IT-Supported Early Treatment Of Childhood Overweight

Study Overview
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Brief Summary
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The goal of this exploratory/ developmental study is to develop and evaluate an integrated information system, Healthy Eating and Activity Today (HEAT), for promoting self-care in overweight children. HEAT is comprised of two components: 1)Telephone Linked Care-HEAT (TLC-HEAT), a self-care intervention delivered at home through totally automated telephone conversations; and 2) Primary Care-HEAT (PC-HEAT), a primary care intervention linked with TLC-HEAT and delivered through an electronic health record (EHR). The HEAT system will guide children in the early stages of overweight, i.e., children with Body Mass Index (BMI) 0-3 BMI points above the 95th percentile for age and gender, toward healthy weight management and assist the child's parent(s) and primary care provider (PCP) to support the child's efforts.

Detailed Description
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For this project we will: 1) develop TLC-HEAT for use by children in the earliest stage of overweight and their parents; 2) integrate TLC-HEAT with an electronic health record to provide child- and parent-reported behavior summaries combined with evidence-based decision support to primary care providers (PCPs) at the point-of-care (PC-HEAT); and 3) conduct a pilot study of the combined HEAT system to explore the appropriateness of conducting a larger, randomized clinical trial in the future.

Official Title
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Automated Self-management System to Promote Healthy Eating and Activity in Overweight Children

Conditions
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Childhood Obesity, Technology Based Obesity Intervention

Intervention / Treatment
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* Behavioral: Telephone Linked Care-HEAT (TLC-HEAT)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Children will be enrolled in the study if they meet a set of eligibility criteria which includes: 0-3 BMI points above the 95th %ile for age and gender age 9-12 years old a PCP at BMC an English speaking child and parent (based on interviewer assessment). Exclusion Criteria: Children will be considered ineligible for the study if they: have a health condition for which dietary recommendations in TLC-HEAT would be contraindicated have cognitive impairment (not in a mainstream academic class in school) have a terminal illness, current or former diagnosis of an eating disorder, or other diagnosis that the PCP deems should exclude them from participation plan to move away from the Boston area in less than 12 months are participating in another clinical weight treatment program. Initial screening will be done by research assistants over the phone.

Ages Eligible for Study
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Minimum Age: 9 Years
Maximum Age: 12 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment


Arms and Interventions

| Intervention/Treatment |
| --- |
|Behavioral: Telephone Linked Care-HEAT (TLC-HEAT)|A primary care intervention linked with Telephone Linked Care-HEAT (TLC-HEAT), and delivered through an electronic health record (EHR). The HEAT system will guide children in the early stages of overweight toward healthy weight management and assist the child's parent(s) and primary care provider (PCP) to support the child's efforts.|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Childhood Obesity, Obesity Intervention