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Successful Virtual Delivery of a Group Childhood Healthy Weight Program
Sarah E Barlow1,2, Anna Lorenzi3, Aleksei Reid3
1Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Insights
The Get Up & Go healthy weight program for children effectively transitioned to virtual delivery during the pandemic, showing comparable results to in-person sessions. This virtual format may be a valuable option for future healthy weight interventions.
Area of Science:
- Pediatric Health
- Public Health Interventions
- Digital Health
Background:
- The COVID-19 pandemic necessitated adaptations in established pediatric health programs.
- The Get Up & Go program is a 10-week, free healthy weight intervention for children aged 6-14 years.
- Synchronous virtual delivery was introduced as an alternative to in-person sessions.
Purpose of the Study:
- To evaluate the effectiveness of a synchronous virtual delivery model for the Get Up & Go healthy weight program.
- To compare outcomes between virtual and in-person program delivery.
Main Methods:
- The study involved 3 cycles of the program with virtual and in-person delivery options.
- Assessments included parental questionnaires on child health behaviors and objective measurements of child weight and height.
- Participant data from virtual (n=116) and in-person (n=107) cohorts were analyzed.
Main Results:
- Virtual delivery attracted more Spanish-speaking families (41.4% vs. 22.6%, p=0.01).
- Attendance rates were 60.3% for virtual and 78.5% for in-person (p=0.003).
- Improvements in Body Mass Index (BMI) percentile were comparable, with a trend towards greater reduction in the virtual group (-3.71 vs. -1.95, p=0.06). Health behavior improvements did not differ significantly between groups (p=0.51).
Conclusions:
- Synchronous virtual delivery of the Get Up & Go program demonstrated good effectiveness, comparable to in-person delivery.
- The virtual format may be a viable and effective option for pediatric weight management programs, even outside of pandemic circumstances.
- This approach can potentially increase accessibility for diverse populations.
Abstract:
Because of the COVID-19 pandemic, the Get Up & Go program, an established effective 10-week healthy weight program for children ages 6-14 years provided free to families, has offered the option of a synchronous virtual delivery. Pre- and postassessments include a parental questionnaire about child's health behaviors, and weight and height measurements of children. Over 3 cycles, 116 and 107 families registered for virtual and in-person delivery, respectively, with 70 (60.3%) and 84 (78.5%) attending ≥1 session (p = 0.003). More families in virtual delivery spoke Spanish (41.4% vs. 22.6%, p = 0.01), but children did not differ in age, gender, and severe obesity status, and baseline behavior scores and graduation rates were similar. Improvement from baseline in BMIp95 was -3.71 [standard deviation (SD) 5.26] for virtual delivery and -1.95 (3.69) (p = 0.06) for in-person. Behavior questionnaire improvement [+15.9 (12.9) vs. +14.2 (12.0), p = 0.51] did not differ. The virtual implementation demonstrated good effect and may be useful in nonpandemic environments.
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