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Healthy Weight Poster, Multi-site Study

Primary Purpose

Childhood Obesity

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Exam room with poster
Sponsored by
Wake Forest University Health Sciences
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional health services research trial for Childhood Obesity focused on measuring Parental perception, obesity, overweight

Eligibility Criteria

3 Years - 8 Years (Child)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Children aged 3-8 years old presenting to pediatric clinic for a well-child visit.
  • Parents of include children who speak English or Spanish and are able to complete a written survey.

Exclusion Criteria:

  • Parents that are <18 years old
  • Children with no documented weight or height for their visit
  • Any medical condition that would affect weight gain or growth such as failure to thrive, congenital heart defect, etc.

Sites / Locations

  • UAB Health Center Huntsville
  • Pediatric Associates of Northern Kentucky
  • Duke Children's Primary Care Brier Creek
  • Duke Health Center at Roxboro Street
  • Downtown Health Plaza
  • Ford Simpson Lively and Rice Pediatrics
  • Public Health Center - Eastgate

Arms of the Study

Arm 1

Arm 2

Arm Type

No Intervention

Active Comparator

Arm Label

Exam room without poster

Exam room with poster

Arm Description

All parents will be asked to fill out a questionnaire detailing basic demographic information as well as their perception of their child's weight. Parents who are in exam rooms without posters will be ask to fill out a second short questionnaire after seeing their physician that will ask parents whether they discussed their child's weight status with their physician and whether they believe their own child is: very overweight, overweight, healthy weight, underweight, or very underweight.

All parents will be asked to fill out a questionnaire detailing basic demographic information as well as their perception of their child's weight. Parents who are in exam rooms with posters will be directed to read the poster on the exam room wall. After viewing the poster and after seeing their physician, parents will be ask to fill out a second short questionnaire that will ask parents whether they discussed their child's weight status with their physician, whether this conversation was prompted by the poster, and whether they believe their own child is very overweight, overweight, healthy weight, underweight, or very underweight.

Outcomes

Primary Outcome Measures

Poster assessment prompts by questionnaire
Assess whether the poster prompts parents to ask their child's doctor whether their child is a healthy weight.
Parents' perceptions by questionnaire
Assess whether the poster improves accuracy of parents' perceptions of their children's weight status.
Changes in parental perception by questionnaire
Among parents who view the poster, the investigators will assess whether parental perception changes differentially based on parental race/ethnicity, education, or socioeconomic background.

Secondary Outcome Measures

Full Information

First Posted
April 12, 2017
Last Updated
June 27, 2019
Sponsor
Wake Forest University Health Sciences
Collaborators
Duke University, Eastgate Public Health Center, UAB Huntsville Pediatrics, Pediatric Associates of Northern Kentucky
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1. Study Identification

Unique Protocol Identification Number
NCT03128112
Brief Title
Healthy Weight Poster, Multi-site Study
Official Title
Using a Poster Depicting Healthy Weight to Improve Perception of Weight, a Multi-site Study
Study Type
Interventional

2. Study Status

Record Verification Date
January 2019
Overall Recruitment Status
Completed
Study Start Date
June 20, 2017 (Actual)
Primary Completion Date
April 30, 2018 (Actual)
Study Completion Date
April 30, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Wake Forest University Health Sciences
Collaborators
Duke University, Eastgate Public Health Center, UAB Huntsville Pediatrics, Pediatric Associates of Northern Kentucky

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a multi-site, cross-sectional study of 3-8 year old children and their parents presenting for a well-child check. The investigators are assessing whether a novel, educational, exam room poster can effectively prompt parents to ask their pediatricians about their children's weight status and improve parents' perceptions of their children's weight status.
Detailed Description
The purpose of this study is to evaluate whether a novel, educational, exam room poster can effectively prompt parents to ask their pediatricians about their children's weight status. Exam rooms within clinics will be randomized to either have the poster or not and parents will complete questionnaires assessing weight perception, whether they discussed their child's weight with their physician, and basic demographics. Participants who are in exam rooms with a poster will also answer questions specifically about the poster.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Childhood Obesity
Keywords
Parental perception, obesity, overweight

