Parent and Family Obesity Intervention in Reducing Obesity Risk in Racial Ethnic Minority Families

Sponsor
M.D. Anderson Cancer Center (Other)
Overall Status
Recruiting
CT.gov ID
NCT05094466
Collaborator
(none)
120
1
3
49.5
2.4

Study Details

Study Description

Brief Summary

This clinical trial compares the effects of parent/caregiver-focused programs to family-focused programs in reducing obesity risk in racial ethnic minority families. Obesity tends to run in families, thus family-based interventions have been strongly recommended. Parent and family obesity programs may reduce obesity risk and ultimately reduce the risk of obesity-related cancer.

Condition or Disease Intervention/Treatment Phase
  • Behavioral: Behavioral Intervention
  • Other: Counseling
  • Procedure: Discussion
  • Other: Educational Intervention
  • Other: Informational Intervention
  • Other: Interview
N/A

Detailed Description

PRIMARY OBJECTIVE:
  1. Establish the feasibility and acceptability of the Parent and Family obesity interventions.
SECONDARY OBJECTIVES:
  1. Explore congregational and community interest in obesity and obesity related behaviors in racial ethnic minorities.

  2. Explore the preliminary impact of the Parent and Family interventions on behavioral, social and environmental outcomes in parent/child dyads. III. Explore potential mediators (self-efficacy, perceived stress, depressive symptoms) and moderators (sex of dyads, family history of lifestyle changes, and church attendance).

OUTLINE: Churches are randomized to 1 of 3 arms.

ARM I (PARENT INTERVENTION): Parents receive health coaching sessions over 50-60 minutes monthly for 6 months. Parents also receive navigation sessions with a lay health worker (LHW) monthly for 6 months and church-based peer support monthly for 6 months.

ARM II (FAMILY INTERVENTION): Family members receive health coaching sessions over 50-60 minutes monthly for 6 months. Family members also receive navigation sessions with a LHW monthly for 6 months and church-based peer support monthly for 6 months.

ARM III (DELAYED COMPARISON): Participants receive a handbook that includes core content from the parent and family interventions, but without individual support from coaches, LHWs or the church.

Study Design

Study Type:
Interventional
Anticipated Enrollment :
120 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Prevention
Official Title:
A Family-Based Approach to Reducing Obesity Risk Among African American Families
Actual Study Start Date :
Jul 16, 2019
Anticipated Primary Completion Date :
Aug 31, 2023
Anticipated Study Completion Date :
Aug 31, 2023

Arms and Interventions

Arm Intervention/Treatment
Experimental: Arm I (parent intervention)

Parents receive health coaching sessions over 50-60 minutes monthly for 6 months. Parents also receive navigation sessions with a lay LHW monthly for 6 months and church-based peer support monthly for 6 months.

Behavioral: Behavioral Intervention
Receive peer support sessions
Other Names:
  • Behavior Conditioning Therapy
  • Behavior Modification
  • Behavior or Life Style Modifications
  • Behavior Therapy
  • Behavioral Interventions
  • Behavioral Modification
  • Behavioral Therapy
  • Behavioral Treatment
  • Behavioral Treatments
  • Other: Counseling
    Receive health coaching sessions
    Other Names:
  • Counseling Intervention
  • Procedure: Discussion
    Attend focus groups
    Other Names:
  • Discuss
  • Other: Educational Intervention
    Receive handbook
    Other Names:
  • Education for Intervention
  • Intervention by Education
  • Intervention through Education
  • Intervention, Educational
  • Other: Informational Intervention
    Receive navigation sessions

    Other: Interview
    Participate in interview

    Experimental: Arm II (family intervention)

    Family members receive health coaching sessions over 50-60 minutes monthly for 6 months. Family members also receive navigation sessions with a LHW monthly for 6 months and church-based peer support monthly for 6 months.

