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This pilot study is a randomized controlled trial with an embedded cross sectional study exploring parental perceptions of their weight status and how it affects their perceptions of their child's weight status. This study uses an educational intervention in which parents are informed of their actual weight status and how it affects their child's health. We will study the effect of this intervention on the parent's perceptions of and level of concern for their own and their child's weight status.
Pediatric obesity has tripled in the past 20 years. Obesity prevention early in life is important and parental participation is essential. Parents must recognize overweight in their child so health providers may engage them in a dialogue to change their child's diet and physical activity patterns, yet a large proportion of parents do not recognize that their child is overweight. Parents' misperception of their overweight child's weight status presents a barrier to treating obesity.
This pilot study is a randomized controlled trial with an embedded cross sectional study exploring parental perceptions of their weight status and how it affects their perceptions of their child's weight status. This study uses an educational intervention in which parents are informed of their actual weight status and how it affects their child's health. We will study the effect of this intervention on the parent's perceptions of and level of concern for their own and their child's weight status.
Our goal is to develop a primary care intervention that will enhance parental perceptions of overweight and motivation to make changes for their family. Pilot data collected here will support an R21 Exploratory/Developmental Clinical Research Grant in Obesity or a Centers for Disease Control (CDC) or Robert Wood Johnson Foundation (RWJ) grant submission.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Education Intervention | Experimental | The intervention used in the randomized controlled trial consists of 1) measuring the parents' height and weight and 2) providing the parents with feedback on their calculated BMI on an educational handout (included in Appendix V). The purpose of the handout is to convey the following 5 messages:
The Research Assistant will verbally review the educational handout with the parent. The handout will be available in both English and Spanish. |
|
| Control Group | No Intervention | Parents assigned to the control group will proceed to their child's well child visit after their baseline data are collected. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Education Intervention | Behavioral | The intervention is a short educational handout regarding BMI and the effect of parental weight status on children. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of parents correctly assessing their own weight status | At first visit |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of parents correctly assessing their child's weight status | At first visit | |
| Proportion of parents who underestimate own weight status who also underestimate their child's weight status | At first visit |
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Inclusion Criteria:
1. Boys and girls ages 3 to 13 years old presenting with at least one biological parent for a routine health maintenance exam (WCC) at the Child Health Continuity Clinic will be eligible. Parents must be able and willing to have their height and weight measured at the clinic
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Christina Suh, MD | University of Colorado, Denver | Principal Investigator |
| Nancy F. Krebs, MD | University of Colorado, Denver | Principal Investigator |
| Allison Kempe, MD, MPH | Univeristy of Colorado Denver | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Children's Hospital | Aurora | Colorado | 80010 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 16595758 | Background | Ogden CL, Carroll MD, Curtin LR, McDowell MA, Tabak CJ, Flegal KM. Prevalence of overweight and obesity in the United States, 1999-2004. JAMA. 2006 Apr 5;295(13):1549-55. doi: 10.1001/jama.295.13.1549. | |
| 15837955 | Background | Daniels SR, Arnett DK, Eckel RH, Gidding SS, Hayman LL, Kumanyika S, Robinson TN, Scott BJ, St Jeor S, Williams CL. Overweight in children and adolescents: pathophysiology, consequences, prevention, and treatment. Circulation. 2005 Apr 19;111(15):1999-2012. doi: 10.1161/01.CIR.0000161369.71722.10. |
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| ID | Term |
|---|---|
| D009765 | Obesity |
| ID | Term |
|---|---|
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| D018479 | Early Intervention, Educational |
| ID | Term |
|---|---|
| D002662 | Child Health Services |
| D003153 | Community Health Services |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |
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| Change in proportion of parents underestimating their own weight status | At first visit and at one week follow up phone survey |
| Change in proportion of parents underestimating their child's weight status | At first visit and at one week follow up phone survey |
| Change in level of concern pre- and post-intervention | At first visit and at one week follow up phone survey |
| 15995022 | Background | Rhee KE, De Lago CW, Arscott-Mills T, Mehta SD, Davis RK. Factors associated with parental readiness to make changes for overweight children. Pediatrics. 2005 Jul;116(1):e94-101. doi: 10.1542/peds.2004-2479. |
| 10826863 | Background | Logue E, Sutton K, Jarjoura D, Smucker W. Obesity management in primary care: assessment of readiness to change among 284 family practice patients. J Am Board Fam Pract. 2000 May-Jun;13(3):164-71. doi: 10.3122/15572625-13-3-164. |
| 15963162 | Background | Wee CC, Davis RB, Phillips RS. Stage of readiness to control weight and adopt weight control behaviors in primary care. J Gen Intern Med. 2005 May;20(5):410-5. doi: 10.1111/j.1525-1497.2005.0074.x. |
| 16510647 | Background | Eckstein KC, Mikhail LM, Ariza AJ, Thomson JS, Millard SC, Binns HJ; Pediatric Practice Research Group. Parents' perceptions of their child's weight and health. Pediatrics. 2006 Mar;117(3):681-90. doi: 10.1542/peds.2005-0910. |
| 15567804 | Background | Jeffery AN, Voss LD, Metcalf BS, Alba S, Wilkin TJ. Parents' awareness of overweight in themselves and their children: cross sectional study within a cohort (EarlyBird 21). BMJ. 2005 Jan 1;330(7481):23-4. doi: 10.1136/bmj.38315.451539.F7. Epub 2004 Nov 26. No abstract available. |
| 12224660 | Background | Birch LL, Fisher JO. Development of eating behaviors among children and adolescents. Pediatrics. 1998 Mar;101(3 Pt 2):539-49. |
| 7287977 | Background | Epstein LH, Wing RR, Koeske R, Andrasik F, Ossip DJ. Child and parent weight loss in family-based behavior modification programs. J Consult Clin Psychol. 1981 Oct;49(5):674-85. doi: 10.1037//0022-006x.49.5.674. No abstract available. |
| 9625084 | Background | Golan M, Weizman A, Apter A, Fainaru M. Parents as the exclusive agents of change in the treatment of childhood obesity. Am J Clin Nutr. 1998 Jun;67(6):1130-5. doi: 10.1093/ajcn/67.6.1130. |
| D001835 |
| Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D011314 | Preventive Health Services |