PMID- 34319245
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20240216
IS  - 1929-0748 (Print)
IS  - 1929-0748 (Electronic)
IS  - 1929-0748 (Linking)
VI  - 10
IP  - 7
DP  - 2021 Jul 28
TI  - Design, Implementation, and Examination of a Remote Patient Monitoring System for 
      Pediatric Obesity: Protocol for an Open Trial Pilot Study.
PG  - e29858
LID - 10.2196/29858 [doi]
LID - e29858
AB  - 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.
CI  - (c)Crystal Lim, Laura Rutledge, Shanda Sandridge, Krista King, Darryl Jefferson, 
      Tanya Tucker. Originally published in JMIR Research Protocols 
      (https://www.researchprotocols.org), 28.07.2021.
FAU - Lim, Crystal
AU  - Lim C
AUID- ORCID: 0000-0002-7445-7463
AD  - Department of Psychiatry & Human Behavior, University of Mississippi Medical 
      Center, Jackson, MS, United States.
FAU - Rutledge, Laura
AU  - Rutledge L
AUID- ORCID: 0000-0003-1477-6312
AD  - Department of Psychiatry & Human Behavior, University of Mississippi Medical 
      Center, Jackson, MS, United States.
FAU - Sandridge, Shanda
AU  - Sandridge S
AUID- ORCID: 0000-0001-8557-844X
AD  - Department of Pediatrics, University of Mississippi Medical Center, Jackson, MS, 
      United States.
FAU - King, Krista
AU  - King K
AUID- ORCID: 0000-0002-1594-7972
AD  - Department of Pediatrics, University of Mississippi Medical Center, Jackson, MS, 
      United States.
FAU - Jefferson, Darryl
AU  - Jefferson D
AUID- ORCID: 0000-0002-2169-4879
AD  - Center for Telehealth, University of Mississippi Medical Center, Jackson, MS, 
      United States.
FAU - Tucker, Tanya
AU  - Tucker T
AUID- ORCID: 0000-0001-9137-8495
AD  - Center for Telehealth, University of Mississippi Medical Center, Jackson, MS, 
      United States.
LA  - eng
SI  - ClinicalTrials.gov/NCT04029597
GR  - U54 GM115428/GM/NIGMS NIH HHS/United States
PT  - Journal Article
DEP - 20210728
PL  - Canada
TA  - JMIR Res Protoc
JT  - JMIR research protocols
JID - 101599504
PMC - PMC8367111
OTO - NOTNLM
OT  - digital health
OT  - eHealth
OT  - obesity
OT  - pediatric obesity
OT  - pediatrics
OT  - remote patient monitoring
OT  - telemedicine
OT  - weight management
COIS- Conflicts of Interest: None declared.
EDAT- 2021/07/29 06:00
MHDA- 2021/07/29 06:01
PMCR- 2021/07/28
CRDT- 2021/07/28 12:42
PHST- 2021/04/23 00:00 [received]
PHST- 2021/06/15 00:00 [accepted]
PHST- 2021/06/15 00:00 [revised]
PHST- 2021/07/28 12:42 [entrez]
PHST- 2021/07/29 06:00 [pubmed]
PHST- 2021/07/29 06:01 [medline]
PHST- 2021/07/28 00:00 [pmc-release]
AID - v10i7e29858 [pii]
AID - 10.2196/29858 [doi]
PST - epublish
SO  - JMIR Res Protoc. 2021 Jul 28;10(7):e29858. doi: 10.2196/29858.