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This study evaluates the families' and health care professional's experience from using a web based support system including mobile applications for self-monitoring weight and physical activity. Changes in BMI standard deviation score are compared between usual care (control) and usual care with complementary web-based support system (intervention).
In this study children with obesity were randomized to either usual care according to regular routine (control group) or to usual care plus a web-based support system (intervention group). The system is based on a smartphone application connected to a scale and an activity measuring wrist-band. Data is automatically transferred from the accessories to the smartphone, where data is presented graphically. The data is transferred to the clinic for support. The system is developed for communication between the clinic and family. The randomization was done at the start of individual treatment and lasted for 6 months. Investigators studied the families and health care professional's experience of using the web-based support system as well as changes in BMI standard deviation score in the control and intervention group.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Usual care | Active Comparator | Usual care according to regular treatment routines at the clinic during 6 months. |
|
| CLOSS | Active Comparator | Usual care plus using a web based support system for self-monitoring weight at physical activity. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CLOSS | Behavioral | Usual care plus using mobile application's to register weight and physical activity as well as for communication with the clinic. A web-based system enables health care professionals to follow the the patient's daily weight registration online. |
| Measure | Description | Time Frame |
|---|---|---|
| Familie's experience and feasibility of the treatment | CLOSS specific questionnaire, control vs intervention | 6 months after baseline |
| Measure | Description | Time Frame |
|---|---|---|
| Health care professional's required working time for control vs intervention | Time report | During the intervention 6 months |
| Health care professional's experience using the web based support system |
| Measure | Description | Time Frame |
|---|---|---|
| Change in BMI Standard Deviation Score | Control vs intervention | During the intervention 3 and 6 months |
| Familie's compliance | Control - visits to the clinic Intervention - daily weighing, daily usage of accelerometer, and visits to the clinic |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Pernilla Danielsson, PhD | Karolinska Institutet | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| National Childhood Obesity Center, Karolinska University hospital | Huddinge | Sweden | ||||
| Outpatient paediatric clinic at Norrtälje Hospital |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32967638 | Derived | Johansson L, Hagman E, Danielsson P. A novel interactive mobile health support system for pediatric obesity treatment: a randomized controlled feasibility trial. BMC Pediatr. 2020 Sep 23;20(1):447. doi: 10.1186/s12887-020-02338-9. |
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| ID | Term |
|---|---|
| D063766 | Pediatric Obesity |
| ID | Term |
|---|---|
| D009765 | Obesity |
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
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| Usual care | Behavioral | Usual care. The child and parent(s) at regular visits to the nurse at the clinic |
|
CLOSS specific questions regarding the application
| During the intervention 3 and 6 months |
| During the intervention 6 months |
| Norrtälje |
| Sweden |
| Outpatient paediatric clinic at Södertälje Hospital | Södertälje | Sweden |
| D009750 |
| Nutritional and Metabolic Diseases |
| D001835 | Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |