RightFit
RecruitingNot applicable

Mountain West Prevention Research Center Core Research Project

Who can join

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

Age
No age limits stated
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

  • Time periods mentioned: 2 years, 12 weeks, 1 year
  • Procedures mentioned: Questionnaires, Interviews

Only what the study's summary and detailed description on ClinicalTrials.gov say. Time periods may describe the whole study or a part of it — ask the study team what applies to you.

Show the study's own words
  • "Each CIT will complete two cohorts over two years."
  • "CIT members will receive access to the online BHF program platform and will complete electronic consent for evaluation activities including surveys, interviews, learning collaborative participation, lightning reports, and direct observations."
  • "Semi-Annual Surveys Surveys assessing training resources, facilitation, and context will be completed every six months beginning shortly after program access and continuing through six months after completion of a second cohort."
  • "Key Informant Interviews Semi-structured interviews with CIT members will assess strategies affecting RE-AIM outcomes and i-PARIHS constructs, including innovation characteristics, recipient factors, facilitation, and contextual influences."
  • "Families will attend weekly two-hour group sessions for 12 weeks followed by ongoing sessions up to one year."
  • "Each CBO will implement two cohorts over two years."
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 ways to use text messages and outreach to help families join and attend Building Healthy Families, a program for healthy eating, activity, and weight management. It focuses on lower-income families with a child ages 5 to 12 who meets the study’s weight criteria.

This hybrid type 3 effectiveness-implementation sequential multiple assignment randomized trial will assess the impact of integrating population health management (PHM) strategies-text messaging and enrollment in Building Healthy Families (BHF)-for lower-income families with a child with obesity identified through electronic health record (EHR) data. BHF promotes family healthy eating, physical activity, and lifestyle behavior strategies to manage weight. The research team will partner with clinical sites (community health clinics, pediatric clinics, rural hospitals) and Community-Based Organizations (CBOs). Clinical partners will execute data-sharing agreements enabling the research team to identify eligible children and caregivers and conduct outreach via text messaging. CBO partners will deliver BHF and provide de-identified data for program evaluation. Community Implementation Teams (CITs) will complete training, surveys, interviews, learning collaborative activities, fidelity assessments, and time tracking as part of quality improvement. The BHF Action Learning Collaborative will use quarterly sessions and Plan-Do-Study-Act cycles to address recruitment, implementation, sustainability, social determinants of health, and team coordination. The research team will record sessions, conduct direct observations of BHF delivery, and take field notes to assess fidelity and adaptations. Families will be identified through EHR records and mailed a consent and authorization cover letter, postcard, QR code, and intervention information with opt-out options. Those who do not opt out will be randomized to bidirectional text messaging with one-touch response and enrollment opportunities, with or without active outreach (telephone or text) from the local CIT. Enrolled families will complete orientation, baseline assessment, and weekly group sessions with ongoing follow-up. Attendance, body weight, goals, and self-monitoring will be recorded in a CIT data portal. Families will be randomized to receive either simple text reminders or reminders with motivational and skill-building prompts matched to session topics. CITs will also connect families to food assistance programs and local resources. Each CIT will complete two cohorts over two years. The primary outcome is reach; secondary outcomes include session attendance, changes in child BMI-z scores, changes in parent or caregiver weight, and changes in adoption, implementation, and maintenance at the community level.

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

Eligibility

Who can join

  • The family includes a parent or legal caregiver and at least one child ages 5 to 12.
  • The child is found through electronic health records at a participating clinic or hospital.
  • The child had at least one visit at that clinic or hospital in the past 12 months.
  • The child’s body mass index (BMI), a measure based on height and weight, is at or above the 85th percentile for their age and sex.
  • The caregiver has not opted out of text messages from the clinic.
  • The child’s health record has a valid mailing address and phone number.
  • The parent or legal caregiver is responsible for the child’s care and can give consent to join the program.

Who can't join

  • The child has a health condition that makes moderate physical activity unsafe or not possible.
  • The child has a severe difficulty with thinking or physical movement that prevents taking part.
  • The child or family is already in another structured weight management or obesity treatment program.
  • The family chooses not to receive study messages.

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

Official eligibility criteria

Inclusion Criteria: Families Parent or legal caregiver and at least one child aged 5 to 12 years Child identified through electronic health record data from a participating clinical organization Child has had at least one clinical encounter at the participating site within the past 12 months Child has body mass index (BMI) at or above the 85th percentile for age and sex Caregiver has not opted out of receiving text communication from the clinic Valid mailing address and telephone number listed in the electronic health record Parents and/or Caregivers Parent or legal caregiver of an eligible child Responsible for the child's care and able to provide consent for program participation Children Aged 5 to 12 years at time of identification Meet all criteria listed above Exclusion Criteria: Child has a medical condition or contraindication that precludes participation in moderate physical activity Child has severe cognitive or physical impairment that would prevent participation in the intervention Child or family is currently participating in another structured weight management or obesity treatment program Family opts out of receiving study-related communications

Study sites (1)

UT