Treatment Efforts Addressing Child Weight Management by Unifying Patients, Parents & Providers



Status:Not yet recruiting
Conditions:Obesity Weight Loss
Therapuetic Areas:Endocrinology
Healthy:No
Age Range:6 - 15
Updated:2/20/2019
Start Date:August 1, 2019
End Date:March 30, 2023
Contact:Angela Lima, MBA, RD, LD
Email:angeladlima@wustl.edu
Phone:314-286-2083

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A Pragmatic Family-Centered Approach to Childhood Obesity Treatment

The US Preventive Services Task Force (USPSTF) recommends that providers screen children aged
6 years and older for obesity and offer or refer them to a comprehensive behavioral
intervention (≥26 hours over a period of up to 12 months) to promote improvement in weight
status. Family-based behavioral treatment (FBT) is an effective treatment that targets both
child and parents and meets the USPSTF recommendations. By contrast, the American Medical
Association (AMA) recommends a staged approach to childhood obesity screening and counseling,
which begins with prevention counseling by the primary care provider (PCP) and includes
assessment of weight status, patient/family motivation and readiness to change, promotion of
healthy eating and activity habits, and use of health behavior change strategies. Our study
compares a staged approach enhanced standard of care (eSOC) vs. eSOC + FBT, to provide
families and PCPs with information on the best intervention approach for the behavioral
treatment of childhood obesity. Our project seeks to fill the gap in the evidence on
family-based weight management in primary care settings among diverse and under-served
populations with a special focus on Black children, families insured by Medicaid, and sex
differences.


Inclusion Criteria:

- have a BMI percentile ≥95th for age and sex,

- comfortable speaking English language,

- able to provide written or verbal (based on age) informed assent,

- willing to change diet, physical activity, and weight,

- patient of a participating clinic, and

- able to participate in scheduled sessions.

Exclusion Criteria:

- families who plan to move out of the area during the 18-month study period,

- children with chronic conditions or on medications that substantially impact or
interfere with growth, appetite, weight, or physical activity participation
We found this trial at
3
sites
660 S Euclid Ave
Saint Louis, Missouri 63110
(314) 362-5000
Principal Investigator: Denise E Wilfley, PhD
Phone: 314-286-2083
Washington University School of Medicine Washington University Physicians is the clinical practice of the School...
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Saint Louis, MO
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601 Elmwood Avenue
Rochester, New York 14642
(585) 275-2100
Principal Investigator: Stephen Cook, MD, MPH
Phone: 585-276-3104
Univ of Rochester Medical Center One of the nation's top academic medical centers, the University...
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Rochester, NY
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6400 Perkins Rd
Baton Rouge, Louisiana 70808
(225) 763-2500
Principal Investigator: Amanda E Staiano, PhD, MPP
Phone: 225-763-2899
Pennington Biomedical Research Center Unlike other medical research facilities where science occurs in separate labs...
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Baton Rouge, LA
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