A clinical trial to increase self-monitoring of physical activity and eating behaviors among adolescents: Protocol for the impact feasibility study

Justin B. Moore; Joshua R. Dilley; Camelia R. Singletary; Joseph A. Skelton; David P. Miller; Vahé Heboyan; Gianluca de Leo; Gabrielle Turner-McGrievy; Matthew McGrievy; Edward H. Ip

doi:10.2196/18098

A clinical trial to increase self-monitoring of physical activity and eating behaviors among adolescents: Protocol for the impact feasibility study

Justin B. Moore, Joshua R. Dilley, Camelia R. Singletary, Joseph A. Skelton, David P. Miller, Vahé Heboyan, Gianluca de Leo, Gabrielle Turner-McGrievy, Matthew McGrievy, Edward H. Ip

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

Background: Severe obesity among youths (BMI for age≥120th percentile) has been steadily increasing. The home environment and parental behavioral modeling are two of the strongest predictors of child weight loss during weight loss interventions, which highlights that a family-based treatment approach is warranted. This strategy has been successful in our existing evidence-based pediatric weight management program, Brenner Families in Training (Brenner FIT). However, this program relies on face-to-face encounters, which are limited by the time constraints of the families enrolled in treatment. Objective: This study aims to refine and test a tailored suite of mobile health (mHealth) components to augment an existing evidence-based pediatric weight management program. Methods: Study outcomes will include acceptability from a patient and clinical staff perspective, feasibility, and economic costs relative to the established weight management protocol alone (ie, Brenner FIT vs Brenner FIT + mHealth [Brenner mFIT]). The Brenner mFIT intervention will consist of 6 mHealth components designed to increase patient and caregiver exposure to Brenner FIT programmatic content including the following: (1) a mobile-enabled website, (2) dietary and physical activity tracking, (3) caregiver podcasts (n=12), (4) animated videos (n=6) for adolescent patients, (5) interactive messaging, and (6) in-person tailored clinical feedback provided based on a web-based dashboard. For the study, 80 youths with obesity (aged 13-18 years) and caregiver dyads will be randomized to Brenner FIT or Brenner mFIT. All participants will complete baseline measures before randomization and at 3- and 6-month follow-up points. Results: This study was approved by the Institutional Review Board in July 2019, funded in August 2019, and will commence enrollment in April 2020. The results of the study are expected to be published in the fall/winter of 2021. Conclusions: The results of this study will be used to inform a large-scale implementation-effectiveness clinical trial.

Original language	English (US)
Article number	e18098
Journal	JMIR Research Protocols
Volume	9
Issue number	6
DOIs	https://doi.org/10.2196/18098
State	Published - Jun 2020

Keywords

Adolescence
Adult
Family
Mobile phone
Obesity
Physical activity
Therapy

ASJC Scopus subject areas

General Medicine

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.2196/18098

Cite this

Moore, J. B., Dilley, J. R., Singletary, C. R., Skelton, J. A., Miller, D. P., Heboyan, V., de Leo, G., Turner-McGrievy, G., McGrievy, M., & Ip, E. H. (2020). A clinical trial to increase self-monitoring of physical activity and eating behaviors among adolescents: Protocol for the impact feasibility study. JMIR Research Protocols, 9(6), Article e18098. https://doi.org/10.2196/18098

@article{cab368a47bb34455a56a9b1976e0a52e,

title = "A clinical trial to increase self-monitoring of physical activity and eating behaviors among adolescents: Protocol for the impact feasibility study",

