Clinical trial NCT03128112: Healthy Weight Poster, Multi-site Study
Official title: Using a Poster Depicting Healthy Weight to Improve Perception of Weight, a Multi-site Study
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Childhood Obesity
Keywords: Parental perception, obesity, overweight
Lead sponsor: Wake Forest University Health Sciences
Sponsor class: OTHER
Collaborators: name: Duke University
name: Eastgate Public Health Center
name: UAB Huntsville Pediatrics
name: Pediatric Associates of Northern Kentucky
First posted: 2017-04-25
Enrollment: 965
Sex: ALL
Minimum age (years): 3
Maximum age (years): 8
Standard ages: CHILD
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: This is a multi-site, cross-sectional study of 3-8 year old children and their parents presenting for a well-child check. The investigators are assessing whether a novel, educational, exam room poster can effectively prompt parents to ask their pediatricians about their children's weight status and improve parents' perceptions of their children's weight status.

Detailed description: The purpose of this study is to evaluate whether a novel, educational, exam room poster can effectively prompt parents to ask their pediatricians about their children's weight status. Exam rooms within clinics will be randomized to either have the poster or not and parents will complete questionnaires assessing weight perception, whether they discussed their child's weight with their physician, and basic demographics. Participants who are in exam rooms with a poster will also answer questions specifically about the poster.

Eligibility criteria: Inclusion Criteria:

* Children aged 3-8 years old presenting to pediatric clinic for a well-child visit.
* Parents of include children who speak English or Spanish and are able to complete a written survey.

Exclusion Criteria:

* Parents that are \<18 years old
* Children with no documented weight or height for their visit
* Any medical condition that would affect weight gain or growth such as failure to thrive, congenital heart defect, etc.

Primary outcomes:
measure: Poster assessment prompts by questionnaire
timeFrame: End of study - 1 year
measure: Parents' perceptions by questionnaire
timeFrame: End of study - 1 year
measure: Changes in parental perception by questionnaire
timeFrame: End of study - 1 year
Secondary outcomes:
Other outcomes:
Locations:
city: Huntsville
country: United States
facility: UAB Health Center Huntsville
state: Alabama
city: Crestview Hills
country: United States
facility: Pediatric Associates of Northern Kentucky
state: Kentucky
city: Durham
country: United States
facility: Duke Children's Primary Care Brier Creek
state: North Carolina
city: Durham
country: United States
facility: Duke Health Center at Roxboro Street
state: North Carolina
city: Winston-Salem
country: United States
facility: Downtown Health Plaza
state: North Carolina
city: Winston-Salem
country: United States
facility: Ford Simpson Lively and Rice Pediatrics
state: North Carolina
city: Bellevue
country: United States
facility: Public Health Center - Eastgate
state: Washington
Study officials:
affiliation: Wake Forest University Health Sciences
name: Callie L Brown, MD MPH
role: PRINCIPAL_INVESTIGATOR
References:
citation: Doolen J, Alpert PT, Miller SK. Parental disconnect between perceived and actual weight status of children: a metasynthesis of the current research. J Am Acad Nurse Pract. 2009 Mar;21(3):160-6. doi: 10.1111/j.1745-7599.2008.00382.x.
citation: Lundahl A, Kidwell KM, Nelson TD. Parental underestimates of child weight: a meta-analysis. Pediatrics. 2014 Mar;133(3):e689-703. doi: 10.1542/peds.2013-2690. Epub 2014 Feb 2.
citation: Rietmeijer-Mentink M, Paulis WD, van Middelkoop M, Bindels PJ, van der Wouden JC. Difference between parental perception and actual weight status of children: a systematic review. Matern Child Nutr. 2013 Jan;9(1):3-22. doi: 10.1111/j.1740-8709.2012.00462.x. Epub 2012 Oct 1.
citation: Moore LC, Harris CV, Bradlyn AS. Exploring the relationship between parental concern and the management of childhood obesity. Matern Child Health J. 2012 May;16(4):902-8. doi: 10.1007/s10995-011-0813-x.
citation: Soto C, White JH. School Health Initiatives and Childhood Obesity: BMI screening and reporting. Policy Polit Nurs Pract. 2010 May;11(2):108-14. doi: 10.1177/1527154410374218. Epub 2010 Aug 2.
citation: Wake M, Salmon L, Waters E, Wright M, Hesketh K. Parent-reported health status of overweight and obese Australian primary school children: a cross-sectional population survey. Int J Obes Relat Metab Disord. 2002 May;26(5):717-24. doi: 10.1038/sj.ijo.0801974.
citation: Perrin EM, Jacobson Vann JC, Benjamin JT, Skinner AC, Wegner S, Ammerman AS. Use of a pediatrician toolkit to address parental perception of children's weight status, nutrition, and activity behaviors. Acad Pediatr. 2010 Jul-Aug;10(4):274-81. doi: 10.1016/j.acap.2010.03.006. Epub 2010 May 31.
citation: Cates JR, Diehl SJ, Crandell JL, Coyne-Beasley T. Intervention effects from a social marketing campaign to promote HPV vaccination in preteen boys. Vaccine. 2014 Jul 16;32(33):4171-8. doi: 10.1016/j.vaccine.2014.05.044. Epub 2014 Jun 2.
citation: Gee S, Chin D, Ackerson L, Woo D, Howell A. Prevalence of childhood and adolescent overweight and obesity from 2003 to 2010 in an integrated health care delivery system. J Obes. 2013;2013:417907. doi: 10.1155/2013/417907. Epub 2013 Jul 18.
citation: Herrera J, Lockner D, Kibbe D, Marley SC, Trowbridge F, Bailey A. Innovative tools help counselors discuss childhood obesity with parents. Child Obes. 2013 Apr;9(2):144-9. doi: 10.1089/chi.2012.0095. Epub 2013 Mar 15.
citation: Parry LL, Netuveli G, Parry J, Saxena S. A systematic review of parental perception of overweight status in children. J Ambul Care Manage. 2008 Jul-Sep;31(3):253-68. doi: 10.1097/01.JAC.0000324671.29272.04.
citation: Towns N, D'Auria J. Parental perceptions of their child's overweight: an integrative review of the literature. J Pediatr Nurs. 2009 Apr;24(2):115-30. doi: 10.1016/j.pedn.2008.02.032. Epub 2008 Sep 5.