Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: The Added Value of Telephone Follow Up and Home Visits in Helping Children to Grow Up Healthy
Brief Summary: Leading medical organizations have called on primary care pediatricians to take a central role in the prevention of childhood obesity. Weight counseling typically has not been incorporated into routine pediatric practice due to time and training constraints. Brief interventions with simple behavior change messages are needed to reach high-risk children, particularly Latino and Black children who are disproportionately affected by obesity and related comorbidities. Steps to Growing Up Healthy (Added Value) is a randomized controlled trial testing the efficacy of brief motivational counseling (BMC) delivered by primary care clinicians and the added value of supplementing BMC with monthly contact by community health workers (CHW) in the prevention/reversal of obesity in Latino and Black children ages 2-4 years old. Mother-child dyads (targeted n=150) are recruited for this 12-month randomized trial at an inner-city pediatric primary care clinic and randomized to: 1) BMC delivered by clinicians and nurses at well, sick, and WIC visits with the goal of reducing obesogenic behaviors (BMC); 2) BMC plus monthly phone calls by a CHW (BMC+Phone); or 3) BMC plus monthly home visits by a CHW (BMC+Home). During BMC, the medical team facilitates the selection of a specific goal (i.e., reduce sugar sweetened beverage consumption) that is meaningful to the mother and teaches the mother simple behavioral strategies. Monthly contacts with CHWs are designed to identify and overcome barriers to goal progress. Dyads are assessed at baseline and 12 months and the primary outcome is change in the child's BMI percentile. We hypothesize that BMC+Phone and BMC+Home will produce greater reductions in BMI percentiles than BMC alone and that BMC+Home will produce greater reductions in BMI percentiles than BMC+Phone.


Options:
A: Arm Label: Brief Motivational Counseling (BMC); Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Brief Motivational Counseling (BMC) | Arm Label: Brief Motivational Counseling Plus Phone Calls (BMC+Phone); Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Brief Motivational Counseling (BMC), Behavioral: Brief Motivational Counseling Plus Phone Calls (BMC + Phone) | Arm Label: Brief Motivational Counseling Plus Home Visits (BMC+Home); Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Brief Motivational Counseling (BMC), Behavioral: Brief Motivational Counseling Plus Home Visits (BMC + Home) | Intervention Type: BEHAVIORAL; Name: Brief Motivational Counseling (BMC); Assigned to Arm(s): Brief Motivational Counseling (BMC), Brief Motivational Counseling Plus Home Visits (BMC+Home), Brief Motivational Counseling Plus Phone Calls (BMC+Phone) | Intervention Type: BEHAVIORAL; Name: Brief Motivational Counseling Plus Phone Calls (BMC + Phone); Assigned to Arm(s): Brief Motivational Counseling Plus Phone Calls (BMC+Phone) | Intervention Type: BEHAVIORAL; Name: Brief Motivational Counseling Plus Home Visits (BMC + Home); Assigned to Arm(s): Brief Motivational Counseling Plus Home Visits (BMC+Home)
B: Intervention Type: BEHAVIORAL; Name: Fat and carbohydrate controlled diet; Assigned to Arm(s): N/A
C: Arm Label: Comparison Group; Type: NO_INTERVENTION; Interventions: N/A | Arm Label: Parenting Program; Type: EXPERIMENTAL; Interventions: Behavioral: Parenting Program | Intervention Type: BEHAVIORAL; Name: Parenting Program; Assigned to Arm(s): Parenting Program
D: Arm Label: Educational intervention, Control; Type: EXPERIMENTAL; Interventions: Other: Educational program | Arm Label: Educational program; Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: OTHER; Name: Educational program; Assigned to Arm(s): Educational intervention, Control

Answer: A