Obesity affects millions of American children and increases their risk of adult obesity, a myriad of serious co- morbid conditions, increased healthcare costs, and premature mortality. Finding methods to reverse this epidemic is crucial. Multidisciplinary behavioral weight management programs offer the promise of effectively treating childhood obesity. However, such programs often suffer from poor adherence to treatment plans and high attrition rates. The proposed project aims to address these problems through frequent contact with patients between office visits. This interim contact will be achieved by automatically sending tailored messages to the mobile phones of adolescents enrolled in a multidisciplinaryweight management program, as an adjunct to clinic visits. The messages will address 6 target behaviors and will be tailored on individual characteristics such as values, intrinsic motivation, and goals. The proposed research project will be accomplished through 4 phases: (1) In conjunctionwith the University of Michigan Center for Health Communication Research, the candidate will build upon preliminarywork to create a library of tailored messages and a computer application to send these messages to participants'mobile phones at varying times of day, receive replies from participants, and to send appropriate, tailored responses;(2) Focus groups with obese adolescents will be conducted to evaluate the relevance and acceptability of the messages developed in phase 1;(3) A four-week trial of the intervention will be performed to assess feasibility and acceptability, and to test the performance of the technology;(4) Apilot test of the 20-week intervention will be conducted among 60 subjects (randomized to intervention and control groups), from the Michigan Pediatric OutpatientWeight Evaluationand Reduction Program, followed by an analysis of outcomes and costs. Career development activities will includetraining in advanced theories and applied techniques related to the design and implementation of behavioral interventions for the clinical setting, advanced data analysis focusing on pathway and cost analyses. Through formaltraining, interaction with her mentoring team, and the execution ofthe proposed project, the Candidatewill acquire the knowledge and skills to be an independent researcher and expert in the field of pediatric obesity treatment.

Public Health Relevance

Obesity is a significant and costly public health concern, yet few effective evidence-based approaches to its treatment exist for adolescents. By using technology to communicate individually relevant information to teens between office visits, the proposed intervention could remarkably enhance obesity treatment and could potentially reach large numbers of teens with minimal incremental costs.

Agency
National Institute of Health (NIH)
Institute
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Type
Mentored Patient-Oriented Research Career Development Award (K23)
Project #
5K23HD058797-05
Application #
8458995
Study Section
Pediatrics Subcommittee (CHHD)
Program Officer
Haverkos, Lynne
Project Start
2009-05-01
Project End
2014-04-30
Budget Start
2013-05-01
Budget End
2014-04-30
Support Year
5
Fiscal Year
2013
Total Cost
$132,296
Indirect Cost
$9,800
Name
University of Michigan Ann Arbor
Department
Pediatrics
Type
Schools of Medicine
DUNS #
073133571
City
Ann Arbor
State
MI
Country
United States
Zip Code
48109
Woolford, Susan J; Esperanza Menchaca, Alicia D M; Sami, Areej et al. (2013) Let's face it: patient and parent perspectives on incorporating a Facebook group into a multidisciplinary weight management program. Child Obes 9:305-10
Woolford, Susan J; Clark, Sarah J; Butchart, Amy et al. (2013) To pay or not to pay: public perception regarding insurance coverage of obesity treatment. Obesity (Silver Spring) 21:E709-14
Woolford, Susan J; Khan, Shahla; Barr, Kathryn L C et al. (2012) A picture may be worth a thousand texts: obese adolescents' perspectives on a modified photovoice activity to aid weight loss. Child Obes 8:230-6
Woolford, Susan J; Sallinen, Bethany J; Clark, Sarah J et al. (2012) Association Between Physician Recommendation for Adolescents to Join a Weight Loss Program and BMI Change. J Prim Care Community Health 3:83-7
Woolford, Susan J; Sallinen, Bethany J; Schaffer, Sarah et al. (2012) Eat, play, love: adolescent and parent perceptions of the components of a multidisciplinary weight management program. Clin Pediatr (Phila) 51:678-84
Woolford, Susan J; Barr, Kathryn L C; Derry, Holly A et al. (2011) OMG do not say LOL: obese adolescents' perspectives on the content of text messages to enhance weight loss efforts. Obesity (Silver Spring) 19:2382-7
Woolford, Susan J; Sallinen, Bethany J; Clark, Sarah J et al. (2011) Results from a clinical multidisciplinary weight management program. Clin Pediatr (Phila) 50:187-91
Woolford, Susan J; Clark, Sarah J; Strecher, Victor J et al. (2010) Tailored mobile phone text messages as an adjunct to obesity treatment for adolescents. J Telemed Telecare 16:458-61
Woolford, Susan J; Clark, Sarah J; Gebremariam, Achamyeleh et al. (2010) To cut or not to cut: physicians' perspectives on referring adolescents for bariatric surgery. Obes Surg 20:937-42
Woolford, Susan J; Clark, Sarah J; Gebremariam, Achamyeleh et al. (2010) Physicians' perspectives on referring obese adolescents to pediatric multidisciplinary weight management programs. Clin Pediatr (Phila) 49:871-5