Family-centred E-health in Pediatric Weight Management: A Pilot Study

Study Overview
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Brief Summary
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This is a pilot study to examine the feasibility of implementing an objective physical activity and sleep monitoring tool into a pediatric weight management program in conjunction with a personal health record (PHR) for children and their families. This feasibility study is intended to provide proof of concept in the incorporation of monitoring devices within the PHR for pediatric patients and their families. Additionally, the investigators will examine whether the PHR helps to empower pediatric patients, their families and the health care team to more effectively monitor the patient's behavior change. Participants will be randomized to receive, or not receive, augmented communication with the health care team between clinical in person visits.

Detailed Description
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Lifestyle behaviour changes represent the foundation of pediatric weight management and are usually promoted through individual and/or group-based counseling to encourage the adoption and maintenance of health lifestyle behaviours including nutritional intake, sleep and physical activity. Consensus on the need for comprehensive, behavioural interventions exists, but the nature of these interventions vary considerably. The intensity of the intervention (i.e. number of contact hours) may be a key determinant of efficacy, but little detail on the characteristic of these contact hours for optimal delivery is currently available. In this proof of concept study, we will evaluate the enhancement of behavioural change strategies utilizing technology that provides direct feedback on behaviour change. These devices will be incorporated into a PHR and supplemented with a related e-learning module. This study will examine the feasibility and perceived usefulness of incorporation of a personal electronic device to encourage behaviour change in children and youth enrolled in a weight management program. We intend to incorporate this device within an established PHR and supplement with evidence-based e-learning. This is a prospective, randomized pilot study of children and youth (ages 5-17 years) enrolled in a multidisciplinary pediatric weight management program (at McMaster Children's Hospital) for 4 months. This pilot study will include 10 children/youth and parent dyads from each of 3 age groups: 5-9 years, 10-13 years and 14-17 years. All families will utilize a personal electronic device that they can utilize with the individualized PHR. Participants will be randomized to receive, or not receive, regular communication with and access to the clinical team outside of their routine clinical visits, this will occur through a secure portal in the PHR.

Official Title
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Family-centred E-health in Pediatric Weight Management: A Pilot Study

Conditions
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Pediatric Obesity

Intervention / Treatment
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* Behavioral: Communication through PHR outside clinic
* Behavioral: Monitoring device in PHR
* Device: Physical activity and sleep monitor
* Other: PHR


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: children/youth between the ages of 5-17 years enrolled in pediatric weight management program at McMaster Children's Hospital provide informed written assent (child/youth) provision of informed written consent (parent/caregiver) Exclusion Criteria: no access to internet/home computer

Ages Eligible for Study
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Minimum Age: 5 Years
Maximum Age: 17 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
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Monitoring device in PHR<br>Both groups will receive routine clinical care in the pediatric weight management program at McMaster Children's Hospital. Children/youth in both groups will receive a physical activity and sleep monitor and access to their PHR. The Active Comparator group will not receive any feedback or communication outside of clinic visits from the clinical team regarding their goal progress. | Behavioral: Monitoring device in PHR<br> <br> Device: Physical activity and sleep monitor<br> <br> Other: PHR<br>* Access to their PHR<br>|
| Experimental: Communication through PHR outside clinic<br>Both groups will receive routine clinical care in the pediatric weight management program at McMaster Children's Hospital. Children/youth in both groups will receive a physical activity and sleep monitor and access to their PHR. The experimental group will receive regular communication with /access to the clinical team through a secure portal within the PHR(i.e. 2 way communication, weekly feedback to the families on their goal progress). | Behavioral: Communication through PHR outside clinic<br> <br> * Other names: Communication with clinic staff through PHR;Device: Physical activity and sleep monitor<br> <br> Other: PHR<br>* Access to their PHR<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Feasibility | Feasibility of the use of personal electronic devices for monitoring behavioural change in response to goal setting through a PHR will be evaluated and compared between the two groups by comparing: 1) percent of consenting families who successfully access the PHR, and 2) percent of children/youth who upload physical activity and sleep data for at least 4/7 days and 75% of weeks of the study. | 4 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Acceptability of the personal electronic device and PHR | Acceptability of the device to the family unit will be evaluated by collating the: 1) number of days per month the family uploads physical activity or sleep information, 2) number of times the family (in the randomized intervention group)interacts with the clinical team through the PHR and 3) number of times over the 4 month period that the family reviews the e-learning module. Acceptability of the device and PHR to the child and parent will be ascertained separately via standardized questionnaire at 2 and 4 months after randomization. | 2 and 4 months | 
| Acceptability of goal monitoring | Acceptability of the method of monitoring goal achievement to the clinic staff will be evaluated by questionnaire at the end of the study. | 4 months | 
| Feasibility of the utilization of the PHR and personal electronic device | Feasibility of the utilization of the PHR and personal electronic device will be measured by examining the percent of eligible, consecutive clinic patients who agree to take part in the study. | 4 months | 
| Health education | The Health Education Impact Questionnaire (heIQ) will be administered to evaluate the impact of the health education intervention. | 4 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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pediatric obesity, e-learning, personal health record, personal electronic device, pilot