Overweight and ObesityFammealNCT03881280
The System Fammeal With Tailored Recommendations and Gamification for Parents to Counteract Childhood Obesity
A study testing Parenting education program in people with Overweight and Obesity, run by Universidade do Porto at 1 site in Portugal.
Trial summary
The investigators aim to test an evidence-based intervention, allocated to a mobile app designed to parents and their children with 3 to 6 years old, identified by family doctors or nurses at well-child care visits as overweight or obese for age. Read more about this study
- Who is it for?
- Ages 36 to 83 months
- Conditions the study is for
- Overweight and Obesity
- What is being tested?
- Parenting education program
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 28 participants
- Where
- 1 sitePortugal
- Study dates
- 6 Feb 2019to 14 Jun 2019
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 36 to 83 months
- All sexes
- No healthy volunteers
- Child
Who may be able to join
- Children with 36 to 83 months at the start of the intervention.
- Children overweight or obese for age, according to World Health Organization criteria.
- Parent/ caregiver with at least 18 years old.
- Parent/caregiver involved in child feeding management (≥ 5 in a 0-10 rating scale, from 'Not at all' to 'Extremely involved').
- Parent/ caregiver able to read, speak and understand Portuguese.
- Parent/caregiver with an android device.
- Parent/caregiver willing to participate in the research study, to participate in two face-to-face evaluations, to install and use the app and to receive weekly notifications and 1-3 calls, during 4 weeks.
Who cannot join
- Children with any medical conditions that affect growth, intake or physical activity.
- Children with any dietary professional advice, in the last 6 months.
Trial locations and contacts
1 site in 1 country.
Portugal1 site
Faculdade de Psicologia e de Ciências da Educação da Universidade do Porto
Porto, Porto, Portugal, 4200-135
About this study
Official title: The System Fammeal Comprising an App With Tailored Recommendations and Gamification for Parents to Counteract Childhood Obesity, at Health Care Centers - Pilot Randomized Control Trial
The investigators aim to test an evidence-based intervention, allocated to a mobile app designed to parents and their children with 3 to 6 years old, identified by family doctors or nurses at well-child care visits as overweight or obese for age.
This intervention aims to improve parent's perceptions and attitudes regarding children's weight status and food intake, leading to better dietary intake and children's' eating behaviors through positive parental child-feeding practices. In this study, the investigators aim to assess the feasibility of the intervention and explore its impact on the beliefs and attitudes of parents.
Read the detailed description
The investigators will enroll parents and their children with 3 to 6 years old, identified by family doctors or nurses at well-child care visits as overweight/obese for age.
Participant's eligibility will be assessed. Participants will be randomized to: 1) control group; 2) intervention group. The control group will receive treatment as usual. Parents in the intervention group will be provided with the app and invited to use it for 4 weeks. During the 4 weeks, the administrator monitors the app usage and call once to parents to improve it, if needed.
Both groups will perform a pre- and post-test, evaluating parent's perceptions and attitudes regarding children's weight status and food intake; eating behaviors and parental child-feeding practices.
- Conditions
- Overweight and Obesity
- Being tested
- Parenting education program
- Keywords
- Childhood Obesity, Nutrition, mHealth, Parenting
- Medical subject headings
- Overweight, Obesity, Pediatric Obesity
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Parenting education programBehavioural
Parenting education program through the app Fammeal. It includes educational content, tailored to parents and centered on positive parenting child-feeding practices. The app will also include a virtual-pet game for children, in order to help them self-regulate their intake.
Through the app, parents will:
- Fill in a registration questionnaire, which will tailor recommendations.
- Receive information and video content recommendations.
- Set goals related to their child's lifestyle and tracking progress.
- Earn points by watching the contents.
- Invite children to play a serious game.
- Exchange messages with other users.
The investigators created a support website that connects to the main server to get data gathered from the mobile app and game.
| Study group | Role | What they receive |
|---|---|---|
| Control group | No intervention | Treatment as usual for 4 weeks |
| Intervention group | Experimental | Education through the app for 4 weeks Receives: Behavioral: Parenting education program |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change from Baseline Perceptions and Attitudes regarding children's weight status at 4 weeks
Parents recognize their children as overweight/obese (0-10 rating scale, ranging from 'too slim' to 'too heavy') and are concerned about it (0-10 rating scale, from 'Not concerned at all' to 'Extremely concerned').
Measured: Baseline and 4 weeks
Change from Baseline Perceptions and Attitudes regarding children's food intake at 4 weeks
Parents are aware of dietary recommendations for children's age (Fruit and vegetables, sugar-sweetened beverages, energy-dense foods and water) and are concerned about their achievement (0-10 rating scale, from 'Not concerned at all' to 'extremely concerned').
