Pain and Weight Treatment: Development and Trial of PAW
Connecticut Children's Medical Center
Summary
Pediatric weight management efficacy is impacted by failure to complete treatment protocols and, for those that do complete treatment, a return to unhealthy behaviors. This project tests whether treating pain, a common comorbid condition to pediatric obesity, will enhance treatment. This study will generate results that can be translated into immediate improvements in care for families seeking treatment for pediatric obesity.
Description
Childhood obesity is a major public health crisis in the United States, affecting 16.9% of youth aged 2-19 and 20.5% of youth aged 12-19. While current family-based interventions are effective in reducing body mass index (BMI) in adolescents; the majority of adolescents regain their excess weight within 2 years. In addition, there is a high rate of drop out from weight management programs, with 27% to 73% of families not completing the full treatment protocol. One possible mechanism influencing pediatric weight management outcomes is chronic pain. Although chronic pain affects 25 to 46% of all…
Eligibility
- Age range
- 12–18 years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Males and females between 12 and 18 years of age * Ability to speak, write and read English * A parent or guardian who speaks, writes and reads English * Signed consent and assent from the child and parent * Enrollment in a weight management program * Score greater than 3 on the Pain Burden Inventory at screening (in order to recruit adolescents who experience more than just general aches and pains). * Youth reporting musculoskeletal pain Exclusion Criteria: * Parent or guardian unable to participate * Patients on weight reducing medications * Severe psychiatric illnes…
Interventions
- BehavioralPAW
Pain and Weight Treatment plus standard of care
- BehavioralPain Education
Pain Education plus standard of care
Location
- Connecticut Children's Medical CenterHartford, Connecticut