NCT02850224

Pediatric Preventative Health Screenings - Obesity and Family-Centered Outcomes

Pediatric Preventative Health Screenings - Obesity and Family-Centered

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 703 (actual)
• Sponsor: Henry Ford Health System · Academic / Other
• Sex: All
• Age: 2 Years – 18 Years
• Healthy volunteers: Accepted

Summary

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

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.

Conditions

• Obesity
• Overweight
• Blood Pressure
• Hypercholesteremia
• Diabetes

Interventions

Type	Name	Description
BEHAVIORAL	Motivational interviewing to elicit PCO in pediatrics	A motivational interviewing style webinar. Physicians watch the webinar, incorporate communication techniques.

Timeline

• Start date: 2017-04-20
• Primary completion: 2018-02-19
• Completion: 2020-07-27
• First posted: 2016-07-29
• Last updated: 2020-07-28

Locations

1 site across 1 country: United States