Reducing social inequalities in access to overweight and obesity care management for adolescents: The PRALIMAP-INÈS trial protocol and inclusion data analysis
Background: Despite social inequalities in overweight/obesity prevalence, evidence-based public health interventions to reduce them are scarce. The PRALIMAP-INÈS trial aimed to investigate whether a strengthened-care management for adolescents with low socioeconomic status has an equivalent effect i...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2017-09-01
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| Series: | Contemporary Clinical Trials Communications |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2451865417300121 |
| _version_ | 1818364362102931456 |
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| author | Karine Legrand Edith Lecomte Johanne Langlois Laurent Muller Laura Saez Marie-Hélène Quinet Philip Böhme Elisabeth Spitz Abdou Y. Omorou Serge Briançon Philip Böhme Serge Briançon Rozenn De Lavenne Cécile Gailliard Johanne Langlois Edith Lecomte Karine Legrand Laurent Muller Abdou Y. Omorou Céline Pourcher Marie-Hélène Quinet Laura Saez Elisabeth Spitz Brigitte Toussaint |
| author_facet | Karine Legrand Edith Lecomte Johanne Langlois Laurent Muller Laura Saez Marie-Hélène Quinet Philip Böhme Elisabeth Spitz Abdou Y. Omorou Serge Briançon Philip Böhme Serge Briançon Rozenn De Lavenne Cécile Gailliard Johanne Langlois Edith Lecomte Karine Legrand Laurent Muller Abdou Y. Omorou Céline Pourcher Marie-Hélène Quinet Laura Saez Elisabeth Spitz Brigitte Toussaint |
| author_sort | Karine Legrand |
| collection | DOAJ |
| description | Background: Despite social inequalities in overweight/obesity prevalence, evidence-based public health interventions to reduce them are scarce. The PRALIMAP-INÈS trial aimed to investigate whether a strengthened-care management for adolescents with low socioeconomic status has an equivalent effect in preventing and reducing overweight as a standard-care management for high socioeconomic status adolescents. Methods: PRALIMAP-INÈS was a mixed, prospective and multicenter trial including 35 state-run schools. It admitted overweight or obese adolescents, age 13–18 years old, for 3 consecutive academic years. One-year interventions were implemented. Data were collected before (T0), after (T1) and post (T2) intervention. Among 2113 eligible adolescents who completed questionnaires, 1639 were proposed for inclusion and 1419 were included (220 parental refusals). Two groups were constituted according to the Family Affluence Scale (FAS) score: the less advantaged (FAS≤5) were randomly assigned to 2 groups in a 2/1 ratio. The 3 intervention groups were: advantaged with standard-care management (A.S, n = 808), less advantaged with standard-care management (LA.S, n = 196), and less advantaged with standard and strengthened-care management (LA.S.S, n = 415). The standard-care management was based on the patient education principle and consisted of 5 collective sessions. The strengthened-care management was based on the proportionate universalism principle and consisted of activities adapted to needs. Inclusion results: The written parental refusal was less frequent among less advantaged and more overweight adolescents. A dramatic linear social gradient in overweight was evidenced. Discussion: The PRALIMAP-INÈS outcomes should inform how effectively a socially adapted public health program can avoid worsening social inequalities in overweight adolescents attending school. Trial registration: ClinicalTrials.gov (NCT01688453). Keywords: Adolescents, Overweight and obesity, Social class, Standard care, Strengthened care |
| first_indexed | 2024-12-13T22:03:09Z |
| format | Article |
| id | doaj.art-617b1d18b3134ea1aa8ef0a3f349f339 |
| institution | Directory Open Access Journal |
| issn | 2451-8654 |
| language | English |
| last_indexed | 2024-12-13T22:03:09Z |
| publishDate | 2017-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Contemporary Clinical Trials Communications |
| spelling | doaj.art-617b1d18b3134ea1aa8ef0a3f349f3392022-12-21T23:29:57ZengElsevierContemporary Clinical Trials Communications2451-86542017-09-017141157Reducing social inequalities in access to overweight and obesity care management for adolescents: The PRALIMAP-INÈS trial protocol and inclusion data analysisKarine Legrand0Edith Lecomte1Johanne Langlois2Laurent Muller3Laura Saez4Marie-Hélène Quinet5Philip Böhme6Elisabeth Spitz7Abdou Y. Omorou8Serge Briançon9Philip BöhmeSerge BriançonRozenn De LavenneCécile GailliardJohanne LangloisEdith LecomteKarine LegrandLaurent MullerAbdou Y. OmorouCéline PourcherMarie-Hélène QuinetLaura SaezElisabeth SpitzBrigitte ToussaintLorraine University, Paris Descartes University, EA 4360 APEMAC, Nancy, France; Inserm, CIC-1433 Clinical Epidemiology, Nancy University Hospital, Nancy, FranceNational Conservatory of Arts and Crafts, Nancy, FranceLorraine University, Paris Descartes University, EA 