'eatNplay' - a rurally-tailored, family-based, telehealth intervention for childhood obesity: Protocol for a mixed-methods randomized newsletter controlled pilot study

doi:10.1016/j.cct.2021.106542

. 2021 Oct:109:106542.

doi: 10.1016/j.cct.2021.106542. Epub 2021 Aug 14.

'eatNplay' - a rurally-tailored, family-based, telehealth intervention for childhood obesity: Protocol for a mixed-methods randomized newsletter controlled pilot study

Allisandra G Kummer¹, Mary Lynn Davis-Ajami², Britney Arce³, Kathryn Hartlieb⁴, Stephanie Dickinson⁵, Lilian Golzarri-Arroyo⁶, Courtney O Olcott⁷, Myles Faith⁸, Wasantha P Jayawardene⁹

Affiliations

¹ School of Public Health, Department of Epidemiology and Biostatistics, Indiana University Bloomington, 1025 E. 7th Street #111, Bloomington, IN 47405, USA. Electronic address: alkummer@iu.edu.
² Indiana University School of Nursing, Indiana University-Purdue University Indianapolis, 600 Barnhill Dr. Indianapolis, IN 46202, USA. Electronic address: mdavisaj@iu.edu.
³ School of Nursing, Indiana University Bloomington, 2631 E. Discovery Parkway, Bloomington, IN 47405, USA. Electronic address: barce@iu.edu.
⁴ Humanities, Health and Society, Florida International University College of Medicine, 11200 SW 8th Street, Miami, FL 33136, USA.
⁵ School of Public Health, Department of Epidemiology and Biostatistics, Indiana University Bloomington, 1025 E. 7th Street #111, Bloomington, IN 47405, USA. Electronic address: sd3@indiana.edu.
⁶ School of Public Health, Department of Epidemiology and Biostatistics, Indiana University Bloomington, 1025 E. 7th Street #111, Bloomington, IN 47405, USA. Electronic address: lgolzarr@indiana.edu.
⁷ Institute for Research on Addictive Behavior, School of Public Health, Indiana University Bloomington, 1033 E. 3rd Street, Bloomington, IN 47405, USA. Electronic address: coolcott@indiana.edu.
⁸ Graduate School of Education, Department of Counseling, School & Educational Psychology, University at Buffalo-State University of New York, 409 Baldy Hall, Buffalo, NY 14260, USA. Electronic address: mfaith@buffalo.edu.
⁹ Institute for Research on Addictive Behavior, School of Public Health, Indiana University Bloomington, 1033 E. 3rd Street, Bloomington, IN 47405, USA. Electronic address: wajayawa@indiana.edu.

PMID: 34403780
DOI: 10.1016/j.cct.2021.106542

'eatNplay' - a rurally-tailored, family-based, telehealth intervention for childhood obesity: Protocol for a mixed-methods randomized newsletter controlled pilot study

Allisandra G Kummer et al. Contemp Clin Trials. 2021 Oct.

. 2021 Oct:109:106542.

doi: 10.1016/j.cct.2021.106542. Epub 2021 Aug 14.

Authors

Allisandra G Kummer¹, Mary Lynn Davis-Ajami², Britney Arce³, Kathryn Hartlieb⁴, Stephanie Dickinson⁵, Lilian Golzarri-Arroyo⁶, Courtney O Olcott⁷, Myles Faith⁸, Wasantha P Jayawardene⁹

Affiliations

¹ School of Public Health, Department of Epidemiology and Biostatistics, Indiana University Bloomington, 1025 E. 7th Street #111, Bloomington, IN 47405, USA. Electronic address: alkummer@iu.edu.
² Indiana University School of Nursing, Indiana University-Purdue University Indianapolis, 600 Barnhill Dr. Indianapolis, IN 46202, USA. Electronic address: mdavisaj@iu.edu.
³ School of Nursing, Indiana University Bloomington, 2631 E. Discovery Parkway, Bloomington, IN 47405, USA. Electronic address: barce@iu.edu.
⁴ Humanities, Health and Society, Florida International University College of Medicine, 11200 SW 8th Street, Miami, FL 33136, USA.
⁵ School of Public Health, Department of Epidemiology and Biostatistics, Indiana University Bloomington, 1025 E. 7th Street #111, Bloomington, IN 47405, USA. Electronic address: sd3@indiana.edu.
⁶ School of Public Health, Department of Epidemiology and Biostatistics, Indiana University Bloomington, 1025 E. 7th Street #111, Bloomington, IN 47405, USA. Electronic address: lgolzarr@indiana.edu.
⁷ Institute for Research on Addictive Behavior, School of Public Health, Indiana University Bloomington, 1033 E. 3rd Street, Bloomington, IN 47405, USA. Electronic address: coolcott@indiana.edu.
⁸ Graduate School of Education, Department of Counseling, School & Educational Psychology, University at Buffalo-State University of New York, 409 Baldy Hall, Buffalo, NY 14260, USA. Electronic address: mfaith@buffalo.edu.
⁹ Institute for Research on Addictive Behavior, School of Public Health, Indiana University Bloomington, 1033 E. 3rd Street, Bloomington, IN 47405, USA. Electronic address: wajayawa@indiana.edu.

PMID: 34403780
DOI: 10.1016/j.cct.2021.106542

Abstract

Background: Childhood obesity disproportionately affects rural communities where access to pediatric weight control services is limited. Telehealth may facilitate access to these services.

Objective: This paper describes the rationale, curriculum, and methodology for conducting a randomized controlled pilot trial of a rural, family-based, telehealth intervention that aims to improve weight-related behaviors among children, compared to monthly newsletters.

Methods: A mixed-methods randomized design will randomly assign 44 rural families with one or more children aged 5 to 11 years identified as overweight or obese to an intervention or newsletter control group. The intervention group will attend 'eatNplay' group videoconferencing telehealth sessions, conducted weekly by a registered nurse and a motivational interviewing expert, to discuss diet, exercise, sleep, and peer group influences. The control group will receive newsletters covering these topics. Outcome measures at baseline, 12, and 26 weeks will assess 1) participant engagement and satisfaction with 'eatNplay'; 2) child's BMI, dietary behavior, physical activity, and sleep behavior; and 3) parent/guardians' self-reported beliefs, behaviors, attitudes, perceived stress, and perceived quality of life. Analyses will employ 1) thematic analysis of semi-structured parent/guardian interviews after follow-up to help refine the intervention (e.g., curriculum), and 2) linear mixed models to compare outcomes between groups pre- and post-intervention and reduce bias from unobserved variables. Results of this pilot study could refine methodology for conducting telehealth studies, acceptability of healthcare provider-involved recruitment, interdisciplinary team approach, and addressing childhood obesity in rural communities through telehealth.

Keywords: Childhood obesity; Family-based; Newsletter control; Rural; Telehealth.

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'eatNplay' - a rurally-tailored, family-based, telehealth intervention for childhood obesity: Protocol for a mixed-methods randomized newsletter controlled pilot study

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'eatNplay' - a rurally-tailored, family-based, telehealth intervention for childhood obesity: Protocol for a mixed-methods randomized newsletter controlled pilot study

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