Addressing unmet social needs of children with obesity: a pilot randomized controlled trial
Abstract Background Childhood obesity is an ongoing public health crisis, and recent clinical practice guidelines identify addressing the role of social inequities in the disparity of health among children with obesity as an area to address. This study aimed to assess the feasibility of a community...
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| Format: | Article |
| Language: | English |
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BMC
2024-11-01
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| Series: | Pilot and Feasibility Studies |
| Online Access: | https://doi.org/10.1186/s40814-024-01570-9 |
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| author | Gita Wahi Stacey Marjerrison Simrat Gill Kimberley Krasevich Katherine M. Morrison Lehana Thabane |
| author_facet | Gita Wahi Stacey Marjerrison Simrat Gill Kimberley Krasevich Katherine M. Morrison Lehana Thabane |
| author_sort | Gita Wahi |
| collection | DOAJ |
| description | Abstract Background Childhood obesity is an ongoing public health crisis, and recent clinical practice guidelines identify addressing the role of social inequities in the disparity of health among children with obesity as an area to address. This study aimed to assess the feasibility of a community navigation intervention in a pediatric weight management clinic. Methods A single-center pilot randomized controlled trial (RCT) recruiting families from a tertiary hospital pediatric weight management program to evaluate the feasibility of a community navigation intervention. The primary feasibility outcomes were recruitment rates (goal to recruit 80% of the sample in 6 months), uptake of the intervention (goal > 80% of participants in the intervention group to have a visit with the navigator), and acceptability (goal > 90% of families in the intervention group complete all follow-up). Results Eighty participants completed the social needs screening, and 42 (52.5%) participants screened positive for an unmet social need. In the first 6 months of recruitment, 18 participants were recruited out of a goal of 40 participants (the recruitment rate was 45% vs. the goal of 80% in 6 months), and complete recruitment was achieved in 12 months. Of the 21 participants randomized to the intervention arm, 20 completed the intervention (uptake of intervention was 95% vs. goal 80%). Ten participants in the intervention arm completed all four planned follow-up study visits (the acceptability of follow-up was 48% vs. the goal of 90%). Conclusion We completed a pilot RCT of implementing a community navigator program in a pediatric weight management program. We found feasibility in the intervention’s uptake but limited feasibility in recruiting participants and the acceptability of the follow-up. Trial registration Clinicaltrials.gov, NCT04711707, https://clinicaltrials.gov/ct2/show/NCT04711707 |
| format | Article |
| id | doaj-art-f4cb3bb57a4c4c8b88556d9f94226e0b |
| institution | Kabale University |
| issn | 2055-5784 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | BMC |
| record_format | Article |
| series | Pilot and Feasibility Studies |
| spelling | doaj-art-f4cb3bb57a4c4c8b88556d9f94226e0b2024-11-17T12:10:14ZengBMCPilot and Feasibility Studies2055-57842024-11-011011810.1186/s40814-024-01570-9Addressing unmet social needs of children with obesity: a pilot randomized controlled trialGita Wahi0Stacey Marjerrison1Simrat Gill2Kimberley Krasevich3Katherine M. Morrison4Lehana Thabane5Department of Pediatrics, McMaster UniversityDepartment of Pediatrics, McMaster UniversityDepartment of Pediatrics, McMaster UniversityDepartment of Pediatrics, McMaster UniversityDepartment of Pediatrics, McMaster UniversityDepartment of Pediatrics, McMaster UniversityAbstract Background Childhood obesity is an ongoing public health crisis, and recent clinical practice guidelines identify addressing the role of social inequities in the disparity of health among children with obesity as an area to address. This study aimed to assess the feasibility of a community navigation intervention in a pediatric weight management clinic. Methods A single-center pilot randomized controlled trial (RCT) recruiting families from a tertiary hospital pediatric weight management program to evaluate the feasibility of a community navigation intervention. The primary feasibility outcomes were recruitment rates (goal to recruit 80% of the sample in 6 months), uptake of the intervention (goal > 80% of participants in the intervention group to have a visit with the navigator), and acceptability (goal > 90% of families in the intervention group complete all follow-up). Results Eighty participants completed the social needs screening, and 42 (52.5%) participants screened positive for an unmet social need. In the first 6 months of recruitment, 18 participants were recruited out of a goal of 40 participants (the recruitment rate was 45% vs. the goal of 80% in 6 months), and complete recruitment was achieved in 12 months. Of the 21 participants randomized to the intervention arm, 20 completed the intervention (uptake of intervention was 95% vs. goal 80%). Ten participants in the intervention arm completed all four planned follow-up study visits (the acceptability of follow-up was 48% vs. the goal of 90%). Conclusion We completed a pilot RCT of implementing a community navigator program in a pediatric weight management program. We found feasibility in the intervention’s uptake but limited feasibility in recruiting participants and the acceptability of the follow-up. Trial registration Clinicaltrials.gov, NCT04711707, https://clinicaltrials.gov/ct2/show/NCT04711707https://doi.org/10.1186/s40814-024-01570-9 |
| spellingShingle | Gita Wahi Stacey Marjerrison Simrat Gill Kimberley Krasevich Katherine M. Morrison Lehana Thabane Addressing unmet social needs of children with obesity: a pilot randomized controlled trial Pilot and Feasibility Studies |
| title | Addressing unmet social needs of children with obesity: a pilot randomized controlled trial |
| title_full | Addressing unmet social needs of children with obesity: a pilot randomized controlled trial |
| title_fullStr | Addressing unmet social needs of children with obesity: a pilot randomized controlled trial |
| title_full_unstemmed | Addressing unmet social needs of children with obesity: a pilot randomized controlled trial |
| title_short | Addressing unmet social needs of children with obesity: a pilot randomized controlled trial |
| title_sort | addressing unmet social needs of children with obesity a pilot randomized controlled trial |
| url | https://doi.org/10.1186/s40814-024-01570-9 |
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