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Sponsor: Vastra Gotaland Region
Conditions: Obesity, Childhood
Interventions: Physical activity on prescription (PAP)
Countries: Sweden
Background: physical inactivity is a main cause of childhood obesity. Physical activity on prescription (PAP) is an evidence-based intervention for adults, but has not been evaluated in children with obesity. Aim: to evaluate the feasibility of a PAP intervention for children with obesity by assessing both clinical patient outcomes and implementation outcomes. Method: a single-arm clinical trial in which children with obesity participate in a 4-month PAP intervention. Measurement points are baseline and 4 months, with long-term follow-ups at 8 and 12 months. Population: children with obesity. Intervention: physical activity on prescription (PAP). Patient outcomes: physical activity level/pattern (including sedentary time), BMI, waist circumference, metabolic risk markers, health-related quality of life, self-efficacy for physical activity, motivation for physical activity. Implementation outcomes: coherence, cognitive participation, collective action, and reflexive monitoring in relation to PAP (the four core constructs of the Normalization Process Theory); appropriateness, acceptability and feasibility of PAP; barriers and facilitators for implementing PAP; recruitment and attrition rates, and intervention fidelity and adherence.
Sex: ALL
Age: 6 Years to 12 Years
Healthy volunteers: No
Study type: INTERVENTIONAL
Pre-trial phase/healthcare practitioner: Inclusion criteria: \- being a healthcare practitioner or manager involved in the treatment of children with obesity at a paediatric healthcare clinic in Region Västra Götaland Clinical trial/patients: Inclusion criteria: * aged 6-12 years * diagnosed with obesity (age adjusted BMI\>ISO-BMI 30) * having an insufficient physical activity level according to national recommendations * being willing to participate and perform the chosen activity/-ies * having a parent who is willing to participate. Exclusion criteria: * severe psychiatric comorbidity * severe intellectual or physical disability
- Gothenburg, Sweden