ISRCTN ISRCTN38896885
DOI https://doi.org/10.1186/ISRCTN38896885
Secondary identifying numbers 0001
Submission date
30/05/2016
Registration date
06/06/2016
Last edited
31/10/2017
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
The aim of this study is to assess the effectiveness of a nutrition and healthy lifestyle program that aims to educate children and their families about the importance of healthy eating, healthy living, and exercise.

Who can participate?
Children aged 7-12 with body mass index greater than 85% percentile (defined as overweight) and their families

What does the study involve?
Participants attend monthly group sessions and monthly individual sessions for the first six months. After the first 6 months, participants attend booster sessions at 6-month intervals and ongoing individual sessions as needed. Assessments are carried out before, during, and at the end of the two-year study, and involve completing questionnaires, providing blood samples, and height/weight/waist/blood pressure measurements.

What are the possible benefits and risks of participating?
In addition to direct physical benefits (i.e. healthier lifestyle habits), participants will benefit from learning about their own emotional needs, and having support for mental health difficulties. Participation in the current study may also prompt participants to become more knowledgeable about important issues related to physical wellbeing, such as exercise, eating healthily, and the importance of addressing mental health problems and family functioning in the recovery from pediatric obesity. There are few, if any, safe, cost-effective community-based intervention programs for childhood obesity. This study will enable the development of such an intervention. Emotional risks in participating in the intervention may include feeling uncomfortable, anxious or upset. However, a licenced clinical practitioner will be present at all times during the intervention. Patients will be informed that a licensed mental health practitioner will also be available at any time after the intervention. Participants will be reminded and ensured that they may refrain from completing clinical tests or a question or questionnaire without consequence, should they feel any discomfort about these.

Where is the study run from?
Kindercare Pediatrics (Canada)

When is the study starting and how long is it expected to run for?
July 2016 to September 2016

Who is funding the study?
Kindercare Pediatrics (Canada)

Who is the main contact?
Dr Daniel Flanders

Contact information

Dr Daniel Flanders
Scientific

491 Eglinton Ave W
Toronto
M5N 1A8
Canada

Study information

Study designSingle-center interventional study
Primary study designInterventional
Secondary study designNon randomised study
Study setting(s)Other
Study typeQuality of life
Participant information sheet Not available in web format, please use contact details to request a participant information sheet
Scientific titleA pilot outpatient community-based pediatric obesity treatment program
Study objectivesThe study aims to determine whether a multi-disciplinary intervention to treat childhood obesity has a beneficial effect.
Ethics approval(s)Toronto Academic Health Sciences Network (TAHSN), Canada, approval pending, expected 01/07/2016
Health condition(s) or problem(s) studiedChildhood obesity
InterventionParticipants will be attending monthly group sessions and monthly individual sessions for the first six months. After the first 6 months, participants will attend booster sessions on a 6-month interval and ongoing individual sessions as clinically indicated.

Physical Interventions for Parents and Kids:
1. Mindful eating: understanding hunger and fullness (month 1)
2. Education on frequency of eating different foods (month 1)
3. Education on food groups (proteins, fats, carbohydrates, fiber) (month 1, 2)
4. Education on meal planning and label reading for kids (month 2)
5. Physical activity (month 3)
6. Grocery store tour for kids and adults (month 4)

Mental Health Interventions for Kids:
1. Motivational Interviewing (month 1)
2. Psychoeducation in Peer Support (month 1)
3. Psychoeducation in Coping with emotion and emotional self-efficacy (month 1)
4. Psychoeducation in Tolerating Distress (month 1)
5. Continuation of these interventions through months 3 - 6

Mental Health Interventions for parents:
1. Psychoeducation in empowerment and parental self-efficacy (month 1)
2. Education on identifying mental health issues (month 1)
3. Psychoeducation on coaching children's emotions (month 2)
4. Continuation of these interventions through months 3-6

Booster sessions: at 12 months, 18 months and 24 months
1. Meetings between families and clinicians to check in with progress, identify problems, and recommend intervention applications going forward
Intervention typeBehavioural
Primary outcome measure1. Mental Health measures: All mental health measures will be administered once every month for the first six months of the study, then at 12 months, 18 months, and 24 months (study's completion). These measures include:
1.1. Dutch Eating Behaviour Questionnaire
1.2. Peds QL Quality of Life Questionnaire (administered to the parent and child)
1.3. Parenting Stress Index (Short)

2. Physiological measures:
2.1. Blood work (every 6 months; testing for cholesterol, glucose, inflammation, insulin, iron)
2.2. Height/weight/waist circumference (monthly)
2.3. Blood pressure (monthly)
Secondary outcome measuresNo secondary outcomes
Overall study start date01/09/2016
Completion date01/09/2018

Eligibility

Participant type(s)Other
Age groupChild
Lower age limit7 Years
Upper age limit12 Years
SexBoth
Target number of participants12 children and their families
Key inclusion criteriaAges 7-12 with body mass index greater than 85% percentile
Key exclusion criteria1. Children under the age of 7 years
2. Youth over the age of 12 years
3. Have body mass index under the 85th percentile
Date of first enrolment02/07/2016
Date of final enrolment30/09/2016

Locations

Countries of recruitment

  • Canada

Study participating centre

Kindercare Pediatrics
491 Eglinton Avenue West
Toronto
M5N 1A8
Canada

Sponsor information

Kindercare Pediatrics (Canada)
Hospital/treatment centre

491 Eglinton Avenue #301
Toronto
M5N 1A8
Canada

ROR logo "ROR" https://ror.org/03h1ytk17

Funders

Funder type

Hospital/treatment centre

Kindercare Pediatrics (Canada)

No information available

Results and Publications

Intention to publish date01/09/2019
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot expected to be made available
Publication and dissemination planWe are planning on disseminating results to the Canadian Pediatric Society, the Canadian Obesity Network and their annual Conference, and the Ontario Pediatric and Bariatric Network. Other details are to be confirmed at a later date.
IPD sharing plan

Editorial Notes

31/10/2017: Internal review.