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Design, Implementation, and Examination of a Remote Patient Monitoring System for Pediatric Obesity: Protocol for an
Crystal Lim1, Laura Rutledge1, Shanda Sandridge2
1Department of Psychiatry & Human Behavior, University of Mississippi Medical Center, Jackson, MS, United States.
Insights
A remote patient monitoring system (RPMS) shows promise for pediatric obesity treatment. This pilot study found the RPMS feasible and effective in improving children's weight status and health outcomes.
Area of Science:
- Clinical Medicine
- Pediatrics
- Public Health Technology
Background:
- Pediatric obesity is a significant public health concern requiring innovative solutions.
- Multidisciplinary pediatric obesity clinics need evidence-based technologies to enhance patient care and outcomes.
- Remote patient monitoring systems (RPMS) offer a potential avenue for augmenting clinical treatment.
Purpose of the Study:
- To design and pilot test a remote patient monitoring system (RPMS) for youth aged 8-17 undergoing treatment for obesity.
- To evaluate the feasibility and user satisfaction of the RPMS in a pediatric obesity clinic setting.
- To assess the initial effectiveness of the RPMS on weight status and health-related outcomes.
Main Methods:
- An open trial pilot study involving 45 youth with obesity and their parents.
- Participants received standard clinic care alongside a 3-month RPMS intervention (tablet, weight scale, pedometer, daily education, weekly weigh-ins).
- Feasibility, satisfaction, weight status, health outcomes, diet, physical activity, quality of life, self-efficacy, and home food environment were assessed at baseline, 3 months, and 6 months.
Main Results:
- Hypothesized high feasibility and satisfaction rates exceeding 75% for the RPMS.
- Anticipated improvements in weight status, health outcomes, dietary intake, physical activity, quality of life, self-efficacy, and home food environment post-RPMS treatment.
- Expected sustained positive effects at the 6-month follow-up assessment.
Conclusions:
- This study represents the first examination of an RPMS specifically designed for and implemented within a pediatric obesity clinic.
- If proven feasible, effective, and accessible, the RPMS could offer a practical, acceptable, and cost-effective weight management tool for severely obese youth.
- The findings may inform the integration of technology into pediatric obesity care pathways.
Background:
Pediatric obesity is a critical public health issue. Augmenting care in multidisciplinary pediatric obesity clinics with innovative evidence-based technology to improve weight status and health outcomes is needed.
Objective:
This study describes the design and methods of an open trial pilot study to examine a remote patient monitoring system (RPMS) for children aged 8-17 years who are receiving treatment in a multidisciplinary pediatric obesity clinic.
Methods:
Participants will include 45 youth with obesity and their parents. Families will receive standard care in the clinic and the RPMS for 3 months. The RPMS consists of a tablet, weight scale, and pedometer. The system provides daily educational content and involves the use of the pedometer and weekly weigh-ins. Children and parents will complete baseline, posttreatment (month 3), and follow-up assessments (month 6). The primary aim of the study is to examine feasibility and satisfaction with the RPMS and assess its initial effectiveness.
Results:
We hypothesize high feasibility and satisfaction, with rates over 75%. Furthermore, after RPMS treatment, children will exhibit improved weight status, health outcomes, dietary intake, physical activity, health-related quality of life, self-efficacy, and home-food environment compared to before treatment. These gains are expected to persist at follow-up.
Conclusions:
This study is novel in that it is the first to design, implement, and examine an RPMS in a pediatric obesity clinic. If the RPMS is feasible, effective, and easily accessible, it may prove to be a practical, acceptable, and cost-effective weight management treatment for youth seeking treatment for severe obesity.
Trial Registration:
ClinicalTrials.gov NCT04029597; https://clinicaltrials.gov/ct2/show/NCT04029597.
International Registered Report Identifier (Irrid):
DERR1-10.2196/29858.
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