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Talking With Children About Weight and Lifestyle

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ClinicalTrials.gov Identifier: NCT03956849
Recruitment Status : Recruiting
First Posted : May 21, 2019
Last Update Posted : May 21, 2019
Sponsor:
Information provided by (Responsible Party):
Maastricht University Medical Center

Brief Summary:

Obesity among children is a major problem. Therefore, it is important to start promoting a healthy lifestyle in an early stage. However, professionals find it difficult to start a conversation about overweight and lifestyle. Within Centre for Overweight Adolescent and Children's Healthcare (COACH) at the Maastricht University Medical Centre (MUMC+) a tool was developed, based on motivational interviewing, to help professionals engage in conversation with the children about weight and lifestyle.

The aim of this study is to identify barriers and facilitators perceived by professionals, working with children, to start a conversation with a child with overweight or obesity about weight and lifestyle. In addition, this study researches the effects of the developed COACH Conversationstarter, a tool that can help healthcare professionals to start a conversation with children about overweight and lifestyle and to gain more insight in the views, thoughts and beliefs of the child and its family.


Condition or disease Intervention/treatment
Overweight and Obesity Other: Training COACH Conversationstarter

Detailed Description:

Overweight and obesity among children are major problems, not only in The Netherlands, but globally. Childhood obesity is associated with an increased risk for the development of different disease, like cardiovascular disease and sleep disorders, but it can also affect quality of life.

It's important to start promoting a healthy lifestyle among children and their parents in an early stage. The use of effective communication and respect to the language used is very important. However, international studies have shown that professionals experience barriers in starting a conversation about overweight and lifestyle. Examples of barriers may be fear of harm to the child, fear of parents' reactions and parents unmotivated to change. Knowledge regarding possible barriers and facilitators experienced specifically by Dutch healthcare professionals in talking about overweight is scarce.

National guidelines and the development of different visual tools (such as posters with pictures of healthy portion sizes and sugar amounts in beverages) are provided as facilitators in (visually) addressing lifestyle improvement by healthcare providers. However, they mainly focus on giving advice about creating a healthy lifestyle, rather than engaging in a conversation with children and parents about the current weight and lifestyle and exploring their views. In other words: these tools are developed to directly address the measures to be taken to change lifestyle, rather than discussing the status quo and exploring the underlying motivation. Within Centre for Overweight Adolescent and Children's Healthcare (COACH) at the Maastricht University Medical Centre (MUMC+) a tool was developed, based on motivational interviewing, to help professionals engage in conversation with children with overweight or obesity about weight and lifestyle.

The aim of this study is to identify barriers and facilitators perceived by healthcare professionals to start a conversation with a child about weight and lifestyle. In addition, this study researches the effects of the developed COACH Conversationstarter, a tool that can help healthcare professionals to start a conversation with children about overweight and lifestyle and to gain more insight in the views, thoughts and beliefs of the child and its family.


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Study Type : Observational
Estimated Enrollment : 50 participants
Observational Model: Other
Time Perspective: Prospective
Official Title: Talking With Children About Weight and Lifestyle - Dutch Title: In Gesprek Over Gewicht en Leefstijl Met Kinderen
Actual Study Start Date : February 13, 2019
Estimated Primary Completion Date : January 2021
Estimated Study Completion Date : January 2021

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Body Weight

Group/Cohort Intervention/treatment
Professionals working with children
The studypopulation for this mixed-methods study is consisting of healthcareprofessionals working with children (with overweight or obesity), such as pediatric residents, paediatricians and youth health care professionals. Also other professionals working with children, not working in the field of healthcare, such as teachers, can be included in the study population.
Other: Training COACH Conversationstarter

After elaborating perceived barriers and facilitators via surveys and semi-structured focusgroups, a short training with the COACH Conversationstarter will be provided to a part of the participants. The COACH Conversationstarter will be provided to the participants attending the training, which they can use in the next couple of months. After a period of time all participants will be provided with a second questionnaire, and results of the group that received the COACH Conversationstarter will be compared with the group that didn't receive the COACH Conversationstarter. (A part of) the participants that used the COACH Conversationstarter will be interviewed about their experiences.

However, the study will have an observational design, since the decision if a professional is attending the training is not based on the investigator / protocol, but depending on the professional, for example logistic reasons. This is part of routine education.





Primary Outcome Measures :
  1. Barriers [ Time Frame: January 2021 ]
    Barriers perceived by the professionals to start a conversation about weight and lifestyle with children with overweight or obesity. Within the questionnaire a first selection of barriers will be made, which will be further in-depth explored in focusgroupinterviews.

  2. Facilitators [ Time Frame: January 2021 ]
    Factors perceived as facilitator by the professionals to start a conversation about weight and lifestyle with children with overweight or obesity. Within the questionnaire a first selection of facilitators will be made, which will be further in-depth explored in focusgroupinterviews.

  3. Experiences with the COACH Conversationstarter [ Time Frame: January 2021 ]
    Experiences with the COACH Conversationstarter, regarding design, usabilty and content. Within the questionnaire a first selection of experiences will be made, which will be further in-depth explored in semi-structured interviews.


Secondary Outcome Measures :
  1. Level of participation [ Time Frame: January 2021 ]
    Percentage of time that each person (professional, parent(s) or child) is involved in a lifestyle-related conversation. Professionals can indicate the different percentages within the questionnaires.

  2. Conversation skills [ Time Frame: January 2021 ]
    Confidence and thoughts about the own conversation skills of the professionals, for example regarding motivational interviewing. Measured within the questionnaire on a Likert-scale.



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Sampling Method:   Probability Sample
Study Population
Professionals working with children The studypopulation for this mixed-methods study is consisting of healthcareprofessionals working with children (with overweight or obesity), such as pediatric residents, paediatricians and youth health care professionals. Also other professionals working with children, not working in the field of healthcare, such as teachers can be included in the study population.
Criteria

Inclusion Criteria:

  • Legally capable participants
  • Professionals working with children
  • Working with children between 8 - 17 years.
  • To be willing to test the COACH Conversationstarter.

Exclusion Criteria:

  • Professionals only working with children <8 years

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03956849


Contacts
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Contact: Anita Vreugdenhil 0031 43 3875284 a.vreugdenhil@mumc.nl

Locations
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Netherlands
Maastricht University Medical Center Recruiting
Maastricht, Limburg, Netherlands, 6202AZ
Contact: Anita Vreugdenhil, Dr.    0031 (0)43 387 5284    a.vreugdenhil@mumc.nl   
Sub-Investigator: Kylie Karnebeek, Drs.         
Sub-Investigator: Lisanne Arayess, Drs.         
Principal Investigator: Anita Vreugdenhil, Dr.         
Sponsors and Collaborators
Maastricht University Medical Center
Investigators
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Principal Investigator: Anita Vreugdenhil, Dr. Maastricht University Medical Center

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Responsible Party: Maastricht University Medical Center
ClinicalTrials.gov Identifier: NCT03956849     History of Changes
Other Study ID Numbers: 2018-0931
First Posted: May 21, 2019    Key Record Dates
Last Update Posted: May 21, 2019
Last Verified: February 2019
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Undecided

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

Keywords provided by Maastricht University Medical Center:
overweight
obesity
pediatric obesity

Additional relevant MeSH terms:
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Obesity
Overweight
Overnutrition
Nutrition Disorders
Body Weight
Signs and Symptoms