An interventional study of SSC Program and Written Handouts in Obesity and Type 2 Diabetes, sponsored by Baylor College of Medicine. Completed at 2 sites in United States. Open to participants aged 2 Years to 5 Years. Per ClinicalTrials.gov, last updated 2022-04-12.
Sponsored by Baylor College of Medicine · Not applicable, Interventional, and Treatment
Many behavioral interventions designed to improve dietary patterns for ethnic and racial/minority preschoolers have produced modest outcomes. A limitation of these interventions include a failure to address key factors associated with dietary patterns for these children, such as parental stress levels. Therefore, the identification of intervention models that target these factors and are effective, acceptable, and feasible among parents of young minority children is important.
Subjects will be asked to take part in this study because they are the parents of a child that receives care at a Texas Children's Pediatrics (TCP) clinic where the study is being done and their child's body mass index has been at or above the 85th percentile.
The purpose of this pilot study is to assess the ease and acceptance of providing an intervention for parents of children ages 2-5 years in the pediatric primary care clinic. The purpose is to also assess how well the intervention works in improving the child's dietary patterns.
Thirty (30) subjects will be enrolled across three (3) TCP clinics where the study will take place. Two types of participants will be recruited for this study: parent participants who will receive the intervention and interventionist participants who will deliver the intervention.
Data collected for this study includes 4 types: parent-report questionnaires, parent saliva samples, parent-report of children's 24-hour food recall, and audio-recordings of intervention sessions. Parent-report questionnaires will assess family demographic information, parental stress, depression, and well-being as well as parental feeding practices and child dietary food patterns.
Procedures for Parent Participants:
Parents will be randomized to the intervention (Group A-15 parents) or control condition (Group B-15 parents). Parents who are randomized to the intervention group will then participate in the 10-session SSC program that is co-led by a trained parent interventionist. Sessions will be audio-recorded to allow intervention fidelity checks. Parents who are randomized to the control condition will receive the SSC written handouts, which is enhanced standard of care for parents who are seen in primary care.
If subjects are assigned to Group A, they will participate in ten intervention sessions that are conducted in the TCP clinic. During each session, subjects will be provided with information about specific skills to improve their child's emotional health and dietary patterns and their own stress levels.
If subjects are assigned to Group B, they will receive written handouts about children's dietary patterns and parent stress levels. They will be instructed to write goals and document goal progress. This care plan is the standard practice and is presently implemented in the site's TCP clinics.
After ten weeks, regardless of the group the subjects were assigned to, they will again complete an interview about their child's dietary food patterns and questionnaires about their own emotions/opinions of their parenting and child feeding practices. The subjects will also be asked to collect their saliva at four time points on a single day at home.
Procedures for Interventionist Participants:
Six interventionist participants will be recruited. Those who indicate interest will meet with the PI or a research staff member to obtain consent. They will then receive 40-hours of training in the intervention provided by study staff. Intervention participants will deliver one or more group intervention, which has 10 sessions.
6,296 studies on the registry are indexed under Obesity; 1,692 are open to participants now.
This study's enrollment of 35 is below the median of 78 across 4,878 interventional studies indexed under Obesity.
Browse Obesity studies →Baylor College of Medicine is the lead sponsor of 734 studies on the registry; 110 are open to participants now.
Of its 83 completed or terminated interventional studies of FDA-regulated products, 44 (53%) have results posted.
Counted across the registry records on this site, refreshed daily.
Inclusion Criteria for Parent Participants:
Inclusion Criteria for Interventionist Participants:
Exclusion Criteria for Parent Participants:
Exclusion Criteria for Parent Participants:
The Smart and Secure Children (SSC) program is a 10-week manualized intervention that uses a written validated curriculum. The program is group-based and co-led by peer leaders (Parent Leaders). Sessions are 90 minutes. Groups consist of a maximum of five parents. Parent Leaders facilitate conversations on the SSC program content by sharing real life application, experiences, and solutions. Parent Leaders receive a week-long leadership training to deliver the program and will be supervised by the PI who is a licensed clinical psychologist.
Behavioral: SSC Program
Parents in the control condition will receive the Smart and Secure Children (SSC) program's written handouts. Handouts include didactic curriculum content and instruct parents to write goals and document goal progress.
Behavioral: Written Handouts
The Smart and Secure Children (SSC) program is a 10-week manualized intervention that uses a written validated curriculum. The program is group-based and co-led by peer leaders (Parent Leaders). Parent Leaders facilitate conversations on the SSC program content by sharing real life application, experiences, and solutions.
The handouts are a part of the SSC program that include didactic curriculum content and instruct parents to write goals and document goal progress.
Increase in Healthy Food Dietary Patterns
24-hour recalls conducted with parents will be used to assess children's intake of vegetables, fruits, whole grains, and low/non-fat dairy
Time frame: 5 months
Decrease in Parental Stress
Parent perceived general stress will be assessed using the Perceived Stress Scale.
Time frame: 5 months
Decrease in Parental Stress
Parent perceived parenting stress will be assessed using the Parenting Stress Index-Short Form.
Time frame: 5 months
Decrease in Parental Stress
Diurnal cortisol rhythm levels will be determined by obtaining samples of parents' saliva.
Time frame: 5 months
Parental Mental Health Improvement
The Center for Epidemiological Depression Studies Scale will be used to determine parental depressive symptoms.
Time frame: 5 months
Parental Mental Health Improvement
The Mental Health Continuum-Short Form will be used to measure parents' positive mental health symptoms.
Time frame: 5 months
Improvement in Parental Feeding Behaviors
Parental feeding behaviors will be assessed using The Child Feeding Questionnaire.
Time frame: 5 months
Plan to share: No
This study is completed, as verified in Apr 2022. You cannot join it, but the record below documents what was studied.
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Baylor College of Medicine