7. Study Design

Primary Purpose
Health Services Research
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
965 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Exam room without poster
Arm Type
No Intervention
Arm Description
All parents will be asked to fill out a questionnaire detailing basic demographic information as well as their perception of their child's weight. Parents who are in exam rooms without posters will be ask to fill out a second short questionnaire after seeing their physician that will ask parents whether they discussed their child's weight status with their physician and whether they believe their own child is: very overweight, overweight, healthy weight, underweight, or very underweight.
Arm Title
Exam room with poster
Arm Type
Active Comparator
Arm Description
All parents will be asked to fill out a questionnaire detailing basic demographic information as well as their perception of their child's weight. Parents who are in exam rooms with posters will be directed to read the poster on the exam room wall. After viewing the poster and after seeing their physician, parents will be ask to fill out a second short questionnaire that will ask parents whether they discussed their child's weight status with their physician, whether this conversation was prompted by the poster, and whether they believe their own child is very overweight, overweight, healthy weight, underweight, or very underweight.
Intervention Type
Other
Intervention Name(s)
Exam room with poster
Intervention Description
This intervention will assess whether a novel educational exam room poster can effectively prompt patients to ask pediatricians about their children's weight status and improve patents' perceptions of their children's weight status.
Primary Outcome Measure Information:
Title
Poster assessment prompts by questionnaire
Description
Assess whether the poster prompts parents to ask their child's doctor whether their child is a healthy weight.
Time Frame
End of study - 1 year
Title
Parents' perceptions by questionnaire
Description
Assess whether the poster improves accuracy of parents' perceptions of their children's weight status.
Time Frame
End of study - 1 year
Title
Changes in parental perception by questionnaire
Description
Among parents who view the poster, the investigators will assess whether parental perception changes differentially based on parental race/ethnicity, education, or socioeconomic background.
Time Frame
End of study - 1 year

