Trial Parameters
Brief Summary
The current study is a multilevel factorial design RCT with interventions at the clinic (Healthy Clinic intervention period vs. Control period) and individual patient levels (iAmHealthy vs. Newsletter).
Eligibility Criteria
Inclusion criteria for individual participants: * Child is ages 6-11 years at consent * Child BMI %ile is ≥85th * Child lives in a rural area * Child/family speaks English or Spanish Exclusion criteria for individual participants: * Child has a physical limitation or injury that substantially limits physical mobility or has a planned medical treatment during the course of the trial that will substantially limit physical mobility * Child has a known medical issue that could affect protocol compliance (e.g., cancer) * Child and/or primary caregiver has a developmental delay or cognitive impairment that could affect protocol compliance * Child is enrolled in a weight-loss trial * Child has a sibling who has already consented in the trial Inclusion criteria for clinics: * History of collaboration with site awardee in research or quality improvement projects * In the past year at least 300 eligible potential participants * The clinic must have an electronic medical records system Exclusion