Pediatric Preventative Health Screenings - Obesity and Family-Centered Outcomes

In 2012, an Expert Panel of the National Heart Lung and Blood Institute published guidelines on cardiovascular health and risk reduction in children; among these guidelines were screening recommendations for obesity and obesity-related conditions. Following publication of this report there was a call for caution and for increased patient (parent, child) input on implementing these guidelines. There are limited current studies evaluating patient-centered outcomes (PCO) in the well-child setting, however, given the childhood obesity epidemic, there is a clear need for such an evaluation. The city of Detroit, MI ranks first among 22 cities with data for the prevalence of overweight and obese youth (39.7%), making Henry Ford Health System, which is located in Detroit, MI, an ideal setting to study childhood obesity related research questions.

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Key information

Conditions

Obesity Blood Pressure Body Weight Diabetes Diabetes Mellitus Dyslipidemias Endocrine System Diseases Glucose Metabolism Disorders Hypercholesteremia Hypercholesterolemia Hyperlipidemias Lipid Metabolism Disorders Metabolic Diseases Nutrition Disorders Nutritional and Metabolic Diseases Overnutrition Overweight Pathological Conditions, Signs and Symptoms Signs and Symptoms

Age range

2 year–18 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Henry Ford Health System

Detroit, Michigan, 48202, United States

About this study

Within this patient population, our specific aims therefore are to (1) examine current trends in screening and management of obesity and obesity-related conditions in a real-world urban practice setting; (2) examine the family (patient and parent/guardian) and clinician preferences for the identification and management of obesity and obesity-related conditions; and (3) design and conduct a Phase II pragmatic cluster randomized trial (PCRT) of an educational intervention in providers for guiding screening for obesity and obesity-related conditions during the well-child visit that incorporates and leverages PCO. Staff dedicated solely to this project will partner with the Henry Ford Health System's proposed Patient-Centered Outcomes Research Center's Cores staff members to design, execute and disseminate study results in order to affect clinical care. By seeking to understand the current screening patterns in pediatrics and by creating an education intervention for providers aimed at taking a patient/family centered approach to these preventative health screenings, we may increase PCOs which in turn may have meaningful implications for future adult health.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Between the ages of 2 and 18
Henry Ford Health System Patient
Well-child visit with participating provider
Fluent in English

Exclusion criteria

Unable to provide consent

Treatment and study plan

Motivational interviewing to elicit PCO in pediatrics

Behavioral

A motivational interviewing style webinar. Physicians watch the webinar, incorporate communication techniques.

Other names: Motivational Interviewing, Patient-Centered Outcomes

Primary outcomes

Number of participants with improved patient-centered outcomes (physical, social, and emotional health) as assessed by the PROMIS 25.

Time frame: 6 weeks
Number of participants with improved health-related quality of life as assessed by the PEDsQL.

Time frame: 6 Weeks

Sponsors and collaborators

Lead sponsor

Henry Ford Health System

Other

Registry information

Official study title

Pediatric Preventative Health Screenings - Obesity and Family-Centered

Important dates

Study start: 2017
Primary completion: 2018
Study completion: 2020
First posted: Jul 29, 2016
Registry last updated: Jul 28, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.

Completed