Stay with me: an eHealth application for parents of overweight children

ISRCTN ISRCTN14223427
DOI https://doi.org/10.1186/ISRCTN14223427
Submission date
17/10/2023
Registration date
11/12/2023
Last edited
10/09/2024
Recruitment status
Not yet recruiting
Overall study status
Ongoing
Condition category
Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Parents play a crucial role in shaping children’s dietary and activity behavior and are essential partners in treatment but are insufficiently involved. To address this concern, this study will evaluate a new eHealth tool for parents in the form of a mobile application. The tool will offer model-driven lifestyle change suggestions for parents to use in conjunction with inpatient or outpatient treatment for their child. The eHealth tool will be based on an existing online psycho-education platform for parents of children with overweight called ‘Taking action’, in which already many parental behavior change techniques according lifestyle (e.g. affecting children’s dietary intake, physical exercises, sleep, family climate) are included, based on the model of Rhee (2008). This content will be combined with the input of parents and professionals on needs and preferences of use, gathered during focus groups and enriched with interactive tools, which are easy to add in an application. The application will consist of: 1) psycho-education, 2) tools to change behavior to deal with weight problems, and 3) motivation-enhancing elements for behavioral change.

Who can participate?
Parents who possess a smartphone and are fluent in either Dutch, French or English and have children who are overweight and between 5 and 14 years old.

What does the study involve?
Parents will use the app for 12 weeks. Variables will be assessed during different time points.

Where is the study run from?
Ghent University (Belgium)

When is the study starting and how long is it expected to run for?
June 2024 to December 2026

Who is funding the study?
The Kom Op Tegen Kanker foundation of Belgium

Who is the main contact?
Maurane Desmet, Maurane.Desmet@Ugent.be

Contact information

Miss Maurane Desmet
Public, Scientific

Henri Dunantlaan 2
Ghent
9000
Belgium

ORCiD logoORCID ID 0000-0001-6338-3078
Phone +32 495221500
Email Maurane.Desmet@Ugent.be
Prof Caroline Braet
Principal Investigator

Henri Dunantlaan 2
Ghent
9000
Belgium

ORCiD logoORCID ID 0000-0003-2458-287X
Email Caroline.Braet@Ugent.be

Study information

Study designInterventional multiple baseline single case study
Primary study designInterventional
Secondary study designNon randomised study
Study setting(s)Home
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details to request a patient information sheet.
Scientific titleStay with me: an eHealth application for parents of children with overweight: a protocol for a mixed-method study
Study acronymStay with me
Study objectivesAn improvement in parent variables regarding parental skills, parental stress, the family climate, and family activities. We will explore the impact of parent characteristics (gender, ethnicity, marital status and SES). Third, we will evaluate treatment adherence. We expect a dose-response relationship, meaning that higher adherence will be significantly correlated with the outcome improvements.
Ethics approval(s)

Not yet submitted, Ethics committee U(Z) Ghent (C. Heymanslaan 10, Ghent, 9000, Belgium; +32 (0)9 332 33 36; ethisch.comite@uzgent.be)

Health condition(s) or problem(s) studiedTreatment of children with overweight - focus on parents
InterventionThe tool will offer model-driven lifestyle change suggestions for parents to use in conjunction with inpatient or outpatient treatment for their child. The eHealth tool will be based on an existing online psycho-education platform for parents of children with overweight called ‘Taking action’, in which already many parental behavior change techniques according lifestyle (e.g. affecting children’s dietary intake, physical exercises, sleep, family climate) are included, based on the model of Rhee (2008). This content will be combined with the input of parents and professionals on needs and preferences of use, gathered during focus groups and enriched with interactive tools, which are easy to add in an application. The application will consist of: 1) psycho-education, 2) tools to change behavior to deal with weight problems, and 3) motivation-enhancing elements for behavioral change.

