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PROMISE

Paediatric Research in Obesity Multi-modal Intervention and Service Evaluation The PROMISE Programme aims to improve the assessment and treatment of childhood obesity through research addressing key gaps in the evidence base supporting the NICE childhood obesity treatment pathway and to build a coherent programme of clinical and public health research that significantly contributes towards improving the treatment of childhood obesity in the NHS.

Background & Research Plan

The childhood obesity epidemic is one of the foremost health priorities in the UK. While a sustainable solution ultimately lies with managing our obesogenic environment, the NHS still has responsibility for treatment of the 7-10% of children and young people already obese.

NICE guidance in 2006 outlined a Childhood Obesity Pathway (COP) covering best practice management in primary and secondary care. NICE also highlighted key gaps in evidence. We examined the COP and particularly identified areas where additional knowledge or application of existing knowledge could support NHS staff to provide the best care to the overweight children, and developed a programme of research around this.

This programme integrates public health and clinical perspectives and will build a unique research grouping. It comprises of five linked studies (A to E) together with a 6th integrative work package related to the implementation of finding from each of the studies. It will have impacts at all levels of the COP to improve outcomes and experiences of care and streamline patient flow.


Research Team

We have assembled a unique multi-disciplinary group of researchers from public health, general practice and secondary care to work together on this programme including the following organisation: University College London, Institute of Child Health/UCL, Great Ormond Street Hospital, University College London Hospital, London School of Hygiene and Tropical medicine, School of Pharmacy and Imperial College London.

The programme is being undertaken within UCL Partners, an Academic Health Sciences Centre with international quality research and clinical services and strong support for translational research.


Outputs

The programme will have impacts at all levels of the COP to improve outcomes and experiences of care and reduce burden on the NHS. Outputs include 3 new management tools and data to improve health services and planning, and will have patient benefit within 3-5 years of the end of the studies.


Patient/public involvement

Consultancy from 3 obesity charities, with one representative on the Programme Steering Committee.

This programme integrates public health and clinical perspectives and will build a unique research grouping. It comprises five linked studies (A to E) detailed below.

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Impact of National Measurement Programme (NCMP)

Study A scopes the impact of the National Child Measurement Programme (NCMP) on families and on health service use in obese children

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Improving childhood obesity management

Study B develops and evaluates a brief evidence-based electronic tool to improve management of obesity by front-line staff

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Healthy Eating Lifestyle Programme

Study C tests a lifestyle modification programme specifically for adolescents.

Trial Identifier: ISRCTN998401

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Effectiveness of anti-obesity drugs

The objective of the study is to improve the clinical effectiveness of anti-obesity drug (AOD) treatment in children and adolescents.

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Evaluation of an adolescent bariatric surgery programme

Study E objective is evaluating the acceptability and early outcomes of adolescent bariatric surgery programme in the NHS. 

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