Family-centered childhood obesity interventions have been found to be effective. We describe the use of telehealth for tailored behavior change support in a family-centered randomized trial. Children of 2 to 12 years with body mass index ≥85th percentile were randomized to Enhanced Primary Care (EPC) or Enhanced Primary Care + Coaching (EPC + C). EPC + C received 6 health coach visits (in-person or by video or phone call) over 1 year. Telehealth modalities included interactive text messaging, video calls, and an online community resource map. There were 360 children randomized to the EPC + C arm; 87% of parents completed ≥1 health coaching contacts. Overall, 93% parents were sent text messages of which 99% responded at least once. About 72% parents were very satisfied with the message content and 97% were satisfied with information provided about community health resources. The high level of participant engagement and satisfaction suggests that telehealth is feasible and acceptable in family-centered childhood obesity programs.
OgdenCLCarrollMDFryarCDFlegalKM.Prevalence of obesity among adults and youth: United States, 2011-2014. NCHS Data Brief. 2015;(219):1-8.
2.
WhitlockEPWilliamsSBGoldRSmithPRShipmanSA.Screening and interventions for childhood overweight: a summary of evidence for the US Preventive Services Task Force. Pediatrics. 2005;116:e125-e144.
3.
EpsteinLHPaluchRAWrotniakBHet al. Cost-effectiveness of family-based group treatment for child and parental obesity. Child Obes. 2005;10:114-121.
4.
BrennanLWalkleyJWilksR.Parent- and adolescent-reported barriers to participation in an adolescent overweight and obesity intervention. Obesity (Silver Spring). 2006;20:1319-1324.
5.
DavisAMSampiloMGallagherKSLandrumYMaloneB.Treating rural pediatrics obesity through telemedicine: outcomes from a small randomized controlled trial. J Pediatr Psychol. 2013;38:932-943.
6.
MulgrewKWShaikhUNettiksimmonsJ.Comparison of parent satisfaction with care for childhood obesity delivered face-to-face and by telemedicine. Telemed J E Health. 2011;17:383-387.
BurkeBLJrHallRW; Section on Telehealth Care. Telemedicine: pediatric applications. Pediatrics. 2015;136:e293-e308.
9.
LinMMahmoothZDedhiaNet al. Tailored, interactive text messages for enhancing weight loss among African American adults: the TRIMM randomized controlled trial. Am J Med. 2015;128:896-904.
10.
AllenJKStephensJHimmelfarbCRDStewartKJHauckS.Randomized controlled pilot study testing use of smartphone technology for obesity treatment. J Obes. 2013;2013:151597.
11.
LinPHWangYLevineEet al. A text messaging-assisted randomized lifestyle weight loss clinical trial among overweight adults in Beijing. Obesity (Silver Spring). 2014;22:29-37.
12.
BouhaidarCMDeShazoJPPuriPGrayPRobinsJLSalyerJ.Text messaging as adjunct to community-based weight management program. Comput Inform Nurs. 2013;31:469-476.
13.
ShapiroJRKoroTDoranNet al. Text4Diet: a randomized controlled study using text messaging for weight loss behaviors. Prev Med. 2012;55:412-417.
14.
de NietJTimmanRBauerSet al. Short message service reduces dropout in childhood obesity treatment: a randomized controlled trial. Health Psychol. 2012;31:797-805.
15.
LiouTHChenCHHsuCYChouPChiuHW.A pilot study of videoconferencing for an Internet-based weight loss programme for obese adults in Taiwan. J Telemed Telecare. 2006;12:370-373.
16.
AhrendtADKattelmannKKRectorTSMaddoxDA.The effectiveness of telemedicine for weight management in the MOVE! Program. J Rural Health. 2014;30:113-119.
17.
NourseSEOlsonIPopatRAet al. Live video diet and exercise intervention in overweight and obese youth: adherence and cardiovascular health. J Pediatr. 2015;167:533-539.e1.
18.
DrakeTMRitchieJE.The surgeon will Skype you now: advancements in e-clinic. Ann Surg. 2016;263:636-637.
