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The overall objective of the proposed study is to test, among Canadian families, the comparative effectiveness of 2 different versions (doses) of a family-based obesity prevention intervention that is tailored to families' behavioural risk profile.
To achieve this objective, we will conduct a randomized controlled trial of families with children aged 18 months- 5 years. Families will be randomized to 1 of 3 conditions: 1) Monthly emails with general health information (Attention Control), 2) Tailored weekly emails and 2 home visits with a health educator (Email +2), 3) Tailored weekly emails and 4 home visits (Email +4). The intervention will last 6 months, with follow-up at 12-months post-intervention (18 months from baseline). We will examine the impact of the intervention on the children's body composition, weight-related behaviours, and biomarkers of diabetes and cardiovascular disease risk.
We hypothesize that, compared to children in the Attention Control, children in the Email +2 and Email +4 conditions will achieve:
We further hypothesize that there will be no significant difference in these outcomes between children in the conditions with 2 (Email +2) or 4 (Email +4) home visits.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control | Active Comparator | Control- monthly mailed information on children's health |
|
| Email and 4 Home Visits | Experimental | Weekly emails and 4 home visits with a health educator |
|
| Email and 2 Home Visits | Experimental | Weekly emails and 2 home visits |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Emails and 4 Home Visits | Behavioral | Weekly emails and 4 home visits with health educator |
|
| Measure | Description | Time Frame |
|---|---|---|
| change in adiposity | baseline, 6 month follow-up |
| Measure | Description | Time Frame |
|---|---|---|
| change in body mass index | baseline, 6-month follow-up | |
| change in waist circumference | baseline, 6-month follow-up | |
| change in frequency of family meals |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Univeristy of Guelph | Guelph | Ontario | N1G 2W1 | Canada |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30873285 | Derived | Krystia O, Ambrose T, Darlington G, Ma DWL, Buchholz AC, Haines J; Guelph Family Health Study. A randomized home-based childhood obesity prevention pilot intervention has favourable effects on parental body composition: preliminary evidence from the Guelph Family Health Study. BMC Obes. 2019 Mar 4;6:10. doi: 10.1186/s40608-019-0231-y. eCollection 2019. | |
| 29981086 |
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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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| Control | Behavioral | Monthly emails on child health |
|
| Emails and 2 home visits | Behavioral | Weekly emails and 2 home visits with health educator |
|
| baseline, 6-month follow-up |
| change in child's sleep duration | baseline, 6-months |
| change in child's physical activity | baseline, 6-months |
| change in child's fruit and vegetable intake | baseline, 6-month follow-up |
| change in child's sugar-sweetened beverage intake | baseline, 6-month follow-up |
| change in sedentary behaviour | baseline, 6-month follow-up |
| change in child's diastolic blood pressure | baseline, 6-month follow-up |
| change in child's biomarkers of diabetes and cardiovascular disease risk | baseline, 6-month follow-up |
| Haines J, Douglas S, Mirotta JA, O'Kane C, Breau R, Walton K, Krystia O, Chamoun E, Annis A, Darlington GA, Buchholz AC, Duncan AM, Vallis LA, Spriet LL, Mutch DM, Brauer P, Allen-Vercoe E, Taveras EM, Ma DWL; Guelph Family Health Study. Guelph Family Health Study: pilot study of a home-based obesity prevention intervention. Can J Public Health. 2018 Aug;109(4):549-560. doi: 10.17269/s41997-018-0072-3. Epub 2018 Apr 25. |
| D001835 |
| Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |