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| Name | Class |
|---|---|
| University of Nebraska | OTHER |
| Nationwide Children's Hospital | OTHER |
| Connecticut Children's Medical Center | OTHER |
| Mt. Washington Pediatric Hospital |
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As part of Children's Hospital Association's Focus on a Fitter Future III Obesity Task Force, this project will target patient and family expectations across the domains of nutrition, physical activity and behavior change/family support as a means of patient engagement and retention in pediatric weight management. This will be a prospective, non-randomized, uncontrolled, single-arm trial for children between 2 and 18 years of age and a parent/guardian, who are starting a pediatric weight management program/clinic in one of the participating centers. The parent/guardian and child if 12 years of age or older receive a survey at the first visit, which asks about their expectations and goals for the visit. This information will then be used as part of clinical care to tailor treatment. After 3 months, the parent/guardian and adolescent, if applicable, will receive a follow up survey asking about their progress in these areas.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patient Expectations | Experimental | At the family's initial visit to the pediatric weight management program/clinic each parent/guardian and adolescent (if age 12 yrs. or older) will complete the survey tool. At 3 months, families will be asked to complete a follow up survey. This will be fielded at a visit for those returning to clinic or by phone/mail for those not returning. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Patient Expectations | Behavioral | Baseline Expectations survey (parent/guardian and adolescents 12 and older) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Attrition at 3 months | Defined for treatment clinics (i.e., no set end point) as attending an initial appointment but no further appointments in a 3 month period. For treatment programs (i.e., set end point), attrition is defined as attending <25% of visits in a 3 month period | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Congruence of learning needs and achieved outcomes | Defined as a match between the identified most important treatment expectation in each of the domains at baseline and the most helpful treatment domains at 3 months. Congruent = at least 4 out 6 possible matches. | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Matched expectations between parent and child expectations at baseline | match between the identified most important treatment expectation in each of the domains at baseline for the parent and adolescent (age 12+). Matched= at least 4 out 6 possible matches. | Baseline |
| Child BMI Z-score |
Inclusion Criteria:
Exclusion Criteria (For Adolescent):
• Parent-reported cognitive issues preventing completion of the form, such as in-school aide>50% of the school day; special education classes >50% of school day
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| Name | Affiliation | Role |
|---|---|---|
| Erinn Rhodes, MD, MPH | Boston Children's Hospital | Study Chair |
| Sarah Hampl, MD | Children's Mercy Hospitals & Clinics | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Children's Hospital, Colorado | Denver | Colorado | United States | |||
| Connecticut Children's Medical Center |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 23539682 | Background | Hampl S, Demeule M, Eneli I, Frank M, Hawkins MJ, Kirk S, Morris P, Sallinen BJ, Santos M, Ward WL, Rhodes E. Parent perspectives on attrition from tertiary care pediatric weight management programs. Clin Pediatr (Phila). 2013 Jun;52(6):513-9. doi: 10.1177/0009922813482515. Epub 2013 Mar 28. | |
| 24028563 | Background |
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| UNKNOWN |
| C.S. Mott Children's Hospital | OTHER |
| Children's Hospital Colorado | OTHER |
| Children's Hospital of Illinois at Peoria | UNKNOWN |
| Helen DeVos Children's Hospital | OTHER |
| OHSU Doernbecher Children's Hospital | OTHER |
| Norton Healthcare | OTHER |
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| Patient Expectations | Behavioral | 3 month follow up survey (parent/guardian and adolescents 12 and older) |
|
Change in BMI z-score between baseline and 3 month follow-up |
| Baseline, 3 months |
| Provider Satisfaction | Providers will complete a brief survey at the end of the recruitment phase to solicit general feedback and to assess the tool's utility and impact on clinical flow. | 3 months |
| Participation Rate | Proportion of patients who enrolled among those invited to participate. | Baseline |
| Hartford |
| Connecticut |
| United States |
| Children's Hospital of Illinois | Peoria | Illinois | 61637 | United States |
| Kosair Children's Hospital | Louisville | Kentucky | United States |
| Mt. Washington Pediatric Hospital | Baltimore | Maryland | 21209 | United States |
| Boston Children's Hospital | Boston | Massachusetts | 02115 | United States |
| C.S. Mott Children's Hospital | Ann Arbor | Michigan | United States |
| Helen DeVos Children's Hospital | Grand Rapids | Michigan | United States |
| Children's Mercy Hospitals & Clinics | Kansas City | Missouri | United States |
| Children's Hospital and Medical Center, Omaha | Omaha | Nebraska | United States |
| Nationwide Children's Hospital | Columbus | Ohio | United States |
| Doernbecher Children's Hospital OHSU | Portland | Oregon | United States |
| Sallinen Gaffka BJ, Frank M, Hampl S, Santos M, Rhodes ET. Parents and pediatric weight management attrition: experiences and recommendations. Child Obes. 2013 Oct;9(5):409-17. doi: 10.1089/chi.2013.0069. Epub 2013 Sep 12. |
| 28092464 | Derived | Rhodes ET, Boles RE, Chin K, Christison A, Testa EG, Guion K, Hawkins MJ, Petty CR, Sallinen Gaffka B, Santos M, Shaffer L, Tucker J, Hampl SE. Expectations for Treatment in Pediatric Weight Management and Relationship to Attrition. Child Obes. 2017 Apr;13(2):120-127. doi: 10.1089/chi.2016.0215. Epub 2017 Jan 16. |
| ID | Term |
|---|---|
| D009765 | Obesity |
| D057085 | Tooth Wear |
| ID | Term |
|---|---|
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
| D001835 | Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D014076 | Tooth Diseases |
| D009057 | Stomatognathic Diseases |
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| ID | Term |
|---|---|
| D000099055 | Treatment Expectations |
| ID | Term |
|---|---|
| D016896 | Treatment Outcome |
| D011379 | Prognosis |
| D003933 | Diagnosis |
| D017063 | Outcome Assessment, Health Care |
| D010043 | Outcome and Process Assessment, Health Care |
| D011787 | Quality of Health Care |
| D006298 | Health Services Administration |
| D017531 | Health Care Evaluation Mechanisms |
| D017530 | Health Care Quality, Access, and Evaluation |
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