An interventional study of Community Health Worker and Child weight management intervention in Child Obesity and Social Determinants of Health, sponsored by Children's Mercy Hospital Kansas City. Active, not recruiting at 1 site in United States. Open to participants aged 8 Years and older. Per ClinicalTrials.gov, last updated 2026-09-09.
Sponsored by Children's Mercy Hospital Kansas City · Not applicable, Interventional, and Treatment
The goal of this small pilot study is to test the feasibility of combining a three-month intervention of working with a community health worker (CHW) to address social risk factors for patients prior to beginning a group weight management program for childhood obesity -- Promoting Health in Teens and Kids (PHIT Kids)
1,117 studies on the registry are indexed under Pediatric Obesity; 189 are open to participants now.
This study's planned enrollment of 120 is above the median of 103 across 862 interventional studies indexed under Pediatric Obesity.
Browse Pediatric Obesity studies →Children's Mercy Hospital Kansas City is the lead sponsor of 209 studies on the registry; 22 are open to participants now.
Of its 18 completed or terminated interventional studies of FDA-regulated products, 14 (78%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Participants in this arm will work with a community health worker for three months to address social risk factors (negative social determinants of health) prior to beginning a child weight management group treatment.
Other: Community Health Worker · Behavioral: Child weight management intervention · Other: Standard of Care referral to resources
Participants in this arm will receive the standard of care which includes a one-time referral to community resources to meet their social needs. At three months they also begin the same child weight management group treatment as the experimental group.
Behavioral: Child weight management intervention · Other: Standard of Care referral to resources
Participants are screened for social determinants of health and work with a community health worker for three months to connect them with community and government services to address their family's needs.
This is a 12-week family-based behavioral group intervention to address childhood overweight and obesity.
One-time referral to resources based on need that families can access independently either by providing electronic referral to or providing written contact information for a community resource.
Enrollment Rate
Number of participants enrolled (consented) per month
Time frame: 1 year
Retention
Attendance at 6 month data assessment
Time frame: 6 months
Satisfaction with Community Health Worker (CHW)
A 15-item scale asks about quality of interactions and satisfaction with their CHW. Scores range from 15 to 60, with higher scores indicating increased satisfaction.
Time frame: 3 months
Satisfaction with PHIT Kids - Parent
A single 10-point Likert scale satisfaction rating about the group weight management intervention. Scores range from 1-10 with higher scores indicating increased satisfaction.
Time frame: 6 months
Child Body Mass Index (BMI) Z-Score
6 months
Time frame: Change in BMI Z-score over a 6 month time period in the child with obesity or overweight
Inhibitory Control and Attention
The Flanker Inhibitory and Control Attention Test (Flanker) measures accuracy and reaction time to produce a combined score ranging from 0-10 with higher scores indicating better inhibitory control and attention.
Time frame: 3 months
Working Memory
The List Sorting Working Memory Test asks participants to recall a list of foods and animals in order from smallest to largest. Correct responses range from 0-26, and are then converted to nationally normed standard scores ranging from 59-140, with higher scores indicating better working memory.
Time frame: 3 months
Cognitive Flexibility
The Dimensional Change Card Sort Test (DCCS) measures accuracy and reaction time to produce a combined score ranging from 0-10 with higher scores indicating better cognitive flexibility.
Time frame: 3 months
Parent Cognitive Capacity
The Raven's 2 Progressive Matrices- Digital Short Form (Raven's 2) tests fluid intelligence by asking participants to identify missing pieces in visual geometric patterns of up to 24 progressively more difficult trials. The total number correct is converted into Standard Scores, which will be compared to a participant's other scores over the course of the study. Standard scores range from 59-140 with higher scores indicating increased cognitive capacity.
Time frame: 3 months
PHIT Kids attendance
percent of PHIT Kids sessions attended
Time frame: 6 months
Percentage of needs met or partially met
At 3 months, participants will review each need identified at baseline and report if they received "All the help I needed," "Most of the help I needed," "A little of the help I needed," or "None of the help I needed." The total number of needs that were at least partially met ("a little", "most" or "all") or that were fully met ("all") will be divided by the total number of needs at baseline
Time frame: 3 months
Enrollment in at least one new resource
Yes/No. Family has accessed at 3 months at least one new community or government resource since baseline. Participants will review a list of resources potentially offered to CHW clients and respond whether they currently receive this resource at baseline and 3 months
Time frame: 3 months
Number of key measures completed
Number of the following measures completed - outcome measures (child BMI-z, parent weight, MVPA (actigraph; at least 4 days), dietary measures (3 recalls)), bandwidth measures (executive functions measures and Raven matrices) and self-efficacy.
Time frame: 6 months
Parent Weight
Change in parent weight at 6 month and 12 months
Time frame: 6 months and 12 months
Child Moderate to Vigorous Physical Activity (MVPA)
Minutes per week in moderate to vigourous physical activity as measure by an Actigraph waist accelerometer worn by the child. Also percent of time in MVPA
Time frame: 6 months and 12 months
Child Dietary Intake
Three 24 hour recalls completed by parent using the he Automated Self-Administered 24-hour Dietary Assessment Tool (ASA 24) computer program - used to calculate fruit and vegetable (FV) servings, sugar sweetened beverages, and number of high fat/high sugar foods (foods with \>7g of fat and/or 12g of sugar)
Time frame: 6 months and 12 months
Self-Efficacy
10-item, 5-point Likert scale. Measured by the General Self-Efficacy Scale in the NIH Toolbox. This scale assesses an individual's perceived ability to cope with stressful situations. Scores range from 10 to 50 with higher scores indicating higher self-efficacy.
Time frame: 6 months
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Plan to share: Undecided
This study is active, not recruiting, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.
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Children's Mercy Hospital Kansas City