A Brief Outpatient Problem-solving Intervention to Promote Healthy Eating and Activity Habits in Adolescents

Study Overview
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Brief Summary
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The purpose of this study is to refine, evaluate the feasibility, and to estimate the effect of the healthy Living Study, a brief outpatient problem-solving intervention to promote healthy eating and activity habits in adolescents.

Detailed Description
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This study will refine, evaluate the feasibility, and estimate the effect of a brief problem-solving intervention to promote healthy eating and activity habits in adolescents. Intervention participants will receive 2 sessions of individual behavioral counseling on problem-solving skills utilizing educational videos, handouts, and worksheets. Intervention participants will be asked to generate unique health goals and practice utilizing problem-solving skills to achieve these goals.Control participants will receive standard of care. Outcomes will explore the ability to shorten the intervention, integrate the intervention into busy outpatient clinics, and estimate the effect of the intervention on confidence to maintain or improve healthy habits and to improve problem-solving skills.

Official Title
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A Pilot Study of the Healthy Living Study, a Randomized Controlled Trial of a Brief Outpatient Problem-solving Intervention to Promote Healthy Eating and Activity Habits in Adolescents.

Conditions
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Health Behavior

Intervention / Treatment
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* Behavioral: Problem-solving intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 13-18 years old Able to read and speak English Patient of the Lucile Packard Children's Hospital teen clinic, weight clinic, or mobile teen van Exclusion Criteria: History of purging within the prior 12 months

Ages Eligible for Study
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Minimum Age: 13 Years
Maximum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Problem-solving intervention<br>2 individual sessions teaching problem-solving skills with the use of videos, handouts, and worksheets. | Behavioral: Problem-solving intervention<br>* Participants will receive 2 individual sessions teaching and reviewing problem-solving skills.<br>|
| No Intervention: Control: Standard Care<br>Control arm participants will receive standard of care from their primary care provider. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Feasibility to conduct a brief problem-solving intervention in a busy academic outpatient setting. | Feasibility will be measured in the following ways: Refinement of the intervention by the end of the study to a reasonable length to compliment average patient clinic visits with a goal of 30 minutes or less Minimal disruption of clinic flow measured through clinic provider and staff satisfaction surveys and qualitative comments during the course of the intervention | From recruitment of the first participant to completion of the intervention by the last participant, anticipated duration of time: 7-8 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in problem-solving skills | Participants will complete survey questions modified from the Social Problem-Solving Inventory for Adolescents (SPSI-A) both pre-intervention and post-intervention. These questions provide an assessment of problem-solving skills and are scored on a Likert scale of 1-5 with 5=more positive/constructive problem-solving skills. Change in overall mean score from pre- to post- intervention will be compared within intervention and control groups and between groups. Duration of time between pre- and post- intervention will average 1-2 months. | Change from baseline to 1-2 months | 
| Change in confidence to maintain or improve healthy eating habits | Participants will complete pre- and post- intervention questions on confidence to maintain or improve healthy eating habits. An example question: How confident are you that you could change or maintain your eating patterns to limit soda to <1 can/day. Questions will be scored on a Likert scale of 1-6 with 6=very confident. Change in overall mean score from pre- to post- intervention will be compared within intervention and control groups and between groups. Duration of time between pre- and post- intervention will average about 1-2 months. | Change from baseline to 1-2 months | 
| Sufficient recruitment and retention rates | Detailed records of patients approached, consented, randomized, and completing the study will be maintained. These records will be reviewed at the conclusion of the study to gauge patient interest in participating in a problem-solving intervention in the outpatient setting. | From recruitment of the first participant to completion of the intervention by the last participant, anticipated duration of time: 7-8 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Problem solving therapy, Behavior change