Healthy Kids & Families: Overcoming Social, Environmental and Family Barriers to Childhood Obesity Prevention
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Obesity
- Sponsor
- University of Massachusetts, Worcester
- Enrollment
- 244
- Locations
- 1
- Primary Endpoint
- child BMI z-score
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
The study will test the impact of a community health worker (CHW)-delivered intervention aimed at helping families overcome barriers to childhood obesity prevention. Barriers include social, environmental, and family issues.
This intervention will be compared to a control condition consisting of a community health worker (CHW)-delivered intervention aimed at helping families improve positive parenting skills.
Detailed Description
The study will test the impact of a community health worker (CHW)-delivered intervention aimed at helping families overcome barriers to childhood obesity prevention. Barriers include social, environmental, and family issues. This intervention will be compared to a control condition consisting of a community health worker (CHW)-delivered intervention aimed at helping families improve positive parenting skills. The intervention uses multiple delivery modalities to maintain novelty and prevent attrition/burden. These include home visits, telephone contacts, print (literacy sensitive newsletters), social media (Facebook), and community events. Parents and children will complete scheduled assessments at baseline, 6-, 12-, 18- and 24-month follow-up. The Specific Aims are: Aim 1: To determine the effectiveness of the intervention compared to the control condition on child physical activity, healthy eating, BMI and utilization of built environment resources. Aim 2: To determine the effectiveness of the intervention compared to the control condition on parent physical activity, healthy eating, BMI. Aim 3: To examine the potential scalability of the intervention guided by the RE-AIM (Reach Effectiveness Adoption Implementation Maintenance) model.
Investigators
Milagros Rosal
Professor
University of Massachusetts, Worcester
Eligibility Criteria
Inclusion Criteria
- •Eligible individuals for the research study are parents/guardians and their K-6th grade children attending one of 9 schools in the greater Worcester area. Parents and their children are recruited as parent-child dyads.
Exclusion Criteria
- •Has an inability or unwillingness to give informed consent or assent
- •Is a prisoner
- •Exclusion (child only)
- •The child has been told by a doctor that they cannot walk or eat fruits and vegetables.
Outcomes
Primary Outcomes
child BMI z-score
Time Frame: 2 years
Weight and height is measured using standard methodology, with children wearing light clothing and no shoes. Weight is measured to the nearest 0.5 lb on a digital scale. Height is measured to the nearest tenth of a centimeter using a stadiometer. BMI is calculated: weight (kg)/height squared (meters) for age and gender using United States Centers for Disease Control and Prevention BMI charts growth charts.
Secondary Outcomes
- Child Dietary Behaviors: Overall(2 years)
- Child Physical Activity and Sedentariness: ActiGraph GT1M(2 years)
- Parent Dietary Behaviors for Beverages(2 years)
- Child Dietary Behaviors for Beverages(2 years)
- Parent Dietary Behaviors: Overall(2 years)
- Child Physical Activity and Sedentariness: C-PAQ and PAQ-C(2 years)
- Parent physical activity and sedentariness: C-PAQ and PAQ-C(2 years)
- Child Dietary Behaviors for snacks(2 years)
- Parent Dietary Behaviors for Snacks(2 years)
- Child Physical Activity and Sedentariness: Massachusetts Parent Child Longitudinal Cohort Survey(2 years)
- Parent physical activity and sedentariness: Massachusetts Parent Child Longitudinal Cohort Survey(2 years)
- Parent physical activity and sedentariness: ActiGraph GT1M(2 years)
- Parent BMI(2 years)
- Child utilization of built environment resources(2 years)