abstract = "Background: Severe obesity among youths (BMI for age≥120th percentile) has been steadily increasing. The home environment and parental behavioral modeling are two of the strongest predictors of child weight loss during weight loss interventions, which highlights that a family-based treatment approach is warranted. This strategy has been successful in our existing evidence-based pediatric weight management program, Brenner Families in Training (Brenner FIT). However, this program relies on face-to-face encounters, which are limited by the time constraints of the families enrolled in treatment. Objective: This study aims to refine and test a tailored suite of mobile health (mHealth) components to augment an existing evidence-based pediatric weight management program. Methods: Study outcomes will include acceptability from a patient and clinical staff perspective, feasibility, and economic costs relative to the established weight management protocol alone (ie, Brenner FIT vs Brenner FIT + mHealth [Brenner mFIT]). The Brenner mFIT intervention will consist of 6 mHealth components designed to increase patient and caregiver exposure to Brenner FIT programmatic content including the following: (1) a mobile-enabled website, (2) dietary and physical activity tracking, (3) caregiver podcasts (n=12), (4) animated videos (n=6) for adolescent patients, (5) interactive messaging, and (6) in-person tailored clinical feedback provided based on a web-based dashboard. For the study, 80 youths with obesity (aged 13-18 years) and caregiver dyads will be randomized to Brenner FIT or Brenner mFIT. All participants will complete baseline measures before randomization and at 3- and 6-month follow-up points. Results: This study was approved by the Institutional Review Board in July 2019, funded in August 2019, and will commence enrollment in April 2020. The results of the study are expected to be published in the fall/winter of 2021. Conclusions: The results of this study will be used to inform a large-scale implementation-effectiveness clinical trial.",

keywords = "Adolescence, Adult, Family, Mobile phone, Obesity, Physical activity, Therapy",

author = "Moore, {Justin B.} and Dilley, {Joshua R.} and Singletary, {Camelia R.} and Skelton, {Joseph A.} and Miller, {David P.} and Vah{\'e} Heboyan and {de Leo}, Gianluca and Gabrielle Turner-McGrievy and Matthew McGrievy and Ip, {Edward H.}",

note = "Funding Information: The research reported in this publication was supported by the National Institute of Diabetes and Digestive and Kidney Diseases of the National Institutes of Health under award number R34DK119815. The project was also supported by the National Center for Advancing Translational Sciences, National Institutes of Health, through grant award number UL1TR001420. The content is solely the responsibility of the authors. It does not necessarily represent the official views of the National Institutes of Health, which had no role in study design, in the collection, analysis, and interpretation of data, in the writing of the report, or in the decision to submit this paper for publication. Publisher Copyright: {\textcopyright} Justin B Moore, Joshua R Dilley, Camelia R Singletary, Joseph A Skelton, David P Miller Jr, Vah{\'e} Heboyan, Gianluca De Leo, Gabrielle Turner-McGrievy, Matthew McGrievy, Edward H Ip. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 05.06.2020. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Research Protocols, is properly cited. The complete bibliographic information, a link to the original publication on http://www.researchprotocols.org, as well as this copyright and license information must be included.",

year = "2020",

month = jun,

doi = "10.2196/18098",

language = "English (US)",

volume = "9",

journal = "JMIR Research Protocols",

issn = "1929-0748",

publisher = "JMIR Publications Inc.",

number = "6",

}

TY - JOUR

T1 - A clinical trial to increase self-monitoring of physical activity and eating behaviors among adolescents

T2 - Protocol for the impact feasibility study

AU - Moore, Justin B.

AU - Dilley, Joshua R.

AU - Singletary, Camelia R.

AU - Skelton, Joseph A.

AU - Miller, David P.

AU - Heboyan, Vahé

AU - de Leo, Gianluca

AU - Turner-McGrievy, Gabrielle

AU - McGrievy, Matthew

AU - Ip, Edward H.

N1 - Funding Information: The research reported in this publication was supported by the National Institute of Diabetes and Digestive and Kidney Diseases of the National Institutes of Health under award number R34DK119815. The project was also supported by the National Center for Advancing Translational Sciences, National Institutes of Health, through grant award number UL1TR001420. The content is solely the responsibility of the authors. It does not necessarily represent the official views of the National Institutes of Health, which had no role in study design, in the collection, analysis, and interpretation of data, in the writing of the report, or in the decision to submit this paper for publication. Publisher Copyright: © Justin B Moore, Joshua R Dilley, Camelia R Singletary, Joseph A Skelton, David P Miller Jr, Vahé Heboyan, Gianluca De Leo, Gabrielle Turner-McGrievy, Matthew McGrievy, Edward H Ip. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 05.06.2020. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Research Protocols, is properly cited. The complete bibliographic information, a link to the original publication on http://www.researchprotocols.org, as well as this copyright and license information must be included.

