Mobile-Thrive - A Family Self-Management Approach to Failure to Thrive



Status:Recruiting
Healthy:No
Age Range:Any - 4
Updated:4/21/2016
Start Date:August 2015
End Date:January 2018
Contact:Praveen Goday, MD
Email:pgoday@mcw.edu
Phone:414-266-3690

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Failure to Thrive negatively affects growth, cognition, behavior, and quality of life (QoL),
which can be devastating and enduring. These outcomes are high-cost and lead to increased
family stress and negatively affect the caregiver-child relationship. Therefore, families
need increased access to materials that will help them understand their child's health and
help them use new feeding behaviors to improve the child's nutrition and growth. Standard
care with the addition of Mobile Thrive (M-Thrive), our innovative smart phone-based mobile
app, is intended to demonstrate the clinical advantages of using mobile health technology
(mHealth) in comparison to standard care alone.

Families will be randomly assigned to either the Standard Care plus access to the
Mobile-Thrive (M-Thrive) application or Standard Care alone. All families will complete a
24-hour dietary recall, Feeding Strategies Questionnaire (FSQ), PedsQL Family Impact Module
(PedsQL FIM), and Pediatric Inventory for Parents (PIP) at pre/post treatment. It will take
about 45 minutes to complete these measures. Anthropometric measurements will be collected
at pretreatment, 6 weeks, and 3 months. Families receiving standard care alone will have
regularly scheduled visits in the Nutritional Care Program and will have access to standard
care resources, including phone contacts and electronic access through the CHW hospital
portal. Specifically, standard care treatment provides dietary and behavioral instructions
on appropriate beverage intake, appropriate feeding regimen, advice on limiting low-calorie
foods, and multivitamin supplementation, if appropriate. Families in the standard care plus
the M-Thrive application will receive the standard care treatment that is described above,
as well as on-demand resources, daily educational text messages, and family self-management
push notifications through the M-Thrive application. The research team will train families
on the use of the M-Thrive application and families in the standard care plus M-Thrive
application can contact their provider through the application with questions and/or
concerns. At the conclusion of the intervention, qualitative data regarding the
participants' experience will be collected. Specifically, 90-minute focus group sessions
will occur within 2 weeks of concluding the 3 month active phase of treatment. Families will
be asked to discuss factors that affected their ability to sustain condition management
recommendations, their efforts to access health care resources, factors that affect family
quality of life and caregiver stress, and family impressions of what else would help to
build support for families managing FTT. All sessions will be transcribed and coded for
content analysis.

Inclusion Criteria:

- Parents of children ages 4 months to 4 years old with a medical diagnosis of failure
to thrive.

- English speaking.

Exclusion Criteria:

- Parents of children who do not meet the inclusion criteria.

- Non- english speaking.
We found this trial at
1
site
9000 W Wisconsin Ave #270
Milwaukee, Wisconsin 53226
(414) 266-2000
Principal Investigator: Alan Silverman, PhD
Phone: 414-266-3690
Children's Hospital of Wisconsin Nothing matters more than our children. At Children's Hospital of Wisconsin,...
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