The intervention phase lasts 12 weeks. The baseline phase will last 3,5 or 7 weeks (multiple baseline design)
Intervention typeBehavioural
Primary outcome measure1. Parents’ age, length and weight and variables linked to socio-economic status (education, profession, country of birth) measured before the baseline phases.
2. Parental feeding behavior will be assessed by the Child Feeding Questionnaire (CFQ) Dutch version before the baseline phases, weekly during baseline and intervention and after the intervention
3. Positive parental behavior will be assessed using a subscale of the Ghent Parental Behavior Scale – Short version (GPBS-S) before the baseline phases, weekly during baseline and intervention and after the intervention
4. Parenting stress will be assessed with the Short Form of the Dutch version of the Parenting Stress Index: the Nijmeegse Ouderlijke Stress Index (NOSIK) before the baseline phases, weekly during baseline and intervention and after the intervention
5. Emotion-coaching will be assessed using the Emotion-Coaching Dimension of the Short Form of the Emotion Related Parenting Styles (ERPS) questionnaire before the baseline phases, weekly during baseline and intervention and after the intervention
6. The adherence of the treatment will be extracted by the analytics generated by the application during the intervention. The number of days of app usage will be used.
Secondary outcome measuresWe will also ask parents how they experienced using the app after the intervention via individual interviews.
Overall study start date17/10/2023
Completion date31/12/2026

Eligibility

Participant type(s)Other
Age groupChild
Lower age limit5 Years
Upper age limit14 Years
SexBoth
Target number of participants40
Total final enrolment40
Key inclusion criteria1. The child’s age being between 5 and 14 years old
2. The child’s adjusted BMI >85th percentile
3. Parents possessing smartphone
4. Parents being fluent in either Dutch, French, or English
Key exclusion criteriaDoes not meet inclusion criteria
Date of first enrolment01/10/2025
Date of final enrolment01/02/2026

Locations

Countries of recruitment

  • Belgium

Study participating centres

AZ Jan Palfijn
Watersportlaan 5
Ghent
9000
Belgium
Zeepreventorium
Koninklijke Baan 5
De Haan
8420
Belgium
UZ Antwerpen
Drie Eikenstraat 655
Antwerpen
2650
Belgium
UZ Brussel
Laarbeeklaan 101
Jette
1090
Belgium

Sponsor information

Ghent University
University/education

Department of Develomental, Personality and Social Psychology
Henri Dunantlaan 2
Ghent
9000
Belgium

Phone +32 495221500
Email roma.rietjens@komoptegenkanker.be
Website https://www.ugent.be/en
ROR logo "ROR" https://ror.org/00cv9y106

Funders

Funder type

Charity

Kom op tegen Kanker
Private sector organisation / Other non-profit organizations
Alternative name(s)
Fight Cancer
Location
Belgium

Results and Publications

Intention to publish date01/08/2026
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryStored in non-publicly available repository
Publication and dissemination planPlanned publication in a high-impact peer-reviewed journal
IPD sharing planThe datasets generated during the study will be available upon request from Maurane.Desmet@Ugent.be

Editorial Notes

10/09/2024: The following changes were made to the study record:
1. Ethics approval details added.
2. The recruitment start date was changed from 09/01/2024 to 01/10/2025.
3. The recruitment end date was changed from 11/01/2024 to 01/02/2026.
4. The overall study end date was changed from 31/12/2025 to 31/12/2026.
5. The intention to publish date was changed from 01/03/2026 to 01/08/2026.
03/07/2024: The following changes were made to the study record:
1. The recruitment start date was changed from 01/06/2024 to 09/01/2024.
2. The recruitment end date was changed from 31/07/2024 to 11/01/2024.
3. Total final enrolment added.
07/03/2024: The following changes were made to the trial record:
1. The recruitment start date was changed from 01/03/2024 to 01/06/2024.
2. The recruitment end date was changed from 31/05/2024 to 31/07/2024.
20/10/2023: Trial's existence confirmed by Ghent University.