Ann M Davis1, Marilyn Sampilo2, Katherine Steiger Gallagher3, Kelsey Dean4, M Baby Saroja5, Qing Yu6, Jianghua He6, Nora Sporn7. 1. University of Kansas Medical Center, Department of Pediatrics, USA Center for Children's Healthy Lifestyles & Nutrition, USA adavis6@kumc.edu. 2. Center for Children's Healthy Lifestyles & Nutrition, USA University of Kansas, Department of Clinical Child Psychology, USA. 3. Boston Children's Hospital, Harvard Medical School, Department of Psychiatry, USA. 4. University of Kansas Medical Center, Department of Pediatrics, USA. 5. Christian Medical College, Vellore, India. 6. University of Kansas Medical Center, Department of Biostatistics, USA. 7. University of Kansas, Department of Psychology, USA.
Abstract
OBJECTIVE: The objective of the current study was to examine the feasibility of telemedicine vs. telephone for the delivery of a multidisciplinary weekly family-based behavioural group intervention to treat paediatric obesity delivered to families living in rural areas using a randomized controlled trial methodology. METHODS:103 rural children and their families were recruited. Feasibility measures included participant satisfaction, session attendance and retention. Treatment outcome measures included child Body Mass Index z-score (BMIz), parent BMI, 24-hour dietary recalls, accelerometer data, the child behavior checklist and the behavioral pediatrics feeding assessment scale. RESULTS:Participants were highly satisfied with the intervention both via telemedicine and via telephone. Completion rates were much higher than for other paediatric obesity intervention programmes, and both methodologies were highly feasible. There were no differences in telemedicine and telephone groups on primary outcomes. CONCLUSION: Both telemedicine and telephone intervention appear to be feasible and acceptable methods of delivering paediatric obesity treatment to rural children.
RCT Entities:
OBJECTIVE: The objective of the current study was to examine the feasibility of telemedicine vs. telephone for the delivery of a multidisciplinary weekly family-based behavioural group intervention to treat paediatric obesity delivered to families living in rural areas using a randomized controlled trial methodology. METHODS: 103 rural children and their families were recruited. Feasibility measures included participant satisfaction, session attendance and retention. Treatment outcome measures included child Body Mass Index z-score (BMIz), parent BMI, 24-hour dietary recalls, accelerometer data, the child behavior checklist and the behavioral pediatrics feeding assessment scale. RESULTS:Participants were highly satisfied with the intervention both via telemedicine and via telephone. Completion rates were much higher than for other paediatric obesity intervention programmes, and both methodologies were highly feasible. There were no differences in telemedicine and telephone groups on primary outcomes. CONCLUSION: Both telemedicine and telephone intervention appear to be feasible and acceptable methods of delivering paediatric obesity treatment to rural children.
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