Foundations of Fitness Program Pilot

Dartmouth Health

Status: Completed

Conditions: Self Esteem; Body Mass Index; Health Behavior; Pediatric Obesity

Treatments: Other: Foundations of Fitness Program

Study type: Interventional

Funder types: Other

Identifiers

NCT03622086

D18143

Details and patient eligibility

About

Approximately 17% of US children have obesity resulting in significant childhood co-morbidities and increased lifetime risk of adult obesity, diabetes, cardiovascular disease and cancer. Guidelines recommend intensive lifestyle programs as first-line treatment, yet few pediatric practices are equipped to provide this. Clinical-community partnerships are well-positioned to address this care gap. This proposal aims to assess whether a community-delivered lifestyle program offered in adjunct to primary care obesity management is feasible, acceptable, effective, and easily implemented in a rural care setting. In this study, approximately 40 children aged 7-13 years old and their caregiver pairs will be recruited from a primary care pediatric clinic. Child-adult dyads will participate in a 24-week program that includes 2 phases, a 12-week usual care phase and a 12-week intervention phase. The intervention phase will include bi-weekly meetings of a community intensive lifestyle program which focuses on healthy diet, daily physical activity, self-esteem and support for individual and family behavior change. A mixed-methods approach using qualitative interviews and study questionnaires, combined with objective measures of adiposity and fitness will assess study outcomes.

Enrollment: 29 patients

Sex: All

Ages: 7 to 13 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Age 7-13 years;
• BMI% ≥85th%;
• Regional pediatric medical home patient;
• English speaking child and parent/caregiver;

Exclusion criteria

• Physical or developmental limitation to participation as determined by referring provider

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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29 participants in 2 patient groups

7-10 years old

Experimental group

Description:

Children-caregiver pairs will participate in a 24-week pilot that includes 2 phases, 12 weeks of usual care, followed by 12 weeks of Foundations of Fitness Program.

Treatment:

Other: Foundations of Fitness Program

11-13 years old

Experimental group

Description:

Children-caregiver pairs will participate in a 24-week pilot that includes 2 phases, 12 weeks of usual care, followed by 12 weeks of Foundations of Fitness Program.

Treatment:

Other: Foundations of Fitness Program