environmental changes to support behavior change modification.

Primary Outcome Measures

Name	Time	Method
Change from baseline Body Mass Index at 2 years	2 years prior to intervention start through study end (expected average of 4 years)	Longitudinal medical record data

Secondary Outcome Measures

Name	Time	Method
Change from baseline Child Quality of Life at 2 years	Baseline, 2 year	Measured using scales from the Pediatric Quality of Life Inventory (PedsQL) TM, parent report for child.
Change from baseline Obesogenic Behaviors at 2 years	Baseline, 2 year	Measures include diet (fruit and vegetable consumption, sugar sweetened beverage intake), physical activity, screen time, television in child's bedroom and sleep.
Change from baseline Healthcare Satisfaction at 2 years	Baseline, 2 year	Questions adapted from the Patient Assessment of Chronic Care (PACIC) tool

Trial Locations

Locations (2)

Community Health Connections, Inc.; 🇺🇸 Fitchburg, Massachusetts, United States

Greater New Bedford Community Health Center; 🇺🇸 New Bedford, Massachusetts, United States