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Childhood ObesityGET-ObesityNCT06239662

Therapeutic Education Groups for Childhood Obesity

A study testing Therapeutic Group in people with Childhood Obesity, run by Azienda USL Reggio Emilia - IRCCS.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The goal of this clinical trial is to test the efficacy of an educational therapeutic intervention in treating obesity in a pediatric population. It aims to verify the differences between the experimental group (group-based program) and the control group (individual program) in respect to the BMI z-score values… Read more about this study

Who is it for?
Ages 7 to 17 years
Conditions the study is for
Childhood Obesity
What is being tested?
Therapeutic Group
Could I receive a placebo?
No, everyone receives an active treatment
How many people
318 participants
Where
No sites listed yet
Study dates
22 Sep 2016to 31 Mar 2023
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 7 to 17 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Obesity (>= 95th percentile);
  • No organic causes of obesity;
  • Sufficient understanding and production of Italian language;
  • Age between 7 and 17 years old;
  • Absence of neuropsychiatric diagnosis;
  • Subscription of the Informed Consent from both parents (or legal guardian).

Who cannot join

  • Degree of obesity< 95th percentile;
  • Organic causes of obesity;
  • Insufficient understanding and production of Italian language;
  • Age <7 or >17;
  • Presence of neuropsychiatric diagnosis;
  • One parent (or legal guardian) refuses to subscribe the Informed Consent.

About this study

Official title: Therapeutic Education Groups for Childhood Obesity: a Randomized Controlled Trial

The goal of this clinical trial is to test the efficacy of an educational therapeutic intervention in treating obesity in a pediatric population.

It aims to verify the differences between the experimental group (group-based program) and the control group (individual program) in respect to the BMI z-score values between baseline measurement (beginning of treatment), final measurement (end of treatment) and 18 months follow-up.

Read the detailed description

One of the aim of this clinical trial is to verify that the direct management of the emotional and relational aspects of patients and family plays an important role in maintaining the weight changes achieved in the long term.

The potential added value of the present study concerns the better understanding of the role of psychological and emotional aspects in the treatment of childhood obesity and in maintaining results in the long term.

The clinical trial aims to recruit 300 obese children randomized in two groups: experimental group and control group.

Being tested
Therapeutic Group, Usual care
Keywords
Childhood obesity, Group Intervention, Psychological Aspects
Medical subject headings
Pediatric Obesity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Therapeutic GroupBehavioural

    The first part of each meeting, lasting 45 minutes, will be held only with children and young people, while parents will wait in the waiting room. At the end of the first part, for each meeting, the children will be asked to make a commitment relating to the topics covered, which will be verified in the following meeting. Once the part with the patients has concluded, they will be accompanied to an adjacent environment where a pediatrician volunteer will be waiting for them and will offer fun and socialization activities. In the meantime, the parents will be seated and will address, together with the team staff, the same issues discussed with their children, again for a duration of approximately 45 minutes. Parents will also be invited to make a commitment similar to that required of children.

  • Usual careBehavioural

    The dietician will meet individually each child together with parents. Dietician will provide nutritional advices.

Study groups in NCT06239662
Study groupRoleWhat they receive
Therapeutic group interventionExperimentalPatients will be called in groups every 3 months for a total of 10 meetings. At each meeting they will be weighed and measured. Each meeting will focus on a topic of nutritional/lifestyle interest and will see the co-presence of the figures of the dietician and the psychologist, in order to allow an emotional declination for all the participants.
Receives: Behavioral: Therapeutic Group
Usual careActive comparatorPatients will be called individually every 3 months for a total of 10 meetings. At each meeting they will be weighed and measured. Each meeting will focus on a topic of nutritional/lifestyle interest. The meetings will be conducted by a dietician.
Receives: Behavioral: Usual care

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. BMI z-score

    BMI z-score variation from baseline to end of treatment

    Measured: measurement at end of treatment i.e approximately 24 months after baseline measurements

  2. BMI z-score

    BMI z-score variation from baseline to 18 months after the and of treatment

    Measured: measurement at 18 months after the end of treatment i.e approximately 42 months after baseline measurements

Secondary outcomes (27)
  1. healthy dietary habits

    variation in the daily consumption (in frequency) of fruits and vegetables measurement at end of treatment i.e approximately 24 months after baseline measurements