4360 APEMAC, Nancy, France; National Conservatory of Arts and Crafts, Nancy, FranceLorraine University, Paris Descartes University, EA 4360 APEMAC, Nancy, FranceLorraine University, Paris Descartes University, EA 4360 APEMAC, Nancy, FranceLocal School Office of the Nancy-Metz Academy, Nancy, FranceLorraine University, Paris Descartes University, EA 4360 APEMAC, Nancy, France; Department of Diabetology, Metabolic Diseases and Nutrition, Nancy University Hospital, Nancy, FranceLorraine University, Paris Descartes University, EA 4360 APEMAC, Nancy, FranceLorraine University, Paris Descartes University, EA 4360 APEMAC, Nancy, France; Inserm, CIC-1433 Clinical Epidemiology, Nancy University Hospital, Nancy, FranceLorraine University, Paris Descartes University, EA 4360 APEMAC, Nancy, France; Inserm, CIC-1433 Clinical Epidemiology, Nancy University Hospital, Nancy, France; Corresponding author. Lorraine University, Paris Descartes University, EA 4360 APEMAC, Nancy Public Health School, Faculty of Medicine, 9 avenue de la forêt de Haye, CS 50184, 54505 Vandoeuvre les Nancy Cedex, France.Background: Despite social inequalities in overweight/obesity prevalence, evidence-based public health interventions to reduce them are scarce. The PRALIMAP-INÈS trial aimed to investigate whether a strengthened-care management for adolescents with low socioeconomic status has an equivalent effect in preventing and reducing overweight as a standard-care management for high socioeconomic status adolescents. Methods: PRALIMAP-INÈS was a mixed, prospective and multicenter trial including 35 state-run schools. It admitted overweight or obese adolescents, age 13–18 years old, for 3 consecutive academic years. One-year interventions were implemented. Data were collected before (T0), after (T1) and post (T2) intervention. Among 2113 eligible adolescents who completed questionnaires, 1639 were proposed for inclusion and 1419 were included (220 parental refusals). Two groups were constituted according to the Family Affluence Scale (FAS) score: the less advantaged (FAS≤5) were randomly assigned to 2 groups in a 2/1 ratio. The 3 intervention groups were: advantaged with standard-care management (A.S, n = 808), less advantaged with standard-care management (LA.S, n = 196), and less advantaged with standard and strengthened-care management (LA.S.S, n = 415). The standard-care management was based on the patient education principle and consisted of 5 collective sessions. The strengthened-care management was based on the proportionate universalism principle and consisted of activities adapted to needs. Inclusion results: The written parental refusal was less frequent among less advantaged and more overweight adolescents. A dramatic linear social gradient in overweight was evidenced. Discussion: The PRALIMAP-INÈS outcomes should inform how effectively a socially adapted public health program can avoid worsening social inequalities in overweight adolescents attending school. Trial registration: ClinicalTrials.gov (NCT01688453). Keywords: Adolescents, Overweight and obesity, Social class, Standard care, Strengthened carehttp://www.sciencedirect.com/science/article/pii/S2451865417300121 |
| spellingShingle | Karine Legrand Edith Lecomte Johanne Langlois Laurent Muller Laura Saez Marie-Hélène Quinet Philip Böhme Elisabeth Spitz Abdou Y. Omorou Serge Briançon Philip Böhme Serge Briançon Rozenn De Lavenne Cécile Gailliard Johanne Langlois Edith Lecomte Karine Legrand Laurent Muller Abdou Y. Omorou Céline Pourcher Marie-Hélène Quinet Laura Saez Elisabeth Spitz Brigitte Toussaint Reducing social inequalities in access to overweight and obesity care management for adolescents: The PRALIMAP-INÈS trial protocol and inclusion data analysis Contemporary Clinical Trials Communications |
| title | Reducing social inequalities in access to overweight and obesity care management for adolescents: The PRALIMAP-INÈS trial protocol and inclusion data analysis |
| title_full | Reducing social inequalities in access to overweight and obesity care management for adolescents: The PRALIMAP-INÈS trial protocol and inclusion data analysis |
| title_fullStr | Reducing social inequalities in access to overweight and obesity care management for adolescents: The PRALIMAP-INÈS trial protocol and inclusion data analysis |
| title_full_unstemmed | Reducing social inequalities in access to overweight and obesity care management for adolescents: The PRALIMAP-INÈS trial protocol and inclusion data analysis |
| title_short | Reducing social inequalities in access to overweight and obesity care management for adolescents: The PRALIMAP-INÈS trial protocol and inclusion data analysis |
| title_sort | reducing social inequalities in access to overweight and obesity care management for adolescents the pralimap ines trial protocol and inclusion data analysis |
| url | http://www.sciencedirect.com/science/article/pii/S2451865417300121 |
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