Clinical Trial: Development of the DRIVE Curriculum to Address Childhood Obesity Risk Factors

Study Status: Completed
Recruit Status: Completed
Study Type: Interventional

Official Title: Pilot Trial of the DRIVE Parent Training Curriculum to Target Risk Factors for Childhood Obesity

Brief Summary: The purpose of this study is to help overweight or obese children to maintain or reduce their body mass index (BMI) through the home-based parent training program the investigators developed called DRIVE. The investigators hypothesize that children from families that receive the DRIVE program will show greater maintenance or improvement in their BMIs than families who do not receive DRIVE.

Detailed Summary: The DRIVE program (Developing Relationships that Include Values of Eating and Exercise) is a home-based parent training program with 15 sessions focused on improve family nutrition and physical activity and promoting positive parent-child interactions. The aim of this study is to pilot-test the development of a childhood obesity program that includes parenting and health information. Participants in this study will be recruited through community organizations based upon their obesity health risk. Only families whose children's BMI percentile is greater than or equal to 75 will be eligible to participate in this study These participants will be randomly assigned to either the control group, in which participants will receive health information via mail only, or the experimental group that will participate in 15 DRIVE sessions focusing on parent-child interactions, health and nutrition, and physical activity. Both groups will complete a baseline assessment, mid-point assessment, and post assessment in their home, which will measure parent and child height, weight, and waist circumference; parent attitudes towards health and nutrition; and parent and child food consumption and physical activity levels. Results from this study will provide information regarding the feasibility of implementing the DRIVE curriculum as well as its impact on parent and child body mass indexes, and parents' knowledge, and attitudes related to nutrition.
Sponsor: Georgia State University

Current Primary Outcome: Change in child BMIz [ Time Frame: Week 0, Week 9, Week 19 ]

Body mass index z-scores (BMIz) will be calculated using a digital scale (calculate weight) and stadiometer (calculate height) at each assessment point (pre-, mid-, and post-assessment) from all family members that consent. BMI is calculated as a ratio of weight and height (kg/m) in order to estimate health risks associated with body fat. Correlations of .80 to .90 have been found between BMI and dual energy x-ray absorptiometry, the most accurate measure of body fat.


Original Primary Outcome: Same as current

Current Secondary Outcome:

  • Change in Neighborhood & Home Environment Questionnaire [ Time Frame: Week 0, Week 19 ]
    This questionnaire will be collected from the eligible parent. This form has been used by the Pennington research group in previous studies. This questionnaire will also gather information on current food in the home and neighborhood accessibility.
  • Change in Caregiver Feeding Styles Questionnaire [ Time Frame: Week 0, Week 19 ]
    The Caregiver Feeding Styles Questionnaire (CFSQ) is a 19-item parent report of verbal and physical feeding strategies used by parents. The CFSQ will be collected from the eligible parent. This measure has been used with low-income families and African-American and Hispanic families. This questionnaire is included to evaluate parents' use of ineffective feeding strategies
  • Change in Behavior and Attitudes Questionnaire for Healthy Habits [ Time Frame: Week 0, Week 19 ]
    The Behavior and Attitudes Questionnaire for Healthy Habits (BAQ-HH) is an instrument developed to assess parents' knowledge/awareness, attitudes/concerns, and behaviors around healthy foods and physical activity habits. This instrument has previously been used with parents of pre-school age children. The statements in items 6 and 7 will be used in this study. The BAQ-HH will be collected from the eligible parent.
  • Change in Screen-time Questionnaire [ Time Frame: Week 0, Week 19 ]
    The screen-time questionnaire will be collected from the eligible parent. This form has been used by the Pennington research group in previous studies. It will be used to gather the average number of hours that parents report their children use computers, televisions, other electronics daily.
  • Change in Food log [ Time Frame: Week 0, Week 19 ]
    Parents will be provided with a Food Log at each assessment point (pre-, mid-, and post-assessment) to record three days' worth of the meals that they and their child eat.
  • Change in Food Intake Images [ Time Frame: Week 0, Week 19 ]
    Parents will use smart phones if available to take pictures of their and their child's meals. They will take images for 1 week at pre- and 1 week at post-assessment. These images will be collected using the Pennington SmartIntake app.
  • Change in Physical Activity [ Time Frame: Week 0, Week 9, Week 19 ]
    This will be documented by the parent and target child age 0-5 wearing an accelerometer for 1 week at pre-, 1 week at mid-, and 1 week at post-assessment.
  • Change in Waist Circumference [ Time Frame: Week 0, Week 9, Week 19 ]
    Waist circumference will be collected from all consenting family members at each assessment point (pre-, mid-, and post-assessment) using the Gulick II Tape Measure.


Original Secondary Outcome: Same as current

Information By: Georgia State University

Dates:
Date Received: June 6, 2014
Date Started: September 2014
Date Completion:
Last Updated: March 24, 2016
Last Verified: March 2016