    Measured: measurement at end of treatment i.e approximately 24 months after baseline measurements

  2. healthy dietary habits

    variation in the daily consumption (in frequency) of fruits and vegetables measurement from baseline to 18 months after the and of treatment

    Measured: measurement at 18 months after the end of treatment i.e approximately 42 months after baseline measurements

  3. unhealthy dietary habits

    variation in the weekly consumption (in frequency) of packed and high-calorie food measurment at end of treatment i.e approximately 24 months after baseline measurements

    Measured: measurement at end of treatment i.e approximately 24 months after baseline measurements

  4. unhealthy dietary habits

    variation in the weekly consumption (in frequency) of packed and high-calorie food measurment from baseline to 18 months after the and of treatment

    Measured: measurement at 18 months after the end of treatment i.e approximately 42 months after baseline measurements

  5. Biohumoral exams from blood sample: Uric acid

    variation in the value measurements (differences expressed in mg/dL) at end of treatment i.e approximately 24 months after baseline measurements

    Measured: measurement at end of treatment i.e approximately 24 months after baseline measurements

  6. Biohumoral exams from blood sample: Transaminases

    variation in the value measurements (differences expressed in U/l) at end of treatment i.e approximately 24 months after baseline measurements

    Measured: measurement at end of treatment i.e approximately 24 months after baseline measurements

  7. Biohumoral exams from blood sample: Glycemia

    variation in the value measurements (differences expressed in mg/dL) at end of treatment i.e approximately 24 months after baseline measurements

    Measured: measurement at end of treatment i.e approximately 24 months after baseline measurements

  8. Biohumoral exams from blood sample: Insulin

    variation in the value measurements (differences expressed in µU/mL) at end of treatment i.e approximately 24 months after baseline measurements

    Measured: measurement at end of treatment i.e approximately 24 months after baseline measurements

  9. Biohumoral exams from blood sample: Glycated hemoglobin

    variation in the value measurements (differences expressed mmol/moli) at end of treatment i.e approximately 24 months after baseline measurements

    Measured: measurement at end of treatment i.e approximately 24 months after baseline measurements

  10. Biohumoral exams from blood sample: Cholesterol

    variation in the value measurements (differences expressed mg/dL) at end of treatment i.e approximately 24 months after baseline measurements

    Measured: measurement at end of treatment i.e approximately 24 months after baseline measurements

  11. Biohumoral exams from blood sample: Triglycerides

    variation in the value measurements (differences expressed mg/dL) at end of treatment i.e approximately 24 months after baseline measurements

    Measured: measurement at end of treatment i.e approximately 24 months after baseline measurements

  12. Biohumoral exams from blood sample: Thyroid-stimulating hormone

    variation in the value measurements (differences expressed μIU/ml) at end of treatment i.e approximately 24 months after baseline measurements

    Measured: measurement at end of treatment i.e approximately 24 months after baseline measurements

  13. Biohumoral exams from blood sample: Uric acid

    variation in the value measurements (differences expressed in mg/dL) from baseline to 18 months after the and of treatment

    Measured: measurement at 18 months after the end of treatment i.e approximately 42 months after baseline measurements

  14. Biohumoral exams from blood sample: Transaminases

    variation in the value measurements (differences expressed in U/l) from baseline to 18 months after the and of treatment

    Measured: measurement at 18 months after the end of treatment i.e approximately 42 months after baseline measurements

  15. Biohumoral exams from blood sample: Glycemia

    variation in the value measurements (differences expressed in mg/dL) from baseline to 18 months after the and of treatment

    Measured: measurement at 18 months after the end of treatment i.e approximately 42 months after baseline measurements

  16. Biohumoral exams from blood sample: Insulin

    variation in the value measurements (differences expressed in µU/mL) from baseline to 18 months after the and of treatment

    Measured: measurement at 18 months after the end of treatment i.e approximately 42 months after baseline measurements

  17. Biohumoral exams from blood sample: Glycated hemoglobin

    variation in the value measurements (differences expressed in mmol/moli) from baseline to 18 months after the and of treatment

    Measured: measurement at 18 months after the end of treatment i.e approximately 42 months after baseline measurements

  18. Biohumoral exams from blood sample: Cholesterol

    variation in the value measurements (differences expressed in mg/dL) from baseline to 18 months after the and of treatment

