Design of the GOT Doc study: A randomized controlled trial comparing a Guided Self-Help obesity treatment program for childhood obesity in the primary care setting to traditional family-based behavioral weight loss - PubMed (original) (raw)

Design of the GOT Doc study: A randomized controlled trial comparing a Guided Self-Help obesity treatment program for childhood obesity in the primary care setting to traditional family-based behavioral weight loss

Kyung E Rhee et al. Contemp Clin Trials Commun. 2021.

Abstract

Currently one-third of children in the United States have overweight or obesity (OW/OB). The goal of Healthy People 2020 is to reduce the proportion of children with OW/OB and increase the proportion of primary care visits that include nutrition and weight-related counseling. Unfortunately, many health care providers find it difficult to offer effective weight-related counseling and treatment in the primary care setting. Therefore, new models of care are needed that allow a greater proportion of children with OW/OB and their parents to access care and receive quality weight management treatment. The current paper describes the GOT Doc study which is designed to test the effectiveness of a Guided Self-Help (GSH) model of obesity treatment that can be delivered in the primary care setting compared to a traditional Family-Based Behavioral weight loss treatment (FBT) delivered at an academic center. We will assess the impact of this program on attendance (access to care) and changes in child BMI percentile/z-score. We will also examine the impact of this treatment model on change in child lifestyle behaviors, parent support behaviors, and parent self-efficacy and empowerment to make behavior change. Finally, we will assess the cost-effectiveness of this model on changes in child BMI percentile/z-score. We believe the GSH intervention will be a cost-effective model of obesity management that can be implemented in community practices around the country, thereby increasing access to treatment for a broader proportion of our population and decreasing rates of childhood obesity.

Keywords: Childhood obesity; Community-based intervention; Early and Periodic Screening, Diagnosis, and Treatment program, EPSDT; Electronic health record, EHR; Family-Based Behavioral Therapy, FBT; Family-based behavioral therapy; Guided Self-Help, GSH; Guided self-help; Guided self-help Obesity Treatment in the primary care setting, GOT Doc; Overweight or obesity, OW/OB; Primary care; Primary care provider, PCP; Quality of Lifev, QOL; Treatment; U.S. Preventive Services Task Force, USPSTF.

© 2021 The Authors. Published by Elsevier Inc.

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References

    1. Ogden C.L., Carroll M.D., Kit B.K., Flegal K.M. Prevalence of obesity and trends in body mass index among US children and adolescents, 1999-2010. J. Am. Med. Assoc. 2012;307(5):483–490. -PMC -PubMed
    1. Freedman D.S., Dietz W.H., Srinivasan S.R., Berenson G.S. The relation of overweight to cardiovascular risk factors among children and adolescents: the Bogalusa Heart Study. Pediatrics. 1999;103(6 Pt 1):1175–1182. -PubMed
    1. Srinivasan S.R., Bao W., Wattigney W.A., Berenson G.S. Adolescent overweight is associated with adult overweight and related multiple cardiovascular risk factors: the Bogalusa Heart Study. Metabolism. 1996;45(2):235–240. -PubMed
    1. Sinha R., Fisch G., Teague B. Prevalence of impaired glucose tolerance among children and adolescents with marked obesity. N. Engl. J. Med. 2002;346(11):802–810. -PubMed
    1. Korner A., Kratzsch J., Gausche R. Metabolic syndrome in children and adolescents--risk for sleep-disordered breathing and obstructive sleep-apnoea syndrome? Arch. Physiol. Biochem. 2008;114(4):237–243. -PubMed

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