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FamCe-HLP- Family-centered Obesity Management Program in Primary Care Settings

Not Applicable
Recruiting
Conditions
Behavior, Health
Childhood Obesity
Family
Lifestyle, Healthy
Interventions
Behavioral: Family-Centered Healthy Lifestyle Program (FamCe-HLP)
Registration Number
NCT06394882
Lead Sponsor
Oman Ministry of Health
Brief Summary

This clinical trial aims to compare the adiposity and weight status among mother-child dyads with overweight or obesity who receive the Fam-Ce-HLP intervention with the mother-child dyads with overweight or obesity who did not receive the intervention. The main question\[s\] it aims to answer are:

* Is there a significant difference in the adiposity and weight status of mother-child dyads with overweight or obesity who received the Fam-Ce-HLP intervention compared with the mother-child dyads with overweight or obesity who did not receive the intervention?

* Is there a significant difference in the health behaviors, obesity stage level, and ripple effect of mother-child dyads with overweight or obesity who received the Fam-Ce-HLP intervention compared with the mother-child dyads with overweight or obesity who did not receive the intervention? Participants will be asked to attend a seven-month program comprising two primary therapies: a three-month intensive behavioral therapy (IBT) and a four-month maintenance behavioral therapy (MBT).

Researchers will compare the intervention group with the treatment-as-usual group (control group) to see if there is a difference in adiposity, weight status, health behaviors, obesity stage level, and ripple effect.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
240
Inclusion Criteria
  • Mother and child dyads with the presence of overweight or obesity (stages 0 to 2)
  • Being Omani
  • Mother age 18 years or more
  • Child age 6 to 12 years
  • Mother understand, write, and read in Arabic
  • Eligible to receive the health center's services based on their area of residence
  • Has medical clearance to participate in individual exercise sessions
  • Ability to understand study procedures and to comply with them for the entire length of the study.
Exclusion Criteria
  • Mother or child currently receiving an obesity-related program
  • Mother or child currently on obesity-related procedures
  • Mother or child with a history of obesity-related surgeries in the last 5 years
  • Mother or child is in obesity stage 3 or 4 based on the Edmonton obesity staging system
  • Mother who is pregnant during the study time

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Intervention GroupFamily-Centered Healthy Lifestyle Program (FamCe-HLP)The program will provide a seven-month program comprising two primary therapies: a three-month intensive behavioral therapy (IBT) and a four-month maintenance behavioral therapy (MBT). The three-month IBT will involve 12-week visits and exercise sessions. The program will encompass in-person (clinic/ health center) and online (telehealth) 12-weekly visits. The 60-minute consultations and booster sessions will be provided by a qualified multidisciplinary team (obesity nurse, psychologist, nutritionist, and physiotherapist), each consulting in their expertise. In collaboration with the physical education and sports science department at Sultan Qaboos University, mothers in the intervention group will be provided exercise sessions based on their individual metabolic and physiological parameters. The maintenance behavioral therapy will start one month after the end of the IBT and will involve four monthly support meetings on a group level.
Primary Outcome Measures
NameTimeMethod
Child's AdiposityFour time points in one year duration

Child's body fat percentage will be determined through a bioelectrical impedance analysis scale

Child's weight status (BMI z score)Four time points in one year duration

Child's weight and height will be combined to report BMI in kg/m\^2 and then BMI z-scores will be determined according to the 2007 World Health Organization growth charts

Mother's weight status (BMI)Four time points in one year duration

Mother's weight and height will be combined to report BMI in kg/m\^2

Mother's Adiposity (Body fat percentage)Four time points in one year duration

Mother's body fat percentage will be determined through a bioelectrical impedance analysis scale

Secondary Outcome Measures
NameTimeMethod
Child's food frequency intake of main food groups in grams (grains, fruits, vegetables, dairy, protein)Two time points in one year

Child's food frequency of main food groups will be assessed through a semiquantitative food frequency questionnaire (FFQ)

Child's moderate to vigorous physical activity in minutes per dayFour time points in one year duration

Child's physical activity level will be determined through calculating the moderate to vigorous physical activity in minutes per day by wearing accelerometers (Actigraph devices) for seven days

Mother's moderate to vigorous physical activity in minutes per dayFour time points in one year duration

Mother's physical activity level will be determined through calculating the moderate to vigorous physical activity in minutes per day by wearing accelerometers (Actigraph devices) for seven days

Child's 18 and above years old sibling weight status (ripple effect)Four time points in one year duration

Child's over 18 years old sibling weight and height will be combined to report BMI in kg/m\^2

Mother's food frequency intake of main food groups in grams (grains, fruits, vegetables, dairy, protein)Two time points in one year

Mother's food frequency of main food groups will be assessed through a semiquantitative food frequency questionnaire (FFQ)

Child's obesity stage levelFour time points in one year duration

Child's obesity stage level will be assessed following the Edmonton obesity staging system evaluation by a family physician

Father's weight status (ripple effectFour time points in one year duration

Father's weight and height will be combined to report BMI in kg/m\^2

Child's under 18 years old sibling weight status (ripple effect)Four time points in one year duration

Child's under 18 years old sibling weight and height will be combined to report BMI in kg/m\^2 and then BMI z-scores will be determined according to the 2007 World Health Organization growth charts

Child's daily caloric intake in kilocalories (24 dietary recall)Four time points in one year duration

Child's 24 dietary recall for three non-consecutive days will be collected using myfood24 nutritional analysis software

Mother's obesity stage levelFour time points in one year duration

Mother's obesity stage level will be assessed following the Edmonton obesity staging system evaluation by a family physician

Trial Locations

Locations (4)

Mawaleh North Health Center

🇴🇲

Muscat, Oman

Mabela Health Center

🇴🇲

Muscat, Oman

Mabela South Health Center

🇴🇲

Muscat, Oman

Mawaleh Health Center

🇴🇲

Muscat, Oman

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