# MICCO - Mobile Integrated Care for Childhood Obesity: A technology-enhanced comprehensive approach to integrating obesity care in rural communities

> **NIH NIH P20** · NEMOURS CHILDREN'S HOSPITAL, DELAWARE · 2023 · $252,783

## Abstract

PROJECT SUMMARY
Nearly 1 in 5 children in the United States are affected by obesity, with even higher rates among children of racial
and ethnic minority groups, of low socioeconomic status, and living in rural communities. Obesity is a significant
public health concern because it increases a child’s risk for health conditions within every organ system, including
diabetes, cardiovascular disease, and mental health problems. Traditional lifestyle behavior interventions have
not been as effective when implemented in communities of color, low-income communities, and rural
communities. Guided by the Clinical and Community Integration Framework, which emphasizes the integration
of community and healthcare systems to drive family engagement and empowerment in treating obesity, our
work has demonstrated the importance of addressing psychosocial needs and leveraging technology to improve
care for families of children with obesity. We have assembled a research team, with complimentary and relevant
areas of expertise, to refine and test a multi-component intervention, Mobile Integrated Care for Childhood
Obesity (MICCO). MICCO combines evidence-based approaches previously developed and tested by our
research team, each delivered through a mobile app platform integrated with the electronic health record.
Components will include: (1) coordinating social services in the community to meet families’ psychosocial needs,
(2) integrating care from obesity specialists using telehealth, and (3) providing media-based psychoeducational
tools to promote self-management of lifestyle behavior change. Community-engaged and qualitative research
methods will be employed to refine MICCO to be community-centered and family-friendly (Aim 1). The refined
intervention will be tested in a randomized controlled trial with 184 families of children 4-12 years of age with
obesity, recruited from rural primary care practices, to determine the impact of the intervention on child adiposity
and family engagement in treatment over six months (Aim 2) and disparities in these outcomes by race, ethnicity,
and socioeconomic status (Aim 3). This study will inform a R01 application in Year 2 to expand the concept to a
multi-site RCT to test the effectiveness of MICCO’s integrated, community-centered, and technologically state-
of-the-art approach in improving the reach and relevance of childhood obesity treatments to families in
underserved rural communities, increasing the likelihood of a positive impact on obesity outcomes and inequities
in child health.

## Key facts

- **NIH application ID:** 10580770
- **Project number:** 5P20GM144270-02
- **Recipient organization:** NEMOURS CHILDREN'S HOSPITAL, DELAWARE
- **Principal Investigator:** Thao-Ly Tam Phan-Vo
- **Activity code:** P20 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2023
- **Award amount:** $252,783
- **Award type:** 5
- **Project period:** 2022-03-01 → 2027-02-28

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10580770

## Citation

> US National Institutes of Health, RePORTER application 10580770, MICCO - Mobile Integrated Care for Childhood Obesity: A technology-enhanced comprehensive approach to integrating obesity care in rural communities (5P20GM144270-02). Retrieved via AI Analytics 2026-05-25 from https://api.ai-analytics.org/grant/nih/10580770. Licensed CC0.

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