Plain English Summary
Background and study aims
Obesity in children has become an epidemic in developed and developing countries because it is the leading cause of morbidity and premature mortality. A randomized controlled trial was conducted to test the effect of a family-based lifestyle intervention program on body mass index, dietary habits, and physical activity for obese children aged 6-9 years in Jordan.
Who can participate?
Children aged 6-9 years who are obese and have a sedentary lifestyle.
What does the study involve?
Participants will be randomly allocated to receive a three-month family-based lifestyle intervention program on body mass index (BMI), dietary habits, and physical activity for obese children aged 6-9 years in Jordan, or no intervention.
What are the possible benefits and risks of participating?
There should be direct benefit to the student participant from this study, as it will raise awareness of a healthy lifestyle change, and provide information that may prevent you long-term from developing any complications related to obesity.
There are no further risks or discomforts anticipated from participation.
Where is the study run from?
Alzaytoonah University of Jordan and four schools in Amman (Jordan)
When is the study starting and how long is it expected to run for?
May 2020 to September 2020
Who is funding the study?
Investigator initiated and funded
Who is the main contact?
Dr Ayman Bani Salameh, A.salameh@zuj.edu.jo
Trial website
Contact information
Type
Scientific
Primary contact
Dr Ayman Bani Salameh
ORCID ID
http://orcid.org/0000-0002-4364-7846
Contact details
Al-Zaytoonah University of Jordan
Airport st
Amman
11733
Jordan
+962 796223789
A.salameh@zuj.edu.jo
Additional identifiers
EudraCT number
Nil known
ClinicalTrials.gov number
Nil known
Protocol/serial number
03/145/2018-2019
Study information
Scientific title
Randomized controlled trial of a family-based lifestyle intervention program for Jordanian obese children aged 6-9 years
Acronym
RCT- FBLIPJOCA6-9Y
Study hypothesis
1. There will be an effect of a family-based lifestyle intervention program on body mass index (BMI) among obese children aged 6-9 years in Jordan
2. There will be an effect of a family-based lifestyle intervention program on dietary habits among obese children aged 6-9 years in Jordan
3. There will be an effect of a family-based lifestyle intervention program on and physical activity among obese children aged 6-9 years in Jordan
Ethics approval
Approved 10/12/2019, Institutional Review Board (IRB) at Al-Zaytoonah University of Jordan (Faculty of Nursing, Dean/Head of Research Committee, P.O.Box 130, Amman, 11733, Jordan; +962-6-4291511. (Ext. 369); nursing@zuj.edu.jo), ref: 03/145/2018-2019
Study design
Two-group single-blinded randomized controlled trial
Primary study design
Interventional
Secondary study design
Randomised controlled trial
Trial setting
Schools
Trial type
Prevention
Patient information sheet
Not available in web format, please use the contact details below to request a patient information sheet
Condition
Obesity in children
Intervention
A two-group, single-blinded, randomized controlled trial study will be conducted at Amman city, at four schools. The students will randomly be allocated to intervention group to receive a family-based lifestyle intervention program or control group with no care. All participants will be followed for three months.
Randomization
Four schools were selected randomly using a cluster sampling method. Then, two schools were selected randomly to be in the intervention arm and the other two schools were selected to be in the control arm. Sequentially, the researchers reviewed the students’ health records that are existed in these schools. The eligible students and caregivers (guardians and parents) who were willing to participate will be provided with consent forms, and children gave assent. Thereafter, the researchers randomly will pull out the names of potential participants who met the inclusion criteria to be either in intervention group or in control group. The file names will keep concealed in closed envelopes. All subjects were blinded to their allocations.
intervention
The intervention is a lifestyle teaching program. The program consists of encouraging children to select a healthy diet and increase PA. The intervention was originally adopted from a 'Swap It Don't Stop It' (SIDSI) program (originally developed by the Australian government), which was culturally adapted and modified by Bani Salameh and had been tested on Jordanian adolescents in 2012-2013. Participants will deliver the modified version.
Those children and their parents will be educated about interventional behavioral approaches to increase PA to around 7 hours per week and to decrease sedentary lifestyle, such as screen games and watching television, to less than 14 hours per week. Behavioural methods included lifestyle changes, self-control, SIDSI weekly and monthly established targets, and positive reinforcement to achieve planned goals. Other instructions such as promoting body image and reducing emotional eating will be also provided.
The program will be delivered over 3 months in the schools' auditorium. A letter of invitation to parents, whose cooperation and understanding was vital, will be sent out with the participants three days before each session. Children and their parents attended the fortnightly sessions at the schools after the school classes were over. The program consisted of six group sessions (30 minutes fortnightly and 10-12 participants in each one), which will be followed by a phone call for reassurance if needed. The participants and their parents in each group will offer complementary education materials, such as manual of the daily diet and PA.
Intervention type
Behavioural
Phase
Drug names
Primary outcome measure
Body Mass Index will be measured by calculating height (m) and body weight (kg) at baseline and 3 months. Body mass index z-scores or BMI standard deviation (S.D) scores, which are considered as measures of child' weight according to age and sex. Also, body mass index percentile, which is a measure of weight according to child's age. It will be classified as follows: underweight (BMI is less than 5th percentile), normal weight (BMI is 5th - (BMI is 5th -85th percentile, overweight (BMI is at or above the 85th percentile but less than 95th percentile), and obesity (BMI is at or above the 95th percentile). The height and weight will be measured based on the guidelines provided by WHO. Children will be weighed without shoes in daily or routinely light clothes using, a digital scale (Garmin Index Smart Scale). A fixed height board will be used for height measurements.
Secondary outcome measures
Dietary habits and physical activity assessed by a questionnaire consists of questions related to dietary habits (seven questions) and physical activity (nine questions) at baseline and 3 months
Overall trial start date
17/11/2019
Overall trial end date
01/09/2020
Reason abandoned (if study stopped)
Eligibility
Participant inclusion criteria
1. Children aged 6-9 years
2. Obese (BMI of 95th percentile and more)
3. A sedentary lifestyle
Participant type
Healthy volunteer
Age group
Child
Gender
Both
Target number of participants
170
Participant exclusion criteria
1. Unable to participate in an arranged interventional program activity
2. Undertaken any obesity management program
3. Diagnosed with a developmental or mental disorder, autism or psychosis, genetic obesity syndrome, and any other contraindication
Recruitment start date
17/05/2020
Recruitment end date
18/08/2020
Locations
Countries of recruitment
Jordan
Trial participating centre
Aldor Almanthor School
Marj alhamam
Amman
11732
Jordan
Trial participating centre
Al Radwan School
Alyadodeh
Amman
11610
Jordan
Trial participating centre
Al-Khamael School
Bayader
Amman
11814
Jordan
Trial participating centre
Mashrek School
Khalda
Amman
11953
Jordan
Sponsor information
Organisation
Al-Zaytoonah University of Jordan
Sponsor details
Airport st
Amman
11733
Jordan
+962-6-4291511 (Ext. 369)
nursing@zuj.ed.jo
Sponsor type
University/education
Website
Funders
Funder type
Other
Funder name
Investigator initiated and funded
Alternative name(s)
Funding Body Type
Funding Body Subtype
Location
Results and Publications
Publication and dissemination plan
Planned publication in a high-impact peer-reviewed journal.
IPD sharing statement:
All data generated or analysed during this study will be included in the subsequent results publication.
Intention to publish date
10/10/2020
Participant level data
Other
Basic results (scientific)
Publication list