NOURISH+: Nourishing Our Understanding of Role Modeling to Improve Support and Health

Study Overview
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Brief Summary
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The purpose of this study is to evaluate the efficacy of a parent intervention (NOURISH+) aimed at reducing the problem of overweight and obesity in children.

Detailed Description
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Pediatric overweight is a national public health concern. The percentage of overweight children in the U.S. between the ages of 5 and 11 has nearly tripled in the last 3 decades. African American children are particularly at risk. Pediatric overweight is associated with numerous physical and psychological health problems. Moreover, overweight children are at significant risk for obesity in adulthood. Thus, a focus on pediatric overweight is an important step in the prevention of adult obesity. Despite the urgent need for pediatric overweight interventions, outcomes of some of the most rigorous treatments are, at best, mixed. Although research has found that including parents in interventions for pediatric overweight has positive effects on outcomes, parental involvement is usually limited. Moreover, relatively few studies have included sufficient numbers of lower-SES, African American participants, a group at increased risk for pediatric overweight and associated complications. This study will evaluate the efficacy of an intensive intervention targeting ethnically diverse parents of overweight, children ages 5-11 (NOURISH-Nourishing Our Understanding of Role Modeling to Improve Support and Health).

Official Title
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NOURISHing Families to Promote Healthy Eating and Exercise in Overweight Children

Conditions
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Overweight and Obesity

Intervention / Treatment
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* Behavioral: NOURISH+
* Behavioral: Wellness Group


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Parents/caregivers must be at least 18 years old Parents/caregivers must have a child between the ages of 5 and 11 with a BMI > the 85th percentile, who primarily resides in the caregiver's home Parents/caregivers need to speak English, be able to follow basic instructions, and perform simple exercises Exclusion Criteria: Non-ambulatory parents/caregivers Pregnant parents/caregivers Parents/caregivers who have a medical condition that might be negatively impacted by exercise Parents/caregivers who have a psychiatric diagnosis that would impair their ability to respond to assessments or participate in a group Parents whose children have a medical or developmental condition that precludes weight loss using conventional diet and exercise methods

Ages Eligible for Study
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Minimum Age: 18 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: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: NOURISH+<br>Participants will receive a 6-week face-to-face intervention, NOURISH+. Weekly topics teach parents skills to role model and encourage healthy lifestyle behaviors for their children. | Behavioral: NOURISH+<br>* 6 week face-to-face parent intervention.<br>|
| Placebo Comparator: Wellness Group<br>Participants will receive an in-person Family Wellness Night followed by 6 mailings of information regarding pediatric overweight and obesity. | Behavioral: Wellness Group<br>* 1 week face-to-face family group followed by 6 informational mailings on childhood overweight and obesity.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Child BMI |  | baseline, post-testing, 4-month, and 10-month follow-up | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Child dietary intake, quality of life, and physical activity |  | baseline, post-testing, 4-month, and 10-month follow-up | 
| Parental BMI, dietary intake, and physical activity levels |  | baseline, post-testing, 4-month, and 10-month follow-up | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Pediatric Overweight, Pediatric Obesity