Redesigning Pediatric Primary Care Obesity Treatment: Virtual House Calls

Redesigning Pediatric Primary Care Obesity Treatment: Virtual House Calls

This study examines a redesign of pediatric primary care overweight/obesity treatment, augmenting typical in-person visits with: (1) direct-to-patient video telehealth to tailor counseling advice to families, (2) that leverages certified health coaches as a part of the care team, and (3) creates skills building in real-time within the home environment.

Investigators will recruit children with an elevated body mass index (BMI) (85th to <99th percentile) and a parent. Dyads will participate in a 24-week intervention with a total of 26 contact hours. Dyads will participate in weekly education sessions for the first 12 weeks and bi-weekly sessions for the remaining 12 weeks. Additionally, dyads will participate in weekly exercise sessions.

Assessments will consist of anthropometric measures, psychological surveys, and nutritional evaluations. Assessments will be completed at baseline, 3-months and 6-months.

Inclusion Criteria:

Children:

• Ages 9-13 years
• BMI 85th to <99th percentile
• Must be a patient within Health System Pediatric Primary Care
• Must be English or Spanish speaking

Parent:

-Must be English or Spanish speaking

Exclusion Criteria:

Children:

• Cannot have an emotional, social, or physical disability that would prevent them from participating in the protocol
• Non-English or Non-Spanish speaking
• Cannot have a medical condition resulting in unintentional weight gain (i.e. Prader Willi)
• Females cannot be pregnant
• In addition, children will potentially be excluded from participation if they have a positive screen during an interview led pre-screening eating disorder questionnaire

Parent:

-Non-English or Non-Spanish speaking