Overview
The goal of this clinical trial is to evaluate a new way of providing healthcare to children with an unhealthy weight.
Families who participate will be assigned by chance to one of two groups. One group will see their child's primary care provider to talk about healthy lifestyles for 6 months.
The other group will be in our Healthy Lifestyle program for 6 months. This will include:
- Check-ins with lifestyle specialists and community health workers,
- A mobile app to help support a healthy lifestyle, and
- Access to community programs and activities.
The main questions the study aims to answer are:
- Do children in the Healthy Lifestyle program have better weight outcomes?
- Do more families in the Healthy Lifestyle program stay in the study?
- Does the Healthy Lifestyle program work better for families from certain communities?
Eligibility
Caregiver and child dyads will be enrolled
Inclusion Criteria:
- Child 4-12 years of age
- Child is a patient of the Nemours Children's Health primary care clinics in Milford, Seaford, and Millsboro
- Child has a BMI ≥ 95% for age and sex
- Child is from a rural neighborhood (RUCA ≥ 4)
Exclusion Criteria:
- Caregiver not child's legal guardian
- Caregiver not proficient in English or Spanish
- Caregiver does not have a device and reliable internet
- Child has a genetic syndrome or endocrine disorder that predisposes to obesity
- Child is on a medication that impacts weight
- Child is already enrolled in a weight management program
