Conversation Cards for Adolescents and Goal-Setting for Obesity, Adolescent

Phase-Based Estimates
1
Effectiveness
1
Safety
Northeast Community Health Centre, Edmonton, Canada
+5 More
Conversation Cards for Adolescents and Goal-Setting - Behavioral
Eligibility
< 18
All Sexes
Eligible conditions
Obesity, Adolescent

Study Summary

Piloting Conversation Cards for Adolescents

See full description

Eligible Conditions

  • Pediatric Obesity
  • Obesity, Adolescent
  • Health Behaviors
  • Lifestyles
  • Health Communication
  • Primary Healthcare

Treatment Effectiveness

Study Objectives

This trial is evaluating whether Conversation Cards for Adolescents and Goal-Setting will improve 1 primary outcome and 14 secondary outcomes in patients with Obesity, Adolescent. Measurement will happen over the course of Baseline.

3 weeks
Degree of effort and achievement of treatment goals using researcher-developed questions
Patient engagement: perspectives on priorities and study design using researcher-developed questions
Year 1
Tool feasibility (PCPs) using researcher-developed questions
Tool likeability (PCPs) using researcher-developed questions
Tool usability (PCPs) using researcher-developed questions
Tool usefulness (PCPs) using researcher-developed questions
User acceptance as per the Technology Acceptance Model
Baseline
Appointment length using a timer on the study-specific iPad
Collaborative goal-setting using the Patient Perception of Collaborative Goal-Setting
Tool feasibility (adolescents) using researcher-developed questions
Tool likeability (adolescents) using researcher-developed questions
Tool usability (adolescents) using researcher-developed questions
Tool usefulness (adolescents) using researcher-developed questions
Baseline (pre-appt)
User experience as per the User Experience Questionnaires
Year 1
Feasibility outcomes for resource, management, and scientific assessments per open-ended questions outlined by Tickle-Degnen's (2013)

Trial Safety

Trial Design

2 Treatment Groups

Goal-Setting
Conversation Cards for Adolescents and Goal-Setting

This trial requires 50 total participants across 2 different treatment groups

This trial involves 2 different treatments. Conversation Cards For Adolescents And Goal-Setting is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

Conversation Cards for Adolescents and Goal-Setting
Behavioral
Adolescents in the experimental arm will receive the tool 15 minutes prior to their appointment with their primary care provider. They will be instructed to familiarize themselves with the tool and to select the top 3 factors that resonate most with them in their attemps to change their lifestyle habits. They will then proceed to their clinical appointment to set one S.M.A.R.T. goal based on their selections and in collaboration with their primary care provider.
Goal-Setting
Behavioral
Adolescents in the control arm will not complete the tool activity, but will still set a S.M.A.R.T. goal with their primary care provider.

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: at study end point, an average of 1 year
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly at study end point, an average of 1 year for reporting.

Closest Location

Northeast Community Health Centre - Edmonton, Canada

Eligibility Criteria

This trial is for patients born any sex aged 18 and younger. There are 5 eligibility criteria to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
13-17 years old
At a functioning grade level (English literacy and comprehension)
Interested in setting a lifestyle/behavioural goal related to improving diet, physical activity or sedentary activity,
Seeking health services at the Northeast Community Health Centre (NECHC; Edmonton, Alberta, Canada)
All participating providers who deliver care to adolescents at the NECHC are eligible to participate.

Patient Q&A Section

Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Can obesity, adolescent be cured?

Add answer

There is great potential that we can learn about obesity prevention and treatment strategies from this study. Recent findings could be used by public health and medical professionals in their efforts to reduce this ever-growing problem in the United States.

Unverified Answer

What is obesity, adolescent?

Add answer

While adolescents have been recognized as a subgroup of patients with pediatrician responsibilities for weight, the nature and extent of their responsibilities have been neglected. The obesity rates in adolescents are rising, and adolescents are in a particularly vulnerable population to the risks and consequences of obesity, particularly high-risk obesity. However, there is a poor communication link between adolescent physicians and their patients, and clinicians see little value in discussing obesity with adolescent patients. This lack of knowledge is reflected in practices of pediatricians, nurse practitioners, and physicians. These practitioners see patient education mostly as part of the parent's role and are often not trained to anticipate the adolescent's interest in obesity and seek ways to support adolescent patients' treatment plans.

