Comparative-effectiveness of a Healthy Lifestyle and Asthma Management Program, In-person Vs. ONline

Purpose

The goal of this study is to evaluate the effectiveness of CHAMPION ("Comparative-effectiveness of a Healthy lifestyle and Asthma Management Program, In-person vs ONline"), a primary care-based intervention to address childhood obesity and asthma, and test the effectiveness of a telehealth-only version of the program. Intensive Health Behavior and Lifestyle Treatment (IHBLT), when delivered via telehealth vs. in-person among children with overweight or obesity and persistent asthma.

Conditions

  • Overweight, Childhood
  • Obesity, Childhood
  • Asthma in Children

Eligibility

Eligible Ages
Between 6 Years and 17 Years
Eligible Genders
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Age 6-17.9 years at time of screening - BMI ≥ 85th percentile - Asthma diagnosis, per child's Electronic Health Record (EHR) documentation or caregiver report

Exclusion Criteria

  • Diagnosis of anorexia nervosa, per child's EHR or caregiver report - Pregnant, per child's EHR - Plan to change pediatricians in the next year, per caregiver report - Opted out of research, per child's EHR - Sibling currently enrolled in the research trial, per enrollment log or caregiver report

Study Design

Phase
N/A
Study Type
Interventional
Allocation
Randomized
Intervention Model
Single Group Assignment
Primary Purpose
Treatment
Masking
Double (Investigator, Outcomes Assessor)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
CHAMPION via Telehealth 		- Intensive 0-6 months: 1 individual visit monthly (virtual), 1 group visit monthly (virtual) - Maintenance 6-12 months: 1 individual visit monthly (virtual), 2 health coaching calls per month
  • Behavioral: CHAMPION
    The CHAMPION program is an intensive health behavior and lifestyle treatment (IHBLT), formed through the integration of the Healthy Weight Clinic IHBLT and with MGB's pediatric Asthma Population Health Management Program. It consists of 30 hours of contact time with the CHAMPION team (physician, dietician, community health worker), consistent with the USPSTF and AAP recommendations, monthly individual clinic visits with the team (in person or virtual, per randomization), health coaching calls with a community health worker and/or registered dietician, monthly group sessions (in the first six months), and educational materials for families that reinforce healthy lifestyle behaviors and provide self-management education. In this study, all participants will participate in CHAMPION, but one arm will receive the experimental form (delivery via telehealth) and the other arm will receive the active comparator (delivery via telehealth).
Active Comparator
CHAMPION via In-Person 		- Intensive 0-6 months: 1 individual visit monthly (in-person), 1 group visit monthly (in-person) - Maintenance 6-12 months: 1 individual visit monthly (in-person), 2 health coaching calls per month
  • Behavioral: CHAMPION
    The CHAMPION program is an intensive health behavior and lifestyle treatment (IHBLT), formed through the integration of the Healthy Weight Clinic IHBLT and with MGB's pediatric Asthma Population Health Management Program. It consists of 30 hours of contact time with the CHAMPION team (physician, dietician, community health worker), consistent with the USPSTF and AAP recommendations, monthly individual clinic visits with the team (in person or virtual, per randomization), health coaching calls with a community health worker and/or registered dietician, monthly group sessions (in the first six months), and educational materials for families that reinforce healthy lifestyle behaviors and provide self-management education. In this study, all participants will participate in CHAMPION, but one arm will receive the experimental form (delivery via telehealth) and the other arm will receive the active comparator (delivery via telehealth).

Recruiting Locations

Massachusetts General Hospital
Boston, Massachusetts 02114
Contact:
Sheila Kelly, MPH
617-726-8208
skelly45@mgh.harvard.edu

More Details

Status
Recruiting
Sponsor
Massachusetts General Hospital

Study Contact

Lauren Fiechtner, MD
617-726-8705
lfiechtner@mgb.org

Detailed Description

This study will evaluate the comparative effectiveness of 1) telehealth delivery of CHAMPION vs. 2) in-person (standard of care) delivery of CHAMPION in a two-arm, individually randomized non-inferiority trial among 500 children. Obesity and asthma are two leading chronic diseases in children, and CHAMPION is an integration of the Healthy Weight Clinic (HWC) and pediatric Asthma Population Health Management Programming at Mass General Brigham. This study will address how to improve access to effective treatments consistent with United States Preventive Services Task Force (USPSTF) and American Academy of Pediatrics (AAP) guidelines that manage asthma and obesity concurrently in primary care among lower income diverse populations