A pilot study of the effectiveness of maintenance treatment by Short Message Service (SMS) in overweight and obese children after short-term multidisciplinary cognitive behavioural group therapy

ISRCTN ISRCTN33476574
DOI https://doi.org/10.1186/ISRCTN33476574
Secondary identifying numbers METC -2007-129
Submission date
13/04/2010
Registration date
29/04/2010
Last edited
29/07/2013
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Not provided at time of registration

Contact information

Dr Reinier Timman
Scientific

Erasmus MC - Erasmus University Medical Center
Medical Psychology & Psychotherapy
Room GK 1253
P.O. Box 2040
Rotterdam
3000 CA
Netherlands

Phone +31 (0)10 704 3804
Email r.timman@erasmusmc.nl

Study information

Study designRandomised controlled parallel group trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Other
Study typeTreatment
Participant information sheet Not available in web format, please use contact details below to request a patient information sheet
Scientific titleShort Message Service Maintenance Treatment (SMSMT) and the influence on dropout, lifestyle behaviour, competence and quality of life: a randomized controlled trial
Study acronymNTT-CO (New Technology in the Treatment of Childhood Overweight and Obesity)
Study hypothesisShort Message Service Maintenance Treatment (SMSMT) reduces the dropout rates in a paediatric lifestyle program for overweight and obese children
Ethics approval(s)The Ethics Committee of the Erasmus University of Rotterdam approved on the 3rd of July 2007 (ref: MEC-2007-129)
ConditionChildhood obesity
InterventionCognitive behavioural group therapy (CBGT):
The Big Friends Club intervention. The BFC program is a family-based multidisciplinary cognitive behavioural group therapy (CBGT) intervention for children aged 7 to 12 years that is limited to groups of 10 children. The treatment team includes a psychologist, dietician, paediatrician, and physiotherapist. The therapy is aimed at reducing Body Mass Index (kg/m²)–Standard Deviation Scores (BMI-SDS), preferably by maintaining weight during growth, adopting a healthy lifestyle and creating a positive self-image. The program provides for an intake session, 8 children’s sessions, and a minimum of 3 parent’s sessions during the first 3 months. At 6, 9, and 12 months after start of the program, children’s and parent’s sessions and individual appointments are organized.

After the primary cognitive behavioural treatment participants will be randomised into two groups, maintenance treatment (SMSMT) and no maintenance treatment (no SMSMT)

Short Message Service Maintenance Therapy (SMSMT):
Over a 42-week period, the children will input self-monitoring data on relevant parameters (weight change, exercise, and eating pattern) in a standardized format directly into their mobile phone once a week. Once per week, they receive a feedback message on their progress via a semi-automated software program. Staff-members read incoming SMS’s, check the feedback suggested by the program for plausibility, and send it to the participant. Feedback messages are formulated according to two rules: 1) signalling social support and 2) reinforcing positive changes and suggesting behaviour modification strategies in case of negative developments. The children must receive and send the messages by themselves. The parents are allowed to support them if necessary.
Intervention typeOther
Primary outcome measureDropout rate
Secondary outcome measures1. BMI-SDS, measured at baseline, 3, 6, 9 and 12 months
2. Problem behaviour, measured with Youth Outcome Questionnaire (YOQ) at baseline, 3 and 12 months
3. Family functioning, measured with the Dutch version of the Family Adaptability and Cohesion Evaluation Scale (FACES III) at baseline, 3 and 12 months
4. Health-related quality of life, measured with the Child Health Questionnaire-Parent Form (CHQ-PF-50) at baseline, 3, 6, 9 and 12 months
5. Perceived competence, measured with Dutch version of the Self-Perception Profile for
Children (SPPC) at baseline, 3, 6 and 12 months
6. Eating behaviour, measured with the Dutch Eating Behaviour Questionnaire (DEBQ) at baseline, 3, 6, 9 and 12 months
Overall study start date01/07/2007
Overall study end date01/12/2010

Eligibility

Participant type(s)Patient
Age groupChild
Lower age limit7 Years
Upper age limit12 Years
SexBoth
Target number of participants150
Participant inclusion criteria1. Overweight and obese children (Body Mass Index-Standard Deviation Score [BMI-SDS] ≥ 1.1)
2. Aged 7 to 12 years
3. Youth Outcome Questionnaire [Y-OQ] < 46
4. Command of Dutch language
5. No drug-treatable disease as the cause of excess weight
6. No diagnosis of eating disorder as defined by Diagnostic and Statistical Manual of Mental Disorders 4th edition (DSM-IV)
Participant exclusion criteria1. Behavioural problems defined as a score exceeding 70 on the Child Behaviour Checklist (CBCL)
2. Drug-treatable disease as the cause of excess weight
3. Mental retardation
4. Insufficiently fluent in the Dutch language
5. Parents or a child with insufficiently motivation to actively participate in the program
Recruitment start date01/07/2007
Recruitment end date01/12/2010

Locations

Countries of recruitment

  • Netherlands

Study participating centre

Erasmus MC - Erasmus University Medical Center
Rotterdam
3000 CA
Netherlands

Sponsor information

Erasmus Medical Centre / Medical Research Advice Commission (MRACE) (Netherlands)
Hospital/treatment centre

c/o Rikard E. Juttmann MD PhD
Department of Research Policy
Erasmus MC
P.O. Box 2040
Rotterdam
3000 CA
Netherlands

Website http://intranet.erasmusmc.nl/onderzoeksbeleid/subsidiesinvesteringen/internesubsidie/emczorgonderzoek/
ROR logo "ROR" https://ror.org/018906e22

Funders

Funder type

Hospital/treatment centre

Erasmus Medical Centre / Medical Research Advice Commission (MRACE) (Netherlands) - Grant No. 2006-26

No information available

Innovation Fund Insurances (Innovatiefonds Verzekeringen) (Netherlands) - Grant No. 06-334.

No information available

Vodafone (Netherlands)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/11/2012 Yes No