PY - 2020/6

Y1 - 2020/6

N2 - Background: Severe obesity among youths (BMI for age≥120th percentile) has been steadily increasing. The home environment and parental behavioral modeling are two of the strongest predictors of child weight loss during weight loss interventions, which highlights that a family-based treatment approach is warranted. This strategy has been successful in our existing evidence-based pediatric weight management program, Brenner Families in Training (Brenner FIT). However, this program relies on face-to-face encounters, which are limited by the time constraints of the families enrolled in treatment. Objective: This study aims to refine and test a tailored suite of mobile health (mHealth) components to augment an existing evidence-based pediatric weight management program. Methods: Study outcomes will include acceptability from a patient and clinical staff perspective, feasibility, and economic costs relative to the established weight management protocol alone (ie, Brenner FIT vs Brenner FIT + mHealth [Brenner mFIT]). The Brenner mFIT intervention will consist of 6 mHealth components designed to increase patient and caregiver exposure to Brenner FIT programmatic content including the following: (1) a mobile-enabled website, (2) dietary and physical activity tracking, (3) caregiver podcasts (n=12), (4) animated videos (n=6) for adolescent patients, (5) interactive messaging, and (6) in-person tailored clinical feedback provided based on a web-based dashboard. For the study, 80 youths with obesity (aged 13-18 years) and caregiver dyads will be randomized to Brenner FIT or Brenner mFIT. All participants will complete baseline measures before randomization and at 3- and 6-month follow-up points. Results: This study was approved by the Institutional Review Board in July 2019, funded in August 2019, and will commence enrollment in April 2020. The results of the study are expected to be published in the fall/winter of 2021. Conclusions: The results of this study will be used to inform a large-scale implementation-effectiveness clinical trial.

AB - Background: Severe obesity among youths (BMI for age≥120th percentile) has been steadily increasing. The home environment and parental behavioral modeling are two of the strongest predictors of child weight loss during weight loss interventions, which highlights that a family-based treatment approach is warranted. This strategy has been successful in our existing evidence-based pediatric weight management program, Brenner Families in Training (Brenner FIT). However, this program relies on face-to-face encounters, which are limited by the time constraints of the families enrolled in treatment. Objective: This study aims to refine and test a tailored suite of mobile health (mHealth) components to augment an existing evidence-based pediatric weight management program. Methods: Study outcomes will include acceptability from a patient and clinical staff perspective, feasibility, and economic costs relative to the established weight management protocol alone (ie, Brenner FIT vs Brenner FIT + mHealth [Brenner mFIT]). The Brenner mFIT intervention will consist of 6 mHealth components designed to increase patient and caregiver exposure to Brenner FIT programmatic content including the following: (1) a mobile-enabled website, (2) dietary and physical activity tracking, (3) caregiver podcasts (n=12), (4) animated videos (n=6) for adolescent patients, (5) interactive messaging, and (6) in-person tailored clinical feedback provided based on a web-based dashboard. For the study, 80 youths with obesity (aged 13-18 years) and caregiver dyads will be randomized to Brenner FIT or Brenner mFIT. All participants will complete baseline measures before randomization and at 3- and 6-month follow-up points. Results: This study was approved by the Institutional Review Board in July 2019, funded in August 2019, and will commence enrollment in April 2020. The results of the study are expected to be published in the fall/winter of 2021. Conclusions: The results of this study will be used to inform a large-scale implementation-effectiveness clinical trial.

KW - Adolescence

KW - Adult

KW - Family

KW - Mobile phone

KW - Obesity

KW - Physical activity

KW - Therapy

UR - http://www.scopus.com/inward/record.url?scp=85088960453&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85088960453&partnerID=8YFLogxK

U2 - 10.2196/18098

DO - 10.2196/18098

M3 - Article

AN - SCOPUS:85088960453

SN - 1929-0748

VL - 9

JO - JMIR Research Protocols

JF - JMIR Research Protocols

IS - 6

M1 - e18098

ER -

A clinical trial to increase self-monitoring of physical activity and eating behaviors among adolescents: Protocol for the impact feasibility study

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

Other files and links

Fingerprint

Cite this