Measured: Baseline and 4 weeks
Dietary Intake (in this pilot RCT only evaluated to test the randomization)
Increase fruit and vegetables and water intake per day and decrease sugar-sweetened beverages and energy-dense foods intake per week (evaluated by food frequency questionnaire).
Measured: Baseline
Parental child-feeding practices (in this pilot RCT only evaluated to test the randomization)
Increase Availability and Accessibility of Healthy Foods; Attractive presentation of foods; Nutrition Education and decrease of Distractions (evaluated by HomeSTEAD Survey, adapted to Portuguese within this study).
Measured: Baseline
Study population eligibility and interest
Proportion of all parents invited who meet eligibility and who accepted to enroll.
Measured: Baseline
Participant engagement
Mean of points earned and app access per participant during intervention and proportion of recommended videos watched.
Measured: 4 weeks
Secondary outcomes (1)
Eating Behaviors (in this pilot RCT only evaluated to test the randomization).
Increase Children's Satiety Responsiveness. This was evaluated by the mean score of 5 items of Children's Eating Behavior Questionnaire.Satiety Responsiveness reflects the ability to regulate the amount of food eaten, based on perceived fullness. Parents answered in a 5-point Likert scale (0 = never; 5 = always), with higher values reflecting higher punctuation in each subscale. A version of this questionnaire has been previously validated and adapted to Portuguese children aged 3-13 years (Viana, Sinde, \& Saxton, 2008).
Measured: Baseline
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Mar 2019
- Study start6 Feb 2019
- Primary completion1 May 2019
- Study completion14 Jun 2019
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Overweight and ObesityStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 28 participants (actual)
Sponsor and investigators
- Lead sponsor
- Universidade do Porto
- Sponsor type
- University, hospital or other
- Collaborators
- Fundação para a Ciência e a Tecnologia, Administração Regional de Saúde do Norte, Portugal, Agrupamento de Centros de Saúde do Grande Porto III - Maia / Valongo, Portugal
- Responsible party
- Sponsor
- Investigators
- Lisa Afonso, Principal investigator, Faculdade de Psicologia e de Ciências da Educação da Universidade do Porto
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03881280
- Sponsor's protocol ID
- FCT-PD/BD/128309/2017
- Acronym
- Fammeal
- Status last verified
- Aug 2019
- First submitted
- 12 Mar 2019
- Last updated
- 17 Sep 2020
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Afonso L, Rodrigues R, Reis E, Miller KM, Castro J, Parente N, Teixeira C, Fraga A, Torres S. Fammeal: a gamified mobile application for parents and children to help health care centers treat childhood obesity. IEEE Transactions on Games. 2020. doi: 10.1109/TG.2020.3015804.
Afonso L, Rodrigues R, Castro J, Parente N, Teixeira C, Fraga A, Torres S. A Mobile-Based Tailored Recommendation System for Parents of Children with Overweight or Obesity: A New Tool for Health Care Centers. Eur J Investig Health Psychol Educ. 2020 Aug 7;10(3):779-794. doi: 10.3390/ejihpe10030057.
PubMed 34542511
Study at a glance
From the registry record, last updated by the sponsor on 17 Sep 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The System Fammeal Comprising an App With Tailored Recommendations and Gamification for Parents to Counteract Childhood Obesity, at Health Care Centers - Pilot Randomized Control Trial
- ClinicalTrials.gov ID
- NCT03881280
- Acronym / sponsor ID
- Fammeal / FCT-PD/BD/128309/2017
- Conditions
- Overweight and Obesity
- Keywords
- Childhood Obesity, Nutrition, mHealth, Parenting
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 28 participants (actual)
- Lead sponsor
- Universidade do PortoUniversity, hospital or other
- Collaborators
- Fundação para a Ciência e a Tecnologia, Administração Regional de Saúde do Norte, Portugal, Agrupamento de Centros de Saúde do Grande Porto III - Maia / Valongo, Portugal
- Study start
- 6 Feb 2019 (actual)
- Primary completion
- 1 May 2019 (actual)
- Study completion
- 14 Jun 2019 (actual)
- First posted
- 19 Mar 2019 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The investigators aim to test an evidence-based intervention, allocated to a mobile app designed to parents and their children with 3 to 6 years old, identified by family doctors or nurses at well-child care visits as overweight or obese for age.
This intervention aims to improve parent's perceptions and attitudes regarding children's weight status and food intake, leading to better dietary intake and children's' eating behaviors through positive parental child-feeding practices. In this study, the investigators aim to assess the feasibility of the intervention and explore its impact on the beliefs and attitudes of parents.
Detailed description
The investigators will enroll parents and their children with 3 to 6 years old, identified by family doctors or nurses at well-child care visits as overweight/obese for age.