    Behavioral: Behavioral Intervention
    Receive peer support sessions
    Other Names:
  • Behavior Conditioning Therapy
  • Behavior Modification
  • Behavior or Life Style Modifications
  • Behavior Therapy
  • Behavioral Interventions
  • Behavioral Modification
  • Behavioral Therapy
  • Behavioral Treatment
  • Behavioral Treatments
  • Other: Counseling
    Receive health coaching sessions
    Other Names:
  • Counseling Intervention
  • Procedure: Discussion
    Attend focus groups
    Other Names:
  • Discuss
  • Other: Educational Intervention
    Receive handbook
    Other Names:
  • Education for Intervention
  • Intervention by Education
  • Intervention through Education
  • Intervention, Educational
  • Other: Informational Intervention
    Receive navigation sessions

    Other: Interview
    Participate in interview

    Active Comparator: Arm III (delayed comparison)

    Participants receive a handbook that includes core content from the parent and family interventions, but without individual support from coaches, LHWs or the church.

    Procedure: Discussion
    Attend focus groups
    Other Names:
  • Discuss
  • Other: Educational Intervention
    Receive handbook
    Other Names:
  • Education for Intervention
  • Intervention by Education
  • Intervention through Education
  • Intervention, Educational
  • Other: Interview
    Participate in interview

    Outcome Measures

    Primary Outcome Measures

    1. The correlation between the feasibility of the Parent and Family obesity interventions. [Up to 4 years]

    2. The correlation between the acceptability of the Parent and Family obesity interventions. [Up to 4 years]

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    10 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    Yes
    Inclusion Criteria:
    • ELIGIBLE IN-DEPTH INTERVIEW PARTICIPANTS: Any church leader, such as pastors, minister, church secretary, health ministry leader, youth leader, deacons, ministry leader, director

    • PARENT-CHILD DYADS: Be parent/caregiver (legal parent or custodial grandparent; male or female) and child willing to participate

    • PARENT-CHILD DYADS: Live together in the same household

    • PARENTS/CAREGIVERS: Self-identify as a racial ethnic minority (i.e., black or African American or Hispanic)

    • PARENTS/CAREGIVERS: Parent or caregiver age 18 through 65 years old

    • PARENTS/CAREGIVERS: Are obese (body mass index [BMI] >= 30)

    • PARENTS/CAREGIVERS: Are not currently participating in a physical activity (PA), diet, or weight management program

    • PARENTS/CAREGIVERS: Enroll with a child aged 10-16 years

    • PARENTS/CAREGIVERS: Have a valid home address, telephone number, and internet access

    • PARENTS/CAREGIVERS: Are able to speak, read, and write in English

    • CHILDREN: They are aged between 10-16 years

    Exclusion Criteria:
    • PARENTS/CAREGIVERS: They are currently pregnant or thinking about becoming pregnant during study period

    • PARENTS/CAREGIVERS: They present any contraindications for exercise based on responses to the PA Readiness Questionnaire

    • PARENTS/CAREGIVERS: Principal investigator (PI) determines that parent/caregiver is unsuitable for the study for reasons not otherwise stated in the protocol

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 M D Anderson Cancer Center Houston Texas United States 77030

    Sponsors and Collaborators

    • M.D. Anderson Cancer Center

    Investigators

    • Principal Investigator: Lorna McNeill, M.D. Anderson Cancer Center

    Study Documents (Full-Text)

    None provided.

    More Information

    Additional Information:

    Publications

    None provided.
    Responsible Party:
    M.D. Anderson Cancer Center
    ClinicalTrials.gov Identifier:
    NCT05094466
    Other Study ID Numbers:
    • 2017-0557
    • NCI-2021-09374
    • 2017-0557
    First Posted:
    Oct 26, 2021
    Last Update Posted:
    Aug 24, 2022
    Last Verified:
    Aug 1, 2022
    Studies a U.S. FDA-regulated Drug Product:
    No
    Studies a U.S. FDA-regulated Device Product:
    No
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Aug 24, 2022