Clinical trial

The ADAPT Trial: Adapting Evidence-Based Obesity Interventions in Community Settings

Recruiting now · Not applicable · 1 countries · Registry ID NCT06546696

Recruiting nowNot applicableInterventional

What this study is about

Evidence-based obesity treatment is inaccessible to most children in the United States. This lack of access is a source of health inequity, whereby children from rural and minority communities, who have the highest rates of childhood obesity, are also the least likely to receive an evidence-based intervention. Developing strategies to improve access to evidence-based obesity interventions could reduce health disparities by improving reach to these underserved communities. The premise of this study is that using a systematic framework to adapt a community-based behavioral intervention for childhood obesity that accounts for individual, family, and community factors will increase reach and effectiveness among low-income, minority, and rural populations. COACH is a multi-level obesity intervention that supports 1) the individual child through developmentally appropriate health behavior curriculum, 2) the family by directly addressing parent weight loss and engaging parents as agents of change for their children, and 3) the community by building the capacity of local community centers to offer parent-child programming. The investigators propose testing the process of adapting COACH in a cluster-randomized trial.

A promising-looking record is not the same as confirmed eligibility. The study team must review the full criteria and current recruitment status.

Basic eligibility

Age6 Years to 12 Years

SexAll

Healthy volunteersAccepted

ConditionChildhood Obesity

Full registry criteria

Inclusion Criteria: * Child with an age ≥ 6 years and \< 12 years * Child body mass index ≥95th percentile for age and sex on standardized CDC growth curves * Index parent/legal guardian with an age ≥18 years * Parent and child speak English or Spanish * Family resides within or frequently visit selected zip codes within Middle TN surrounding the partnering community centers; * Have parental commitment to participate in a 6-month study; * Have the ability to view online trainings * Complete baseline data collection, including parent and child height and weight and at least 90% of baseline survey items. Exclusion Criteria: * Participant child has been diagnosed with Down Syndrome, Autism, or any other developmental disorders that impact metabolism or behaviors that would preclude participation in group physical activity settings; * Either the participant caregiver or child is unable to participate in light to moderate physical activity; * Participant caregiver has a serious mental or neurologic illness that impairs ability to consent/participate.

Treatments and study arms

Competency Based Approaches to Community Health (COACH)

Behavioral

COACH is a multi-level intervention, consisting of 1) developmentally appropriate health curriculum for children; 2) family-based content that both targets parent weight loss and leverages a shared parent-child experience to improve family health behaviors; 3) community-level intervention to improve access and quality of family-based programming at local Parks and Rec centers.

Primary outcomes

Child Percent of the 95th Body Mass Index Percentile6 months post randomization

Calculated from CDC growth curves

Study locations

1 locations were listed when this page was built. The first 40 are shown.

Vanderbilt University Medical Center🇺🇸 Nashville, Tennessee, United States

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William J Heerman, MD, MPHContact

Email · Call 615-322-7080