Fit Together - Pattern Health

Fit Together is a research study and remote care program powered by

Fit Together works with adolescents through parks and recreation departments to encourage exercise and track their attendance to scheduled sessions. The program delivers evidence-based recommendations for minority and low-income children with obesity.

Principle Investigators: Sarah Armstrong, MD, Asheley Skinner, PhD

Institution: Duke Department of Pediatrics

Tags:

Clinicaltrials.gov Identifiers: NCT05455190

Trial Design: Multi-site, Hybrid

Funding: National Institutes of Health (NICHD, R01)

“This is a hybrid study to evaluate implementation as well as patient-level outcomes of the clinic-community partnership model for pediatric obesity treatment interventions. Patients will be enrolled from partnering clinics in Charlotte and Winston-Salem, and those in the intervention group will have the opportunity to attend Fit Together activity sessions hosted at their local Parks & Recreation center. Parents and children will complete surveys throughout the 12 month study period; wear Garmin activity monitors; attend Fit Together sessions; and have access to a Fit Together app for attendance tracking, educational materials, and social incentives. Clinical and community stakeholders/partners will complete surveys and interviews about preparation for and implementation of the program.” (source)

“The proposed project will test an implementation strategy (the “TrailGuide”) for delivering an existing model of pediatric obesity treatment (“Fit Together“) that has demonstrated ability to meet published recommendations for improving health outcomes of children with obesity. […] Evidence-based treatment for childhood obesity exists, yet a fundamental knowledge-to-action gap has significantly limited the uptake of recommendations into clinical practice, particularly in low-income settings. Persistence of this gap represents a large-scale public health threat, as the earliest generation of children living through the obesity epidemic now enters adulthood, they are the first in US history to have a shorter life expectancy than their parents, mainly due to rising rates of obesity-related cancers and cardiovascular disease. A central challenge in delivering recommended treatment is the intensity; ≥26 hours of face-to-face contact are necessary to achieve health benefits and risk reduction. The objective of the proposed project is to develop and test an implementation strategy that pairs primary care pediatric clinics with the municipal Parks and Recreation (P&R) centers to deliver the current treatment recommendations with high fidelity.” (NCT05455190)

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