Participant's eligibility will be assessed. Participants will be randomized to: 1) control group; 2) intervention group. The control group will receive treatment as usual. Parents in the intervention group will be provided with the app and invited to use it for 4 weeks. During the 4 weeks, the administrator monitors the app usage and call once to parents to improve it, if needed.
Both groups will perform a pre- and post-test, evaluating parent's perceptions and attitudes regarding children's weight status and food intake; eating behaviors and parental child-feeding practices.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Control group | No intervention | –Treatment as usual for 4 weeks |
| Intervention group | Experimental | Behavioral: Parenting education programEducation through the app for 4 weeks |
Who may qualify
- Ages
- 36 to 83 months
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child
Key inclusion criteria (7 listed)
- Children with 36 to 83 months at the start of the intervention.
- Children overweight or obese for age, according to World Health Organization criteria.
- Parent/ caregiver with at least 18 years old.
- Parent/caregiver involved in child feeding management (≥ 5 in a 0-10 rating scale, from 'Not at all' to 'Extremely involved').
- Parent/ caregiver able to read, speak and understand Portuguese.
Key exclusion criteria (2 listed)
- Children with any medical conditions that affect growth, intake or physical activity.
- Children with any dietary professional advice, in the last 6 months.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Parenting education programParenting education program through the app Fammeal. It includes educational content, tailored to parents and centered on positive parenting child-feeding practices. The app will also include a virtual-pet game for children, in order to help them self-regulate their intake. Through the app, parents will: * Fill in a registration questionnaire, which will tailor recommendations. * Receive information and video content recommendations. * Set goals related to their child's lifestyle and tracking progress. * Earn points by watching the contents. * Invite children to play a serious game. * Exchange messages with other users. The investigators created a support website that connects to the main server to get data gathered from the mobile app and game. | Behavioural | Intervention group |
Primary outcome
Change from Baseline Perceptions and Attitudes regarding children's weight status at 4 weeks
Time frame: Baseline and 4 weeks
Parents recognize their children as overweight/obese (0-10 rating scale, ranging from 'too slim' to 'too heavy') and are concerned about it (0-10 rating scale, from 'Not concerned at all' to 'Extremely concerned').
Change from Baseline Perceptions and Attitudes regarding children's food intake at 4 weeks
Time frame: Baseline and 4 weeks
Parents are aware of dietary recommendations for children's age (Fruit and vegetables, sugar-sweetened beverages, energy-dense foods and water) and are concerned about their achievement (0-10 rating scale, from 'Not concerned at all' to 'extremely concerned').
Dietary Intake (in this pilot RCT only evaluated to test the randomization)
Time frame: Baseline
Increase fruit and vegetables and water intake per day and decrease sugar-sweetened beverages and energy-dense foods intake per week (evaluated by food frequency questionnaire).
Parental child-feeding practices (in this pilot RCT only evaluated to test the randomization)
Time frame: Baseline
Increase Availability and Accessibility of Healthy Foods; Attractive presentation of foods; Nutrition Education and decrease of Distractions (evaluated by HomeSTEAD Survey, adapted to Portuguese within this study).
Study population eligibility and interest
Time frame: Baseline
Proportion of all parents invited who meet eligibility and who accepted to enroll.
Participant engagement
Time frame: 4 weeks
Mean of points earned and app access per participant during intervention and proportion of recommended videos watched.
1 secondary outcome
Eating Behaviors (in this pilot RCT only evaluated to test the randomization).
Time frame: Baseline
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 17 Sep 2020.
- Results publicationAfonso L, Rodrigues R, Reis E, Miller KM, Castro J, Parente N, Teixeira C, Fraga A, Torres S. Fammeal: a gamified mobile application for parents and children to help health care centers treat childhood obesity. IEEE Transactions on Games. 2020. doi: 10.1109/TG.2020.3015804.
- Results publication: PubMed 34542511Afonso L, Rodrigues R, Castro J, Parente N, Teixeira C, Fraga A, Torres S. A Mobile-Based Tailored Recommendation System for Parents of Children with Overweight or Obesity: A New Tool for Health Care Centers. Eur J Investig Health Psychol Educ. 2020 Aug 7;10(3):779-794. doi: 10.3390/ejihpe10030057.
- Website of the projectLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Lisa Afonso principal investigator
Faculdade de Psicologia e de Ciências da Educação da Universidade do Porto
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Parenting education program in people with Overweight and Obesity, run by Universidade do Porto at 1 site in Portugal.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 17 Sep 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Portugal. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change from Baseline Perceptions and Attitudes regarding children's weight status at 4 weeks (time frame: Baseline and 4 weeks). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03881280, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Sep 2020.