    Measured: measurement at 18 months after the end of treatment i.e approximately 42 months after baseline measurements

  19. Biohumoral exams from blood sample: Triglycerides

    variation in the value measurements (differences expressed in mg/dL) from baseline to 18 months after the and of treatment

    Measured: measurement at 18 months after the end of treatment i.e approximately 42 months after baseline measurements

  20. Biohumoral exams from blood sample: Thyroid-stimulating hormone

    variation in the value measurements (differences expressed in μIU/ml) from baseline to 18 months after the and of treatment

    Measured: measurement at 18 months after the end of treatment i.e approximately 42 months after baseline measurements

  21. Psychological questionnaire TAS-20 (Toronto Alexithymia Scale)

    variation in TAS-20 overall and sub-scale scores (differences) from baseline to the end of treatment i.e approximately 24 months after baseline measurements.Scoring range: 20-100; cutoff 60 (higher scores indicate greater impairment/challenges).

    Measured: measurement at end of treatment i.e approximately 24 months after baseline measurements

  22. Psychological questionnaire TAS-20 (Toronto Alexithymia Scale)

    variation in TAS-20 overall and sub-scale scores (differences) from baseline to approximately 18 months after the end of treatment. Scoring range: 20-100; cutoff 60 (higher scores indicate greater impairment/challenges).

    Measured: measurement at 18 months after the end of treatment i.e approximately 42 months after baseline measurements

  23. Psychological questionnaire PEDSQL (Pediatric Quality of life)

    variation in PEDSQL overall and sub-scale scores (differences) from baseline to the end of treatment i.e approximately 24 months after baseline measurements. Scores are linearly transformed to a 0-100 scale in which high score means better condition.

    Measured: measurement at end of treatment i.e approximately 24 months after baseline measurements

  24. Psychological questionnaire PEDSQL (Pediatric Quality of life)

    variation in PEDSQL overall and sub-scale scores (differences) from baseline to approximately 18 months after the end of treatment. Scores are linearly transformed to a 0-100 scale in which high score means better condition.

    Measured: measurement at 18 months after the end of treatment i.e approximately 42 months after baseline measurements

  25. Psychological questionnaire CBCL (Child Behaviour Checklist)

    variation in CBCL overall and sub-scale scores (differences) from baseline to the end of treatment i.e approximately 24 months after baseline measurements. Scores below the 93rd percentile is considered normal, scores between the 93-97th percentile are borderline clinical, and scores above the 97th percentile are in the clinical range.

    Measured: measurement at end of treatment i.e approximately 24 months after baseline measurements

  26. Psychological questionnaire CBCL (Child Behaviour Checklist)

    variation in CBCL overall and sub-scale scores (differences) from baseline to approximately 18 months after the end of treatment. Scores below the 93rd percentile is considered normal, scores between the 93-97th percentile are borderline clinical, and scores above the 97th percentile are in the clinical range

    Measured: measurement at 18 months after the end of treatment i.e approximately 42 months after baseline measurements

  27. Drop-out

    qualitative differences between experimental and control group in drop-out per cent

    Measured: measurement at end of treatment i.e approximately 24 months after baseline measurements

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted2 Feb 2024
  2. Study start22 Sep 2016
  3. Primary completion31 Mar 2023
  4. Study completion31 Mar 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
318 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06239662
Sponsor's protocol ID
GET-Obesità N.01-18/02/16
Acronym
GET-Obesity
Status last verified
Oct 2023
First submitted
28 Dec 2023
Last updated
1 Apr 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided: We do not have the authorization to share IPD. We are in the process to agree with the Ethic Committee how the share data.

Publications

  • Panebianco D, Gallupe O, Carrington PJ, Colozzi I. Personal support networks, social capital, and risk of relapse among individuals treated for substance use issues. Int J Drug Policy. 2016 Jan;27:146-53. doi: 10.1016/j.drugpo.2015.09.009. Epub 2015 Sep 28.

    PubMed 26520237
  • Kalavainen MP, Korppi MO, Nuutinen OM. Clinical efficacy of group-based treatment for childhood obesity compared with routinely given individual counseling. Int J Obes (Lond). 2007 Oct;31(10):1500-8. doi: 10.1038/sj.ijo.0803628. Epub 2007 Apr 17.

