Virtual Housecalls: Redesigning Pediatric Primary Care Adolescent Obesity Treatment
Virginia Commonwealth University
Summary
This pragmatic randomized clinical trial tests a novel intensive health behavior and lifestyle intervention, conducted via telehealth, to treat class I adolescent obesity in pediatric primary care. Results will inform scalable approaches that meet the recommended treatment dose and effectively treat obesity in this setting.
Description
This trial will test Virtual Housecalls (VHC) in a pragmatic randomized clinical trial with 250 adolescents ages 12-15 years with class 1 (non-severe) obesity (BMI≥95% and \<120% of the 95%) and a participating parent/caregiver (N=250 dyads / 500 individuals). VHC includes 26 hours of treatment, by combining in-person PPCP visits (every 3m) with 6m of virtual visits conducted by a behavior coach (3m weekly, 3m every 2 weeks), and weekly exercise videos. The control arm will receive enhanced treatment as usual (TAU+), which includes usual care by their pediatric primary care practitioner (PPCP)…
Eligibility
- Age range
- 12–15 years
- Sex
- All
- Healthy volunteers
- Yes
Adolescent Inclusion Criteria: * English or Spanish-speaking * 12-15 years of age * Receiving care at a participating clinic * Body Mass Index (BMI) ≥95% and \<120% of the 95% * Access to a mobile device with a webcam that can receive texts Parent Inclusion Criteria: * English or Spanish-speaking * Primary legal guardian ≥18 years of age living with the adolescent Exclusion Criteria: * conflicts that would inhibit the ability to participate in all aspects of the study as outlined in the study protocol * family plans to move outside of the study area or plans to no longer be a patient at a…
Interventions
- BehavioralVirtual Housecalls
26 contact hours of evidence-based intensive health and behavioral lifestyle treatment, as per the American Academy of Pediatrics Clinical Practice Guidelines
Location
- Children's Hospital of Richmond at VCU Healthy Lifestyles CenterHenrico, Virginia