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The ADAPT Trial: Adapting Evidence-Based Obesity Interventions in Community Settings

Who can join

As published by the study on ClinicalTrials.gov. "Not stated" means the study hasn't said — ask the study team.

Age
6 Years to 12 Years
Sex
All sexes
Healthy volunteers
Accepted
Compensation
Not stated

Other requirements are listed under Eligibility below. Only the study team can confirm whether you can join.

What to expect

No one can promise a trial will help you personally — that is what the research is trying to find out.

What participation involves

Not stated in the study description — ask the study team about visits and procedures.

Compensation
Not stated
  • Study-related exams and procedures are typically provided at no cost. This is how many trials work in general — confirm the details for this study with the study team.
  • Participants are monitored closely by the research team throughout the study.
  • Some participants may receive access to an investigational treatment, which is still being studied.
  • Your participation helps researchers learn whether this approach could help future patients.

About this study

In plain language

This study tests a way to adapt COACH, a program that helps children and parents build healthy habits, for use in community centers. It is for children ages 6 to 11 with obesity and their families in parts of Middle Tennessee, with a focus on reaching low-income, minority, and rural communities.

Evidence-based obesity treatment is inaccessible to most children in the United States. This lack of access is a source of health inequity, whereby children from rural and minority communities, who have the highest rates of childhood obesity, are also the least likely to receive an evidence-based intervention. Developing strategies to improve access to evidence-based obesity interventions could reduce health disparities by improving reach to these underserved communities. The premise of this study is that using a systematic framework to adapt a community-based behavioral intervention for childhood obesity that accounts for individual, family, and community factors will increase reach and effectiveness among low-income, minority, and rural populations. COACH is a multi-level obesity intervention that supports 1) the individual child through developmentally appropriate health behavior curriculum, 2) the family by directly addressing parent weight loss and engaging parents as agents of change for their children, and 3) the community by building the capacity of local community centers to offer parent-child programming. The investigators propose testing the process of adapting COACH in a cluster-randomized trial.

Compensation is read from the study's own description and may be missing — always confirm with the study team.

Eligibility

Who can join

  • The child is 6 to 11 years old.
  • The child’s body mass index (BMI), a measure based on height and weight, is at or above the 95th percentile for their age and sex on CDC growth charts.
  • The parent or legal guardian is at least 18 years old.
  • Both the parent and child speak English or Spanish.
  • The family lives in or often visits selected ZIP codes near the partner community centers in Middle Tennessee.
  • The parent agrees to take part in the 6-month study.
  • The family can view online training.
  • The parent and child complete starting height and weight checks and at least 90% of the starting survey questions.

Who can't join

  • The child has Down syndrome, autism, or another developmental condition that affects how the body uses energy or causes behaviors that prevent joining group physical activities.
  • The caregiver or child cannot do light to moderate physical activity.
  • The caregiver has a serious mental health or nervous system illness that limits their ability to agree to or take part in the study.

Simplified for readability. The official criteria below are what the study team uses.

Official eligibility criteria

Inclusion Criteria: * Child with an age ≥ 6 years and \< 12 years * Child body mass index ≥95th percentile for age and sex on standardized CDC growth curves * Index parent/legal guardian with an age ≥18 years * Parent and child speak English or Spanish * Family resides within or frequently visit selected zip codes within Middle TN surrounding the partnering community centers; * Have parental commitment to participate in a 6-month study; * Have the ability to view online trainings * Complete baseline data collection, including parent and child height and weight and at least 90% of baseline survey items. Exclusion Criteria: * Participant child has been diagnosed with Down Syndrome, Autism, or any other developmental disorders that impact metabolism or behaviors that would preclude participation in group physical activity settings; * Either the participant caregiver or child is unable to participate in light to moderate physical activity; * Participant caregiver has a serious mental or neurologic illness that impairs ability to consent/participate.

Study sites (1)

TN