Rationale and design of the Clinic and Community Approaches to Healthy Weight Randomized Trial
Rationale and design of the Clinic and Community Approaches to Healthy Weight Randomized Trial
复制标题
DOI：
10.1016/j.cct.2018.01.002
复制
发表时间：
2018-04-01
影响因子：
2.2
通讯作者：
Taveras, Elsie M.
中科院分区：
文献类型：
--
作者：
Fiechtner, Lauren;Perkins, Meghan;Taveras, Elsie M.
最近的研究表明，以家庭为中心的儿童体重管理计划在减少儿童肥胖方面是有效的。然而，需要优化低收入肥胖儿童护理的计划。我们试图研究两个，潜在的可扩展的儿科体重管理计划提供给低收入儿童在临床或community setting.Materials和方法的比较有效性：诊所和社区的方法来健康体重试验是一项随机试验，在两个社区在马萨诸塞州，服务于大量的低收入儿童和家庭。两组试验比较了在两个联邦合格的健康中心（WHEHC）的健康体重诊所提供的儿科体重管理计划与在两个基督教青年会提供的健康体重和你的孩子计划的效果。符合条件的儿童为6至12岁，在两个儿童健康中心的初级保健中看到的体重指数（BMI）>= 85百分位数。这两个方案都是为期一年，全年至少有30个接触小时。在基线、6个月和1年时收集测量值。主要结果是BMI（kg/m2）的1年变化和第95百分位数的百分比变化（%BMIp（95））。健康体重临床和社区方法试验旨在：1）检查临床和社区干预在改善儿童肥胖方面的比较效果，2）告知儿童健康保险计划或医疗补助计划覆盖的超过700万肥胖儿童的护理。
Background Recent studies have demonstrated the effectiveness of family-centered, pediatric weight management programs in reducing childhood obesity. Yet, programs to optimize the care of low-income children with obesity are needed. We sought to examine the comparative effectiveness of two, potentially scalable pediatric weight management programs delivered to low-income children in a clinical or community setting.Materials and methods: The Clinic and Community Approaches to Healthy Weight Trial is a randomized trial in two communities in Massachusetts that serve a large population of low-income children and families. The two arm trial compares the effects of a pediatric weight management program delivered in the Healthy Weight Clinics of two federally qualified health centers (FQHC) to the Healthy Weight and Your Child programs delivered in two YMCAs. Eligible children are 6 to 12 years old with a body mass index (BMI) >= 85th percentile seen in primary care at the two FQHCs. Both programs are one-year in duration and have at least 30 contact hours throughout the year. Measures are collected at baseline, 6 months, and 1 year. The main outcome is 1-year change in BMI (kg/m(2)) and percent change of the 95th percentile (%BMIp(95)).Conclusion: The Clinic and Community Approaches to Healthy Weight Trial seeks to 1) examine the comparative effects of a clinical and community based intervention in improving childhood obesity, and 2) inform the care of > 7 million children with obesity covered by the Children's Health Insurance Program or Medicaid.