Changing eating behaviours to treat childhood obesity in the community using Mandolean

ISRCTN ISRCTN90561114
DOI https://doi.org/10.1186/ISRCTN90561114
Protocol serial number 11533
Sponsor University of Bristol (UK)
Funder Health Technology Assessment Programme
Submission date
31/01/2012
Registration date
31/01/2012
Last edited
08/09/2015
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 of protocol

Background and study aims
Obesity is the most common disorder of childhood and adolescence. Childhood obesity can have immediate health consequences, including diabetes, a worsening of asthma, and liver disease., Obesity often continues into adulthood, leading to long-term health problems such as heart disease and cancer. Evidence on treatments for childhood obesity is limited. Most treatments designed to promote weight loss in children have so far been unsuccessful. Recently, a new device, the Mandolean, was found to help with weight loss in adolescents when used with a weight management programme. The Mandolean is a weighing scale which measures the user’s rate of eating and satiety (fullness) and provides feedback to help change eating behaviours. This study aims to establish the clinical and cost-effectiveness of the addition of Mandolean to a weight management programme for children aged 5-11 years.

Who can participate?
Obese children aged 5 – 11 and their parents.

What does the study involve?
Participants are randomly allocated to receive either a weight management programme alone or a weight management programme plus the Mandolean device. Body mass index (BMI), rate of eating, satiety ratings and overall health will be measured at the start of the study. Participants will have five appointments over a year with a nurse who will promote lifestyle changes to aid weight loss. Those who receive the Mandolean will be asked to eat one meal a day using the Mandolean for one year. At 1 and 2 years after entering the study we will find out if there are any differences between the groups and whether these are maintained after treatment has ended.

What are the possible benefits and risks of participating?
Not provided at time of registration.

Where is the study run from?
University of Bristol (UK).

When is the study starting and how long is it expected to run for?
April 2012 to December 2014.

Who is funding the study?
Health Technology Assessment Programme (UK).

Who is the main contact?
Mrs Gwen Brierley
gwen.brierley@bristol.ac.uk

Contact information

Mrs Gwen Brierley
Scientific

Academic Unit of Primary Health Care
School of Social and Community Medicine
Canynge Hall
39 Whatley Road
Bristol
BS8 2PS
United Kingdom

Email gwen.brierley@bristol.ac.uk

Study information

Primary study designInterventional
Study designRandomised; Interventional; Design type: Treatment
Secondary study designRandomised controlled trial
Study type Participant information sheet
Scientific titleChanging eating behaviours to treat childhood obesity in the community using Mandolean: the ComMando (Community Mandolean) randomised trial
Study acronymComMando
Study objectivesTo establish the clinical and cost effectiveness of the addition of Mandolean treatment to a primary care weight management programme for obese children over a 12 and 24 month follow-up period

More details can be found at http://public.ukcrn.org.uk/search/StudyDetail.aspx?StudyID=11533
Ethics approval(s)Frenchay, South West Research Ethics Committee First MREC approval date 05/12/2012, ref:11/SW/0286
Health condition(s) or problem(s) studiedTopic: Primary Care Research Network for England; Subtopic: Not Assigned; Disease: All Diseases
Intervention640 parent-child pairs will be randomised on a 1:1 ratio to either the control (weight managment programme alone) or intervention (weight management programme plus Mandolean) arm.

1. Control arm: Weight management programme delivered in Primary Care.
2. Intervention arm: Weight management programme delivered in primary care plus training and use of Mandolean at home for 1 year.

Follow Up Length: 24 month(s); Study Entry : Single Randomisation only
Intervention typeDevice
Phase
Drug / device / biological / vaccine name(s)
Primary outcome measure(s)

Child BMI standard deviation scores (SDS); Timepoint(s): 12 months

Key secondary outcome measure(s)

1. Adult eating rate; Timepoint(s): 12 & 24 months
2. Child BMI SDS; Timepoint(s): 24 months
3. Child eating rate; Timepoint(s): 12 & 24 months
4. Child ideal portion size choice; Timepoint(s): 12 & 24 months
5. Child self determined portion size; Timepoint(s): 12 & 24 months
6. Child Health Utility Index 9D (CHU9D); Timepoint(s): 3, 6, 9, 12 & 24 months
7. EQ5D; Timepoint(s): 3, 6, 9, 12 & 24 months
8. EQ5D-Y; Timepoint(s): 3, 6, 9, 12 & 24 months
9. Parent BMI; Timepoint(s): 12 & 24 months
10. Parent ideal portion size choice; Timepoint(s): 12 and 24 months
11. Parent self determined portion size; Timepoint(s): 12 and 24 months
12. PedsQL; Timepoint(s): 12 & 24 months

Completion date31/12/2014

Eligibility

Participant type(s)Patient
Age groupChild
Lower age limit5 Years
Upper age limit11 Years
SexAll
Target sample size at registration640
Key inclusion criteriaObese children aged 5 - 11 years with a BMI >/= 95th percentile
Key exclusion criteriaChildren whose weight management requires secondary care consultation as the intervention under investigation is focused on management in primary care. Exclusion criteria will be identified by the referring GP using a standardised checklist.
Date of first enrolment02/04/2012
Date of final enrolment31/12/2014

Locations

Countries of recruitment

  • United Kingdom
  • England

Study participating centre

University of Bristol
Bristol
BS8 2PS
United Kingdom

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summary
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/07/2014 Yes No
Participant information sheet Participant information sheet 11/11/2025 11/11/2025 No Yes