Pediatric Preventative Health Screenings - Obesity and Family-Centered Outcomes

Study Overview
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Brief Summary
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In 2012, an Expert Panel of the National Heart Lung and Blood Institute published guidelines on cardiovascular health and risk reduction in children; among these guidelines were screening recommendations for obesity and obesity-related conditions. Following publication of this report there was a call for caution and for increased patient (parent, child) input on implementing these guidelines. There are limited current studies evaluating patient-centered outcomes (PCO) in the well-child setting, however, given the childhood obesity epidemic, there is a clear need for such an evaluation. The city of Detroit, MI ranks first among 22 cities with data for the prevalence of overweight and obese youth (39.7%), making Henry Ford Health System, which is located in Detroit, MI, an ideal setting to study childhood obesity related research questions.

Detailed Description
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Within this patient population, our specific aims therefore are to (1) examine current trends in screening and management of obesity and obesity-related conditions in a real-world urban practice setting; (2) examine the family (patient and parent/guardian) and clinician preferences for the identification and management of obesity and obesity-related conditions; and (3) design and conduct a Phase II pragmatic cluster randomized trial (PCRT) of an educational intervention in providers for guiding screening for obesity and obesity-related conditions during the well-child visit that incorporates and leverages PCO. Staff dedicated solely to this project will partner with the Henry Ford Health System's proposed Patient-Centered Outcomes Research Center's Cores staff members to design, execute and disseminate study results in order to affect clinical care. By seeking to understand the current screening patterns in pediatrics and by creating an education intervention for providers aimed at taking a patient/family centered approach to these preventative health screenings, we may increase PCOs which in turn may have meaningful implications for future adult health.

Official Title
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Pediatric Preventative Health Screenings - Obesity and Family-Centered

Conditions
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Obesity, Overweight, Blood Pressure, Hypercholesteremia, Diabetes

Intervention / Treatment
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* Behavioral: Motivational interviewing to elicit PCO in pediatrics


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Between the ages of 2 and 18 Henry Ford Health System Patient Well-child visit with participating provider Fluent in English Exclusion Criteria: Unable to provide consent

Ages Eligible for Study
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Minimum Age: 2 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: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Motivational interviewing to elicit PCO in pediatrics<br>Providers will be randomized into a patient-centered outcomes (PCO) education course or standard of care. The PCO education course will educate and test providers on patient-centered outcomes of interest and appropriate methods to deliver PCO care. Providers randomized into the intervention arm will be required to take a brief, one-hour, webinar describing the background, problem, results from focus groups we conducted, and a training program on motivational interviewing. After completing the course, providers will be required to complete an evaluation. | Behavioral: Motivational interviewing to elicit PCO in pediatrics<br>* A motivational interviewing style webinar. Physicians watch the webinar, incorporate communication techniques.<br>* Other names: Patient-Centered Outcomes;|
| No Intervention: No Intervention<br>Standard care | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of participants with improved patient-centered outcomes (physical, social, and emotional health) as assessed by the PROMIS 25. |  | 6 weeks | 
| Number of participants with improved health-related quality of life as assessed by the PEDsQL. |  | 6 Weeks |