Subject(s)
Bloom Syndrome , Dwarfism , Exome Sequencing/methods , Growth Hormone/adverse effects , RecQ Helicases/genetics , Bloom Syndrome/diagnosis , Bloom Syndrome/genetics , Bloom Syndrome/physiopathology , Bloom Syndrome/therapy , Brachydactyly/diagnosis , Brachydactyly/genetics , Child, Preschool , Contraindications, Drug , Diagnosis, Differential , Dwarfism/diagnosis , Dwarfism/drug therapy , Dwarfism/genetics , Female , Genetic Association Studies , Growth Charts , Growth Hormone/therapeutic use , Homozygote , Humans , Micrognathism/diagnosis , Micrognathism/genetics , Neoplasms/etiology , Neoplasms/prevention & control , Risk Reduction Behavior , Skin Abnormalities/diagnosis , Skin Abnormalities/geneticsABSTRACT
BACKGROUND: Adolescents and providers can benefit from practical tools targeting lifestyle modification for obesity prevention and management. We created Conversation Cards for Adolescents© (CCAs), a patient-centered communication and behavior change tool for adolescents and providers to use in clinical practice. The purpose of our study is to (i) assess the feasibility of CCAs in a real-world, practice setting to inform full-scale trial procedures, (ii) assess user experiences of CCAs, and (iii) determine the preliminary effect of CCAs on changing behavioral and affective-cognitive outcomes among adolescents. METHODS: Starting in early 2019, this prospective study is a nested mixed-methods, theory-driven, and pragmatic pilot randomized controlled trial with a goal to enroll 50 adolescents (13-17 years old) and 9 physicians practicing at the Northeast Community Health Centre in Edmonton, Alberta, Canada. Adolescents will collaboratively set one S.M.A.R.T. (specific, measurable, attainable, realistic, timely) goal with their physician to implement over a 3-week period; however, only those randomized to the experimental group will use CCAs to inform their goal. Outcome assessments at baseline and follow-up (3 weeks post-baseline) will include behavioral, affective-cognitive, and process-related outcomes. DISCUSSION: In examining the feasibility, user experiences, and preliminary effect of CCAs, our study will add contributions to the obesity literature on lifestyle modifications among adolescents in a real-world, practice setting as well as inform the scalability of our approach for a full-scale effectiveness randomized controlled trial on behavior change. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT03821896.