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Addressing Health Literacy and Numeracy to Prevent Childhood Obesity
Not Recruiting
Trial ID: NCT01040897
Purpose
In 2003, Surgeon General Richard Carmona suggested that low health literacy is "one of the largest contributors to our nation's epidemic of overweight and obesity." Over 26% of preschool children are now overweight or obese, and children who are overweight by age 24 months are five times as likely as non-overweight children to become overweight adolescents. The aim of the study is to assess the efficacy of a low-literacy/numeracy-oriented intervention aimed at teaching pediatric resident physicians to promote healthy family lifestyles and prevent overweight among young children (age 0-2) and their families in under-resourced communities.
Official Title
Addressing Health Literacy and Numeracy to Prevent Childhood Obesity
Stanford Investigator(s)
Eligibility
Specific Inclusion Criteria at the parent-child dyad level will include:
* Consent from a primary caregiver (i.e., parent or legal guardian)
* Caregiver's ability to speak English or Spanish
* Infant presenting for a 2 month well-child visit (child is 6 ≥ 12 weeks old)
* Caregiver agrees to participate in the study, and agrees to bring their child to all well-child care visits until their 2 year well-child care visit.
Specific Exclusion Criteria at the parent-child dyad level will include:
* Child born prior to 32 weeks' gestational age or with a birth weight \< 1500 grams
* Child with weight/length \< 3rd percentile at 2 months of age
* Child with a diagnosis of failure to thrive or with weight that has dropped ≥ 2 percentile curves since the previous well child visit
* Child with known medical problems that may affect their ability to thrive or requires a special diet (e.g. metabolic disease, uncorrected congenital heart disease, renal disease, lung disease)
* Caregiver with significant mental or neurologic illness likely to impair their ability to participate
* Caregiver age \< 18 years
* Caregiver with known plans to move out of the immediate area during the study period
* Caregiver with poor visual acuity (i.e. vision worse than 20/50 with Rosenbaum Pocket Screener as assessed at the time of recruitment)
Specific Inclusion Criteria at the Pediatric Resident level will include:
* Participation in the medical center's pediatric resident training program
* Providing regular care (\> 3 sessions per month) in the pediatric resident primary care clinic; AND
* Consent to participate in the study
Specific Exclusion Criteria at the Pediatric Resident level will include:
* Providing no regular care in the pediatric resident primary care clinic (e.g., transitional-year resident, Medicine/Pediatrics resident); OR
* Known plans to leave the training program during the ensuing 6 months
Intervention(s):
behavioral: Health Communication and Obesity Prevention
behavioral: Injury Prevention Arm
Not Recruiting
Contact Information
Stanford University
School of Medicine
300 Pasteur Drive
Stanford,
CA
94305