Unverified Answer

What are the signs of obesity, adolescent?

Add answer

Obesity, as well as adolescent obesity are major health problems. Symptoms of obesity involve the weight loss symptoms, including the persistent cough, the feeling of hunger, and the feeling of fatigue are clear signs of adolescent obesity.

Unverified Answer

How many people get obesity, adolescent a year in the United States?

Add answer

Obesity has become a epidemic because there is significant heterogeneity in the US population in the proportion of youth and adults that are obese (23.4% of adolescents as of 2017). This epidemiological and genetic diversity between adult obesity and adolescence may alter future health consequences.

Unverified Answer

What are common treatments for obesity, adolescent?

Add answer

Obesity appears to be a treatable condition and can generally be managed if the patient is motivated to follow a treatment path by helping to educate themselves and their caregivers on treatment methods, lifestyle changes, and the risks of obesity, and educating their peers about the risks of obesity.

Unverified Answer

What causes obesity, adolescent?

Add answer

The origins of obesity are unknown, but there are probably complex environmental factors that modify genes. The reasons for high rates of obesity have yet to be determined; however, it may be linked to a sedentary lifestyle, inadequate intake of physical activity, and stress.

Unverified Answer

What is the primary cause of obesity, adolescent?

Add answer

The most widely accepted theory in the Western world and in the global community is that obesity is a consequence of an excessive energy intake, often as a result of low levels of physical activity. However many experts from clinical trials have been doing extensive research together with eligible patients to discover new treatment options where they get to receive them first. Go to the Power (https://www.withpower.com/d/obesity-clinical-trials) website to learn more on how you can find a clinical trial that fits your current condition.

Unverified Answer

Is conversation cards for adolescents and goal-setting safe for people?

Add answer

A 10-minute interactive self-management card was effective in decreasing BMI and increasing active transportation in obese adolescents (BMI 31.9-36.9)) from baseline. These small sample size results suggest generalizability to a larger cohort.

Unverified Answer

What is the average age someone gets obesity, adolescent?

Add answer

Increasing trends were seen in BMI Z scores at age 10, with the highest percentage of overweight and obese children between 10–12 years. Obesity, and particularly overweight/obesity were more prevalent in South than in the North. This is a concern in our society because obesity-associated diseases are becoming more common. As society continues to become more sedentary-oriented, it is more important for obesity prevention efforts to start earlier. We need to educate adolescents about their disease risks and how to prevent and control them (e.g. healthy food choices, exercise, weight) and tailor current obesity prevention interventions to the needs of adolescents.

Unverified Answer

Have there been other clinical trials involving conversation cards for adolescents and goal-setting?

Add answer

Given the limited evidence base that already exists, we believe that CCT can be used to support other more recent approaches to support weight loss. We feel that although there is a limited evidence base for support programmes or individualised goal-setting, there would be potential to demonstrate outcomes that are beneficial and cost-efficient.

Unverified Answer

Has conversation cards for adolescents and goal-setting proven to be more effective than a placebo?

Add answer

A [conservation-type strategy to increase cardiorespiratory fitness, nutritional hygiene and limit alcohol consumption did not increase (vs. a control) physical activity, total energy intake and BMI or waist circumference in adolescents who were obese at baseline.

Unverified Answer

Who should consider clinical trials for obesity, adolescent?

Add answer

Children aged 5 to 10 years need to be included in any clinical trial of obesity, not only due to the frequency of the disease in this age group. For adolescents, the need for obesity-related clinical studies is even greater. Children aged 10 to 18 years need clinical trials. The choice of study designs, endpoints, and treatment goals should be based on a multidisciplinary evaluation of the risks and benefits.

Unverified Answer
See if you qualify for this trial
Get access to this novel treatment for Obesity, Adolescent by sharing your contact details with the study coordinator.