Self-weighing for Weight Management in Adolescents Seeking Obesity Treatment: A Randomized Pilot
University of Minnesota
Summary
99 patients age 12 to \<18 years old with obesity (BMI \>/=95th percentile), will be randomized to one of three treatment interventions: 1. Usual Care 2. Usual Care plus advice to weigh daily on simple scale 3. Usual Care plus advice to weigh-daily on an EHR-connected scale Survey data collected at baseline, 2, 4, 6, and 12-weeks, and qualitative interviews at 12 weeks, will assess acceptability, safety, self-efficacy, and BMI. Recruitment will also be assessed (% eligible patients who consent). In order to understand real-world feasibility of this intervention, the clinic staff will work with patients to connect the scales to Epic.
Description
Obesity is a major public health issue because of its high prevalence and many health consequences. Obesity is driven by a dysregulation of the body's energy regulatory systems and is life-shortening. Obesity during the critical adolescent period increases risk of diabetes, cardiometabolic disease, all-cause mortality, and adulthood obesity. Rates of obesity-related cancers are increasing in younger populations. In addition to poorer health, individuals with obesity during adolescence are at risk for lower productivity, income, and likelihood of employment in adulthood, making obesity treatmen…
Eligibility
- Age range
- 12–17 years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria for Adolescent: * Ages 12 to \< 18 years * Body mass index (BMI) \>/= 95th percentile Exclusion Criteria for Adolescent: * Score over 20 on the Eating Attitudes Test (EAT-26) * Any unhealthy weight control behaviors * Severe anxiety or depression * Participation in another Pediatric Weight Management Clinic study * Developmental delay * Significant co-morbidity that might cause weight fluctuations in weight * Current participation in a weight loss research study Inclusion Criteria for Parent: * Parent or legal guardian of the child participant * Parent aged \> 18 years
Interventions
- OtherStandard Care
Individuals will receive standard care for their obesity through the Pediatric Weight Management Clinic.
- DeviceSimple Scale
Individuals will be encouraged to perform daily weighing at home on a simple scale.
- DeviceEHR-Connected Scale
Individuals will be encouraged to perform daily weighing at home on a Smart scale that connects to the EHR. Clinic staff will review weight entries in the EHR and provide feedback.
Location
- M Health - Pediatric Weight Management ClinicMinneapolis, Minnesota