Next Steps: a Community-led Solution to Address Childhood Obesity

Study Overview
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Brief Summary
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The purpose of Next Steps pilot intervention is to develop and test a new program designed to help low-income multiethnic families with overweight or obese children achieve long-term maintenance of healthful behaviors following completion of Hennepin County Medical Center's (HCMC) 16-week intensive obesity management course (Taking Steps Together (TST)).

Detailed Description
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Next Steps is a community based pilot intervention study conducted in collaboration between community leaders, the University of Minnesota, Hennepin County Medical Center (HCMC) and The Family Partnership. The study collaborators will develop and test a new program designed to help low-income multiethnic families with overweight or obese children achieve long-term maintenance of healthful behaviors following completion of HCMC's 16-week intensive obesity management course (Taking Steps Together (TST)). Next Steps, the focus of this study, will comprise a network of parent-led, community-based health maintenance programs that will be offered to TST graduate families. Project Aims: Aim 1: Establish a core parent leadership group and health maintenance program network that is self-sustaining and can serve the community for years to come. Aim 2: Test the feasibility, acceptability and sustainability of the Next Steps programs. Aim 3: Assess the impact of the Next Steps programs on helping participant families sustain or improve healthful behaviors and achieve or maintain healthy body mass index (BMI).

Official Title
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Next Steps: a Community-led Solution to Sustaining Healthy Behaviors in Families Addressing Childhood Obesity

Conditions
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Obesity

Intervention / Treatment
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* Behavioral: Nutrition/physical activity intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Families that are graduates of the Taking Step Together program. Families with at least one overweight or obese child between the ages of 7-17. Family members of all ages who have graduated from the Taking Steps Together program will be included in the study. Exclusion Criteria: Families who are not graduates of the Taking Steps Together program. Families who do not have one child that is between the ages of 7-17 and who is overweight or obese

Ages Eligible for Study
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Minimum Age: 2 Years
Maximum Age: 75 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: Nutrition/physical activity intervention<br>The intervention, Next Steps, comprises a network of community-led health maintenance programs offered to graduates of an initial intensive obesity course. These health maintenance programs will aim to help participants maintain and improve healthful behaviors and body mass indices. | Behavioral: Nutrition/physical activity intervention<br>* Nutrition/physical activity intervention<br>|
| No Intervention: Usual care<br>Participants in the No Intervention arm will not have access to the Next Steps programs and will receive only usual care through their health care clinic. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Maintain or lower body mass index | Body mass index. | up to 4 months | 
| Frequency and intensity of physical activity | Frequency and intensity of physical activity | up to 4 months | 
| Frequency of intake of healthful foods and reduction of unhealthful foods; | Frequency of intake of healthful foods and reduction of unhealthful foods; | up to 4 months |