Division of General Academic Pediatrics, Department of Pediatrics, MassGeneral Hospital for Children, 125 Nashua Street, Suite 860, Boston, MA 02114, USA; Department of Gastroenterology and Nutrition, MassGeneral Hospital for Children, 175 Cambridge St., 5th floor, Boston, MA 02114, USA.
Division of General Academic Pediatrics, Department of Pediatrics, MassGeneral Hospital for Children, 125 Nashua Street, Suite 860, Boston, MA 02114, USA.
Contemp Clin Trials. 2018 Apr;67:16-22. doi: 10.1016/j.cct.2018.01.002. Epub 2018 Jan 10.
Recent studies have demonstrated the effectiveness of family-centered, pediatric weight management programs in reducing childhood obesity. Yet, programs to optimize the care of low-income children with obesity are needed. We sought to examine the comparative effectiveness of two, potentially scalable pediatric weight management programs delivered to low-income children in a clinical or community setting.
The Clinic and Community Approaches to Healthy Weight Trial is a randomized trial in two communities in Massachusetts that serve a large population of low-income children and families. The two-arm trial compares the effects of a pediatric weight management program delivered in the Healthy Weight Clinics of two federally qualified health centers (FQHC) to the Healthy Weight and Your Child programs delivered in two YMCAs. Eligible children are 6 to 12 years old with a body mass index (BMI) ≥ 85th percentile seen in primary care at the two FQHCs. Both programs are one-year in duration and have at least 30 contact hours throughout the year. Measures are collected at baseline, 6 months, and 1 year. The main outcome is 1-year change in BMI (kg/m) and percent change of the 95th percentile (%BMIp).
The Clinic and Community Approaches to Healthy Weight Trial seeks to 1) examine the comparative effects of a clinical and community based intervention in improving childhood obesity, and 2) inform the care of >7 million children with obesity covered by the Children's Health Insurance Program or Medicaid.
最近的研究表明，以家庭为中心的儿科体重管理项目在减少儿童肥胖方面是有效的。然而，仍需要优化针对肥胖低收入儿童的护理项目。我们旨在研究两种可能具有可扩展性的儿科体重管理项目在临床或社区环境中为低收入儿童提供服务的相对效果。
“诊所和社区健康体重方法试验”是马萨诸塞州两个社区的一项随机试验，这些社区服务于大量低收入儿童和家庭。该两臂试验比较了在两个联邦合格健康中心 (FQHC) 的健康体重诊所中提供的儿科体重管理计划与在两个 YMCA 中提供的“健康体重和您的孩子”计划对儿童的影响。符合条件的儿童年龄在 6 至 12 岁之间，在两个 FQHC 的初级保健中 BMI（体重指数）≥第 85 百分位。两个项目的持续时间均为一年，并且全年至少有 30 次接触。在基线、6 个月和 1 年时收集测量值。主要结局是 BMI（kg/m）在一年内的变化和第 95 百分位（%BMIp）的变化百分比。
“诊所和社区健康体重方法试验”旨在 1）研究临床和社区干预在改善儿童肥胖方面的相对效果，以及 2）为超过 700 万受儿童健康保险计划或医疗补助覆盖的肥胖儿童提供护理信息。