19.
ZilliacusEMeiserBLobbEDuddingTEBarlow-StewartKTuckerK.The virtual consultation: practitioners’ experiences of genetic counseling by videoconferencing in Australia. Telemed J E Health. 2010;16:350-357.
20.
ArmfieldNRBradfordMBradfordNK.The clinical use of Skype—for which patients, with which problems and in which settings? A snapshot review of the literature. Int J Med Inform. 2015;84:737-742.
21.
ZhangJXueHChengXet al. Influence of proximities to food establishments on body mass index among children in China. Asia Pac J Clin Nutr. 2016;25:134-141.
22.
OluyomiAOByarsAByrd-WilliamsCet al. The utility of geographical information systems (GIS) in systems-oriented obesity intervention projects: the selection of comparable study sites for a quasi-experimental intervention design—TX CORD. Child Obes. 2015;11:58-70.
23.
FrankLDSaelensBEChapmanJet al. Objective assessment of obesogenic environments in youth: geographic information system methods and spatial findings from the neighborhood impact on kids study. Am J Prev Med. 2012;42(5):47-55.
24.
TaverasEMMarshallRSharifiMet al. Connect for health: design of a clinical-community childhood obesity intervention testing best practices of positive outliers. Contemp Clin Trials. 2015;45(pt B):287-295.
25.
TaverasEMMarshallRHoranCMet al. Improving children’s obesity-related health care quality: process outcomes of a cluster-randomized controlled trial. Obesity (Silver Spring). 2014;22:27-31.
26.
TaverasEMMarshallRKleinmanKPet al. Comparative effectiveness of childhood obesity interventions in pediatric primary care: a cluster-randomized clinical trial. JAMA Pediatr. 2015;169:535-542.
27.
PriceSFerisinSSharifiMet al. Development and implementation of an interactive text messaging campaign to support behavior change in a childhood obesity randomized controlled trial. J Health Commun. 2015;20:843-850.
28.
SharifiMMarshallGGoldmanRECunninghamCMarshallRTaverasEM.Engaging children in the development of obesity interventions: exploring outcomes that matter most among obesity positive outliers. Patient Educ Couns. 2015;98:1393-1401.
FiechtnerLPuenteGCSharifiMet al. A community resource map to support clinical-community linkages in a randomized controlled trial of childhood obesity, Eastern Massachusetts, 2014-2016. Prev Chronic Dis. 2017;14:E53. doi:10.5888/pcd14.160577
31.
DavisAMJamesRLBolesREGoetzJRBelmontJMaloneB.The use of telemedicine in the treatment of paediatric obesity: feasibility and acceptability. Matern Child Nutr. 2011;7:71-79.
32.
ChungLMLawQPFongSSChungJWYuenPP. A cost-effectiveness analysis of teledietetics in short-, intermediate-, and long-term weight reduction. J Telemed Telecare. 2015;21:268-275.
33.
SchielRBeltschikowWRadónSet al. Long-term treatment of obese children and adolescents using a telemedicine support programme. J Telemed Telecare. 2008;14:13-16.
34.
KhaylisAYiaslasTBergstromJGore-FeltonC.A review of efficacious technology-based weight-loss interventions: five key components. Telemed J E Health. 2010;16:931-938.
35.
SteinbergDMLevineELLaneIet al. Adherence to self-monitoring via interactive voice response technology in an eHealth intervention targeting weight gain prevention among Black women: randomized controlled trial. J Med Internet Res. 2014;16:e114. doi:10.2196/jmir.2996
36.
JensenCDAylwardBSSteeleRG.Predictors of attendance in a practical clinical trial of two pediatric weight management interventions. Obesity (Silver Spring). 2012;20:2250-2256.
37.
SchubartJRStuckeyHLGaneshamoorthyASciamannaCN.Chronic health conditions and internet behavioral interventions: a review of factors to enhance user engagement. Comput Inform Nurs. 2011;29:81-92.
