Lori Pbert1, Michelle Trivedi2, Susan Druker3, Jennifer Bram2, Barbara Olendzki3, Sybil Crawford4, Christine Frisard3, Victoria Andersen3, Molly E Waring5, Karen Clements3, Kristin Schneider6, Alan C Geller7. 1. Department of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA, United States. Electronic address: lori.pbert@umassmed.edu. 2. Department of Pediatrics, University of Massachusetts Medical School, Worcester, MA, United States. 3. Department of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA, United States. 4. Graduate School of Nursing, University of Massachusetts Medical School, Worcester, MA, United States. 5. Department of Allied Health Sciences, University of Connecticut, Storrs, CT, United States. 6. Department of Psychology, Rosalind Franklin University of Medicine and Science, North Chicago, IL, United States. 7. Department of Social and Behavioral Sciences, Harvard School of Public Health, Boston, MA, United States.
Abstract
BACKGROUND: Over a third of preadolescent children with overweight or obesity. The American Academy of Pediatrics (AAP) recommends pediatric providers help families make changes in eating and activity to improve body mass index (BMI). However, implementation is challenging given limited time and referral sources, and family burden to access in-person weight management programs. PURPOSE: To describe the design of a National Heart Blood and Lung Institute sponsored cluster randomized controlled pediatric-based trial evaluating the effectiveness of the Fitline pediatric practice-based referral program to reduce BMI and improve diet and physical activity in children with overweight or obesity. Comparison will be made between brief provider intervention plus referral to (1) eight weekly nutritionist-delivered coaching calls with workbook to help families make AAP-recommended lifestyle changes (Fitline-Coaching), vs. (2) the same workbook in eight mailings without coaching (Fitline-Workbook). METHODS: Twenty practices are pair-matched and randomized to one of the two conditions; 494 parents and their children ages 8-12 with a BMI of ≥85th percentile are being recruited. The primary outcome is child BMI; secondary outcomes are child's diet and physical activity at baseline and 6- and 12-months post-baseline. Cost-effectiveness of the two interventions also will be examined. CONCLUSION: This is the first randomized controlled trial to examine use of a centrally located telephonic coaching service to support families of children with overweight and obesity in making AAP-recommended lifestyle changes. If effective, the Fitline program will provide an innovative model for widespread dissemination, setting new standards for weight management care in pediatric practice. TRIAL REGISTRATION: The ClinicalTrials.gov registration number is NCT03143660.
BACKGROUND: Over a third of preadolescent children with overweight or obesity. The American Academy of Pediatrics (AAP) recommends pediatric providers help families make changes in eating and activity to improve body mass index (BMI). However, implementation is challenging given limited time and referral sources, and family burden to access in-person weight management programs. PURPOSE: To describe the design of a National Heart Blood and Lung Institute sponsored cluster randomized controlled pediatric-based trial evaluating the effectiveness of the Fitline pediatric practice-based referral program to reduce BMI and improve diet and physical activity in children with overweight or obesity. Comparison will be made between brief provider intervention plus referral to (1) eight weekly nutritionist-delivered coaching calls with workbook to help families make AAP-recommended lifestyle changes (Fitline-Coaching), vs. (2) the same workbook in eight mailings without coaching (Fitline-Workbook). METHODS: Twenty practices are pair-matched and randomized to one of the two conditions; 494 parents and their children ages 8-12 with a BMI of ≥85th percentile are being recruited. The primary outcome is child BMI; secondary outcomes are child's diet and physical activity at baseline and 6- and 12-months post-baseline. Cost-effectiveness of the two interventions also will be examined. CONCLUSION: This is the first randomized controlled trial to examine use of a centrally located telephonic coaching service to support families of children with overweight and obesity in making AAP-recommended lifestyle changes. If effective, the Fitline program will provide an innovative model for widespread dissemination, setting new standards for weight management care in pediatric practice. TRIAL REGISTRATION: The ClinicalTrials.gov registration number is NCT03143660.
Authors: Virginia Quick; Katie Loth; Richard MacLehose; Jennifer A Linde; Dianne Neumark-Sztainer Journal: J Adolesc Health Date: 2013-02-20 Impact factor: 5.012
Authors: Elsie M Taveras; Richard Marshall; Mona Sharifi; Earlene Avalon; Lauren Fiechtner; Christine Horan; Monica W Gerber; E John Orav; Sarah N Price; Thomas Sequist; Daniel Slater Journal: JAMA Pediatr Date: 2017-08-07 Impact factor: 16.193
Authors: Juha Koskinen; Costan G Magnussen; Alan Sinaiko; Jessica Woo; Elaine Urbina; David R Jacobs; Julia Steinberger; Ronald Prineas; Matthew A Sabin; Trudy Burns; Gerald Berenson; Lydia Bazzano; Alison Venn; Jorma S A Viikari; Nina Hutri-Kähönen; Olli Raitakari; Terence Dwyer; Markus Juonala Journal: J Am Heart Assoc Date: 2017-08-16 Impact factor: 5.501