10. Eligibility

Sex
All
Minimum Age & Unit of Time
3 Years
Maximum Age & Unit of Time
8 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Children aged 3-8 years old presenting to pediatric clinic for a well-child visit. Parents of include children who speak English or Spanish and are able to complete a written survey. Exclusion Criteria: Parents that are <18 years old Children with no documented weight or height for their visit Any medical condition that would affect weight gain or growth such as failure to thrive, congenital heart defect, etc.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Callie L Brown, MD MPH
Organizational Affiliation
Wake Forest University Health Sciences
Official's Role
Principal Investigator
Facility Information:
Facility Name
UAB Health Center Huntsville
City
Huntsville
State/Province
Alabama
ZIP/Postal Code
35801
Country
United States
Facility Name
Pediatric Associates of Northern Kentucky
City
Crestview Hills
State/Province
Kentucky
ZIP/Postal Code
41017
Country
United States
Facility Name
Duke Children's Primary Care Brier Creek
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27617
Country
United States
Facility Name
Duke Health Center at Roxboro Street
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27704
Country
United States
Facility Name
Downtown Health Plaza
City
Winston-Salem
State/Province
North Carolina
ZIP/Postal Code
27101
Country
United States
Facility Name
Ford Simpson Lively and Rice Pediatrics
City
Winston-Salem
State/Province
North Carolina
ZIP/Postal Code
27103
Country
United States
Facility Name
Public Health Center - Eastgate
City
Bellevue
State/Province
Washington
ZIP/Postal Code
98007
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
19302692
Citation
Doolen J, Alpert PT, Miller SK. Parental disconnect between perceived and actual weight status of children: a metasynthesis of the current research. J Am Acad Nurse Pract. 2009 Mar;21(3):160-6. doi: 10.1111/j.1745-7599.2008.00382.x.
Results Reference
background
PubMed Identifier
24488736
Citation
Lundahl A, Kidwell KM, Nelson TD. Parental underestimates of child weight: a meta-analysis. Pediatrics. 2014 Mar;133(3):e689-703. doi: 10.1542/peds.2013-2690. Epub 2014 Feb 2.
Results Reference
background
PubMed Identifier
23020552
Citation
Rietmeijer-Mentink M, Paulis WD, van Middelkoop M, Bindels PJ, van der Wouden JC. Difference between parental perception and actual weight status of children: a systematic review. Matern Child Nutr. 2013 Jan;9(1):3-22. doi: 10.1111/j.1740-8709.2012.00462.x. Epub 2012 Oct 1.
Results Reference
background
PubMed Identifier
21594667
Citation
Moore LC, Harris CV, Bradlyn AS. Exploring the relationship between parental concern and the management of childhood obesity. Matern Child Health J. 2012 May;16(4):902-8. doi: 10.1007/s10995-011-0813-x.
Results Reference
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PubMed Identifier
20679328
Citation
Soto C, White JH. School Health Initiatives and Childhood Obesity: BMI screening and reporting. Policy Polit Nurs Pract. 2010 May;11(2):108-14. doi: 10.1177/1527154410374218. Epub 2010 Aug 2.
Results Reference
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PubMed Identifier
12032758
Citation
Wake M, Salmon L, Waters E, Wright M, Hesketh K. Parent-reported health status of overweight and obese Australian primary school children: a cross-sectional population survey. Int J Obes Relat Metab Disord. 2002 May;26(5):717-24. doi: 10.1038/sj.ijo.0801974.
Results Reference
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PubMed Identifier
20554259
Citation
Perrin EM, Jacobson Vann JC, Benjamin JT, Skinner AC, Wegner S, Ammerman AS. Use of a pediatrician toolkit to address parental perception of children's weight status, nutrition, and activity behaviors. Acad Pediatr. 2010 Jul-Aug;10(4):274-81. doi: 10.1016/j.acap.2010.03.006. Epub 2010 May 31.
Results Reference
background
PubMed Identifier
24886960
Citation
Cates JR, Diehl SJ, Crandell JL, Coyne-Beasley T. Intervention effects from a social marketing campaign to promote HPV vaccination in preteen boys. Vaccine. 2014 Jul 16;32(33):4171-8. doi: 10.1016/j.vaccine.2014.05.044. Epub 2014 Jun 2.
Results Reference
background
PubMed Identifier
23970960
Citation
Gee S, Chin D, Ackerson L, Woo D, Howell A. Prevalence of childhood and adolescent overweight and obesity from 2003 to 2010 in an integrated health care delivery system. J Obes. 2013;2013:417907. doi: 10.1155/2013/417907. Epub 2013 Jul 18.
Results Reference
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PubMed Identifier
23496294
Citation
Herrera J, Lockner D, Kibbe D, Marley SC, Trowbridge F, Bailey A. Innovative tools help counselors discuss childhood obesity with parents. Child Obes. 2013 Apr;9(2):144-9. doi: 10.1089/chi.2012.0095. Epub 2013 Mar 15.
Results Reference
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PubMed Identifier
18574384
Citation
Parry LL, Netuveli G, Parry J, Saxena S. A systematic review of parental perception of overweight status in children. J Ambul Care Manage. 2008 Jul-Sep;31(3):253-68. doi: 10.1097/01.JAC.0000324671.29272.04.
Results Reference
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PubMed Identifier
19268233
Citation
Towns N, D'Auria J. Parental perceptions of their child's overweight: an integrative review of the literature. J Pediatr Nurs. 2009 Apr;24(2):115-30. doi: 10.1016/j.pedn.2008.02.032. Epub 2008 Sep 5.
Results Reference
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Healthy Weight Poster, Multi-site Study

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