    PubMed 17438555
  • Zeller M, Daniels S. The obesity epidemic: family matters. J Pediatr. 2004 Jul;145(1):3-4. doi: 10.1016/j.jpeds.2004.04.038. No abstract available.

    PubMed 15238894
  • Braet C, Mervielde I, Vandereycken W. Psychological aspects of childhood obesity: a controlled study in a clinical and nonclinical sample. J Pediatr Psychol. 1997 Feb;22(1):59-71. doi: 10.1093/jpepsy/22.1.59.

    PubMed 9019048
  • French SA, Story M, Jeffery RW. Environmental influences on eating and physical activity. Annu Rev Public Health. 2001;22:309-35. doi: 10.1146/annurev.publhealth.22.1.309.

    PubMed 11274524
  • Trombini E, Baldaro B, Bertaccini R, Mattei C, Montebarocci O, Rossi N. Maternal attitudes and attachment styles in mothers of obese children. Percept Mot Skills. 2003 Oct;97(2):613-20. doi: 10.2466/pms.2003.97.2.613.

    PubMed 14620250
  • Goldfield GS, Mallory R, Parker T, Cunningham T, Legg C, Lumb A, Parker K, Prud'homme D, Adamo KB. Effects of modifying physical activity and sedentary behavior on psychosocial adjustment in overweight/obese children. J Pediatr Psychol. 2007 Aug;32(7):783-93. doi: 10.1093/jpepsy/jsm017. Epub 2007 Apr 19.

    PubMed 17449466
  • Braet C, Tanghe A, Decaluwe V, Moens E, Rosseel Y. Inpatient treatment for children with obesity: weight loss, psychological well-being, and eating behavior. J Pediatr Psychol. 2004 Oct;29(7):519-29. doi: 10.1093/jpepsy/jsh054.

    PubMed 15347700
  • Hingle MD, O'Connor TM, Dave JM, Baranowski T. Parental involvement in interventions to improve child dietary intake: a systematic review. Prev Med. 2010 Aug;51(2):103-11. doi: 10.1016/j.ypmed.2010.04.014. Epub 2010 May 10.

    PubMed 20462509
  • Fonseca H, Palmeira AL, Martins SC, Falcato L, Quaresma A. Managing paediatric obesity: a multidisciplinary intervention including peers in the therapeutic process. BMC Pediatr. 2014 Apr 3;14:89. doi: 10.1186/1471-2431-14-89.

    PubMed 24693926
  • Kader M, Sundblom E, Elinder LS. Effectiveness of universal parental support interventions addressing children's dietary habits, physical activity and bodyweight: A systematic review. Prev Med. 2015 Aug;77:52-67. doi: 10.1016/j.ypmed.2015.05.005. Epub 2015 May 14.

    PubMed 25981555
  • Wilfley DE, Tibbs TL, Van Buren DJ, Reach KP, Walker MS, Epstein LH. Lifestyle interventions in the treatment of childhood overweight: a meta-analytic review of randomized controlled trials. Health Psychol. 2007 Sep;26(5):521-32. doi: 10.1037/0278-6133.26.5.521.

    PubMed 17845100
  • Epstein LH, Leddy JJ, Temple JL, Faith MS. Food reinforcement and eating: a multilevel analysis. Psychol Bull. 2007 Sep;133(5):884-906. doi: 10.1037/0033-2909.133.5.884.

    PubMed 17723034
  • Davoli AM, Broccoli S, Bonvicini L, Fabbri A, Ferrari E, D'Angelo S, Di Buono A, Montagna G, Panza C, Pinotti M, Romani G, Storani S, Tamelli M, Candela S, Giorgi Rossi P. Pediatrician-led motivational interviewing to treat overweight children: an RCT. Pediatrics. 2013 Nov;132(5):e1236-46. doi: 10.1542/peds.2013-1738. Epub 2013 Oct 21.

    PubMed 24144717

Questions about this trial

What is this clinical trial studying?

A study testing Therapeutic Group in people with Childhood Obesity, run by Azienda USL Reggio Emilia - IRCCS.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 1 Apr 2024. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

BMI z-score (time frame: measurement at end of treatment i.e approximately 24 months after baseline measurements). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06239662, which also lists 14 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Apr 2024.

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