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A shared-care model of obesity treatment for 3-10 year old children: protocol for the HopSCOTCH randomised controlled

Melissa Wake1, Kate Lycett, Matthew A Sabin

  • 1Royal Children's Hospital, Parkville, VIC, Australia. melissa.wake@rch.org.au

BMC Pediatrics
|March 30, 2012
PubMed

Insights

A shared-care model for childhood obesity management, involving pediatric specialists and general practitioners, may improve treatment accessibility. This approach aims to enhance care for overweight and obese children, addressing a critical public health need.

Area of Science:

  • Pediatric Endocrinology
  • Public Health
  • General Practice

Background:

  • Childhood obesity rates are increasing, yet effective, accessible treatments are scarce.
  • Current tertiary specialist services reach only a limited number of children.
  • General practitioner (GP) care alone has shown insufficient improvement in body mass index (BMI) trajectories for obese children.

Purpose of the Study:

  • To evaluate the efficacy of a shared-care model for managing childhood obesity.
  • To determine if pediatric obesity specialists co-managing with GPs can improve adiposity in obese children.
  • To assess the feasibility of a GP-based, shared-care model for broader access to obesity management.

Main Methods:

  • A randomized controlled trial nested within a BMI survey across 22 Australian general practices.
  • Participants: Obese children aged 3-10 years (CDC criteria).
  • Intervention: A single specialist multidisciplinary clinic appointment followed by 12 months of GP co-management, supported by web-based shared-care software.

Main Results:

  • Primary outcome: Change in BMI z-score.
  • Secondary outcomes: Changes in body fat percentage, waist circumference, health status, body satisfaction, and self-worth.

Conclusions:

  • This study represents the first efficacy trial of a GP-based, shared-care model for childhood obesity.
  • A successful shared-care model could significantly enhance access to effective obesity management for children.
  • The findings aim to inform scalable interventions for the growing childhood obesity epidemic.
Abstract

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