The purpose of this study is to test the Fitwits office tool and games with 6-9 year old
children and their parents to: 1) assist parent-child dyad with correct BMI status
identification and understanding; 2) address nutrition, portion size, and activity cues; and,
3) track BMI trajectory over 12-month period.
The investigators will study parents' perceptions of their child's BMI before and after the
Fitwits intervention with a primary goal of improving parents' ability to identify their
child's actual BMI status (underweight, healthy weight, overweight, or obese). Secondary
goals are to measure changes in behaviors and BMI trajectories with repetitive use of the
Fitwits office tool.
The study design is a longitudinal non-randomized intervention study with four time points
(baseline, 3, 6, and 12 months). The investigators will recruit family medicine residents,
fellows, and faculty at the investigators' three family health centers and enroll 150
parent/guardians and children aged 6-9 years at well child visits, regardless of initial BMI.
The investigators will use electronic health record-generated BMI percentages, the
physician-led Fitwits Office Tool as the intervention, and self-reported surveys for the
parent-child dyad. Surveys will record the BMI understanding -pre- and post-Fitwits
intervention at each visit.
The investigators will compare the intervention to a control group residency-based family
health center with usual care for child/parent dyads presenting at well child care and 12
months later. At this site the investigators will survey for correct parent identification of
the child's BMI category.
- Ages 6-9 regardless of BMI status