Childhood Obesity Prevention Program for Hispanics

Overview

The purpose of this study is to evaluate the efficacy of a culturally-appropriate childhood obesity intervention with Hispanic families. The program aims at preventing childhood obesity by targeting parents to address nutrition, physical activity, and sedentary behaviors in their children.

Full Title of Study: “Culturally-Appropriate Childhood Obesity Prevention Program for Hispanic Families”

Study Type

  • Study Type: Interventional
  • Study Design
    • Allocation: Randomized
    • Intervention Model: Parallel Assignment
    • Primary Purpose: Prevention
    • Masking: None (Open Label)
  • Study Primary Completion Date: November 2013

Detailed Description

Childhood obesity has been ranked as a critical public health threat in the U.S. due to the increasing prevalence of obesity among children over the past three decades. Childhood obesity poses both intermediate and long-term health risks, as well as considerable economic costs. While this epidemic affects all socioeconomic levels, certain racial/ethnic groups are disproportionately affected, including Hispanics.The long-term goal of the current research is to contribute to the reduction of racial/ethnic disparities in obesity and obesity-related outcomes among Hispanics by testing a childhood obesity prevention program that has been culturally tailored for the Hispanic population through a participatory process. This developmental community-based participatory research (CBPR) project is a collaborative community-academic partnership between Meharry Medical College (MMC), Tennessee State University-Center for Health Research (TSU-CHR), and a grassroots community-based organization called Progreso Community Center (PCC). The Childhood Obesity Study is designed to evaluate two programs for Hispanic children ages 5 to 7 and their parents. One program focuses on nutrition and physical activity (based on NIH's "We Can!" program), and a parallel program focuses on oral health (developed by TSU's Dental Hygiene Program). Upon enrollment in the Study, parents and children will respond to an initial interview involving body measurement and questionnaire. Families will be given physical activity monitor to be worn for 7 days and randomly assigned to one of two groups. The families assigned to the Nutrition and Physical Activity Program will attend eight (8) bi-weekly classes (one every two weeks for four months) dealing with nutrition and physical activity. In the Oral Health Program families will attend 4 monthly classes (once a month for four months). These sessions deal with ways to take care of children's teeth and oral health. In addition, these families will have the opportunity to sign up for a free dental cleaning and assessment at the Dental Hygiene Clinic at Tennessee State University.

Interventions

  • Behavioral: Healthy Families-Childhood Obesity Prevention and Oral Health
    • The active intervention was adapted from the We Can! parent intervention to be culturally-appropriate for Hispanic families of children ages 5-7. The tailored intervention is based on Social Cognitive Theory and Behavioral Choice Theory to provide parents and children with cognitive and behavioral skills to enable change in the target behaviors, and to encourage them to practice using these skills to strengthen their perceived competence in using these behaviors effectively.

Arms, Groups and Cohorts

  • Experimental: Active Intervention: Obesity Prevention
  • Experimental: Alternative Intervention/control: Oral Health

Clinical Trial Outcome Measures

Primary Measures

  • Body Mass Index (BMI)-for-age percentile
    • Time Frame: one year

Secondary Measures

  • Child eating behaviors
    • Time Frame: One year
  • Child physical activity (accelerometers)
    • Time Frame: One year
  • Parenting strategies
    • Time Frame: One year
  • parent physical activity
    • Time Frame: one year

Participating in This Clinical Trial

Inclusion Criteria

Children:

  • 5-7 year-old female or male of Hispanic origin (identified by parent) – resident of Davidson County or adjacent counties – ≥25th percentile of age- and sex-specific BMI (CDC growth charts) or one parent/caregiver with BMI ≥ 25 kg/m2 – More than one child may enroll per family Parents: – Hispanic origin (self-identified) – Spanish speaker – adult age 18 or older – parent of at least one eligible child – Only one parent per family may enroll as a study participant and respond to questionnaires Exclusion Criteria:

Children:

  • BMI ≥ 35 kg/m2 – Medical conditions affecting growth – Conditions limiting participation in the interventions or measurements – Taking medications affecting growth – No consent or inability to understand informed consent – Incomplete or missed baseline assessments – Plan to move from geographic area within the next 12 months. Parents: – No exclusions

Gender Eligibility: All

Minimum Age: 5 Years

Maximum Age: 8 Years

Are Healthy Volunteers Accepted: Accepts Healthy Volunteers

Investigator Details

  • Lead Sponsor
    • Meharry Medical College
  • Collaborator
    • Vanderbilt University
  • Provider of Information About this Clinical Study
    • Sponsor

References

Zoorob R, Buchowski MS, Beech BM, Canedo JR, Chandrasekhar R, Akohoue S, Hull PC. Healthy families study: design of a childhood obesity prevention trial for Hispanic families. Contemp Clin Trials. 2013 Jul;35(2):108-21. doi: 10.1016/j.cct.2013.04.005. Epub 2013 Apr 26.

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