Creating Healthy Environments for Chicago Kids (CHECK)

Rush

Status

Completed

Conditions

Childhood Obesity

Treatments

Behavioral: Family-based pediatric obesity treatment

Study type

Interventional

Funder types

Other

NIH

Identifiers

NCT03195790

15120306

R01DK111358 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

Pediatric obesity interventions for low-income populations are increasingly delivered in children's homes, which may make treatment more accessible to families and enhance the potency of the intervention in several ways. This randomized trial will directly test whether delivering family-based behavioral interventions for pediatric overweight/obesity in the home setting improves weight loss outcomes in low-income children relative to medical center-based treatment. The trial will also quantify the cost-effectiveness of home visitation, and explore the mechanisms accounting for observed treatment effects

Full description

The goal of this project is to systematically evaluate the incremental weight loss benefit and cost-effectiveness of delivering standard family-based treatment for pediatric overweight/obesity in the home setting vs. traditional medical settings. In a randomized controlled trial involving low-income households, 266 children ages 6-12 years will be allocated to 12 months of family-based treatment delivered either in their home or at an urban academic medical center. Both arms will receive the same intervention content and dosage, and differ only in the location of in-person treatment sessions. Aim 1 is to test the hypothesis that home-based treatment produces a greater reduction in child adiposity, reflected in 12-month change in BMI z-score. Aim 2 is to compare the cost-effectiveness of home-based treatment to medical center-based treatment, and calculate the added cost of the incremental weight loss benefit associated with home visitation. These data will inform efforts to disseminate home-based interventions for low-income populations by public health agencies and third-party payers. Aim 3 is to explore specific mechanisms through which home visitation may improve weight loss outcomes.

Enrollment

269 patients

Sex

All

Ages

6 to 12 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Family includes at least one child who is 6 to 12 years old, and is overweight or obese (has a body mass index at or above the 85th percentile for age and sex)
Child's household has an income-to-poverty ratio ≤ 2.0

Exclusion criteria

Child or caregiver(s) are not fluent in English
Unwilling to attend and complete either home-based or clinic-based treatment, or to complete any aspect of the study assessment battery
Medical contraindication or barrier to weight loss treatment
Caregiver has a major medical or psychiatric condition likely to interfere with treatment
Plans to relocate outside the Chicago area in the next 12 months, or living in temporary or group housing with other families
Resides more than 15 miles from the Illinois Medical District (study site)
Conditions in or around the home that jeopardize staff/interventionist safety