Pediatric Preventative Health Screenings - Obesity and Family-Centered
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 703
- 试验地点
- 1
- 主要终点
- Number of participants with improved patient-centered outcomes (physical, social, and emotional health) as assessed by the PROMIS 25.
研究概览
简要总结
In 2012, an Expert Panel of the National Heart Lung and Blood Institute published guidelines on cardiovascular health and risk reduction in children; among these guidelines were screening recommendations for obesity and obesity-related conditions. Following publication of this report there was a call for caution and for increased patient (parent, child) input on implementing these guidelines. There are limited current studies evaluating patient-centered outcomes (PCO) in the well-child setting, however, given the childhood obesity epidemic, there is a clear need for such an evaluation. The city of Detroit, MI ranks first among 22 cities with data for the prevalence of overweight and obese youth (39.7%), making Henry Ford Health System, which is located in Detroit, MI, an ideal setting to study childhood obesity related research questions.
详细描述
Within this patient population, our specific aims therefore are to (1) examine current trends in screening and management of obesity and obesity-related conditions in a real-world urban practice setting; (2) examine the family (patient and parent/guardian) and clinician preferences for the identification and management of obesity and obesity-related conditions; and (3) design and conduct a Phase II pragmatic cluster randomized trial (PCRT) of an educational intervention in providers for guiding screening for obesity and obesity-related conditions during the well-child visit that incorporates and leverages PCO. Staff dedicated solely to this project will partner with the Henry Ford Health System's proposed Patient-Centered Outcomes Research Center's Cores staff members to design, execute and disseminate study results in order to affect clinical care. By seeking to understand the current screening patterns in pediatrics and by creating an education intervention for providers aimed at taking a patient/family centered approach to these preventative health screenings, we may increase PCOs which in turn may have meaningful implications for future adult health.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 2 Years 至 18 Years(Child, Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Between the ages of 2 and 18
- •Henry Ford Health System Patient
- •Well-child visit with participating provider
- •Fluent in English
排除标准
- •Unable to provide consent
研究组 & 干预措施
Motivational interviewing to elicit PCO in pediatrics
Providers will be randomized into a patient-centered outcomes (PCO) education course or standard of care. The PCO education course will educate and test providers on patient-centered outcomes of interest and appropriate methods to deliver PCO care.
Providers randomized into the intervention arm will be required to take a brief, one-hour, webinar describing the background, problem, results from focus groups we conducted, and a training program on motivational interviewing. After completing the course, providers will be required to complete an evaluation.
干预措施: Motivational interviewing to elicit PCO in pediatrics (Behavioral)
No Intervention
Standard care
结局指标
主要结局
Number of participants with improved patient-centered outcomes (physical, social, and emotional health) as assessed by the PROMIS 25.
时间窗: 6 weeks
Number of participants with improved health-related quality of life as assessed by the PEDsQL.
时间窗: 6 Weeks
次要结局
未报告次要终点
研究者
Andrea Cassidy-Bushrow, PhD
Associate Scientist
Henry Ford Health System
