OBJECTIVE: To assess the effectiveness of parent-only vs family-based interventions for pediatric weight management in underserved rural settings. DESIGN: A 3-arm randomized controlled clinical trial. SETTING: All sessions were conducted at Cooperative Extension Service offices in underserved rural counties. PARTICIPANTS: Ninety-three overweight or obese children (8-14 years old) and their parent(s). INTERVENTION: Families were randomized to (1) a behavioral family-based intervention, (2) a behavioral parent-only intervention, or (3) a wait-list control group. OUTCOME MEASURE: The primary outcome measure was change in children's standardized body mass index (BMI). RESULTS: Seventy-one children completed posttreatment (month 4) and follow-up (month 10) assessments. At the month 4 assessment, children in the parent-only intervention demonstrated a greater decrease in BMI z score (mean difference [MD], 0.127; 95% confidence interval [CI], 0.027 to 0.226) than children in the control condition. No significant difference was found between the family-based intervention and the control condition (MD, 0.065; 95% CI, -0.027 to 0.158). At month 10 follow-up, children in the parent-only and family-based intervention groups demonstrated greater decreases in BMI z score from before treatment compared with those in the control group (MD, 0.115; 95% CI, 0.003 to 0.220; and MD, 0.136; 95% CI, 0.018 to 0.254, respectively). No difference was found in weight status change between the parent-only and family-based interventions at either assessment. CONCLUSIONS: A parent-only intervention may be a viable and effective alternative to family-based treatment of childhood overweight. Cooperative Extension Service offices have the potential to serve as effective venues for the dissemination of obesity-related health promotion programs.
RCT Entities:
OBJECTIVE: To assess the effectiveness of parent-only vs family-based interventions for pediatric weight management in underserved rural settings. DESIGN: A 3-arm randomized controlled clinical trial. SETTING: All sessions were conducted at Cooperative Extension Service offices in underserved rural counties. PARTICIPANTS: Ninety-three overweight or obesechildren (8-14 years old) and their parent(s). INTERVENTION: Families were randomized to (1) a behavioral family-based intervention, (2) a behavioral parent-only intervention, or (3) a wait-list control group. OUTCOME MEASURE: The primary outcome measure was change in children's standardized body mass index (BMI). RESULTS: Seventy-one children completed posttreatment (month 4) and follow-up (month 10) assessments. At the month 4 assessment, children in the parent-only intervention demonstrated a greater decrease in BMI z score (mean difference [MD], 0.127; 95% confidence interval [CI], 0.027 to 0.226) than children in the control condition. No significant difference was found between the family-based intervention and the control condition (MD, 0.065; 95% CI, -0.027 to 0.158). At month 10 follow-up, children in the parent-only and family-based intervention groups demonstrated greater decreases in BMI z score from before treatment compared with those in the control group (MD, 0.115; 95% CI, 0.003 to 0.220; and MD, 0.136; 95% CI, 0.018 to 0.254, respectively). No difference was found in weight status change between the parent-only and family-based interventions at either assessment. CONCLUSIONS: A parent-only intervention may be a viable and effective alternative to family-based treatment of childhood overweight. Cooperative Extension Service offices have the potential to serve as effective venues for the dissemination of obesity-related health promotion programs.
Authors: Janice R Hermann; Stephany P Parker; Barbara J Brown; Youmasu J Siewe; Barbara A Denney; Sarah J Walker Journal: J Nutr Educ Behav Date: 2006 May-Jun Impact factor: 3.045
Authors: Denise E Wilfley; Tiffany L Tibbs; Dorothy J Van Buren; Kelle P Reach; Mark S Walker; Leonard H Epstein Journal: Health Psychol Date: 2007-09 Impact factor: 4.267
Authors: Thomas A Wadden; Robert I Berkowitz; Leslie G Womble; David B Sarwer; Suzanne Phelan; Robert K Cato; Louise A Hesson; Suzette Y Osei; Rosalind Kaplan; Albert J Stunkard Journal: N Engl J Med Date: 2005-11-17 Impact factor: 91.245
Authors: May Nawal Lutfiyya; Martin S Lipsky; Jennifer Wisdom-Behounek; Melissa Inpanbutr-Martinkus Journal: Obesity (Silver Spring) Date: 2007-09 Impact factor: 5.002
Authors: Denise E Wilfley; Richard I Stein; Brian E Saelens; Danyte S Mockus; Georg E Matt; Helen A Hayden-Wade; R Robinson Welch; Kenneth B Schechtman; Paul A Thompson; Leonard H Epstein Journal: JAMA Date: 2007-10-10 Impact factor: 56.272
Authors: Mary Savoye; Melissa Shaw; James Dziura; William V Tamborlane; Paulina Rose; Cindy Guandalini; Rachel Goldberg-Gell; Tania S Burgert; Anna M G Cali; Ram Weiss; Sonia Caprio Journal: JAMA Date: 2007-06-27 Impact factor: 56.272
Authors: David M Janicke; Bethany J Sallinen; Michael G Perri; Lesley D Lutes; Janet H Silverstein; Milagros G Huerta; Lisa A Guion Journal: Contemp Clin Trials Date: 2007-05-29 Impact factor: 2.226
Authors: Amy F Sato; Elissa Jelalian; Chantelle N Hart; Elizabeth E Lloyd-Richardson; Robyn S Mehlenbeck; Meghan Neill; Rena R Wing Journal: J Pediatr Psychol Date: 2010-11-26
Authors: Suzanne E Mazzeo; Nichole R Kelly; Marilyn Stern; Rachel W Gow; Kasey Serdar; Ronald K Evans; Resa M Jones; Cynthia M Bulik Journal: Contemp Clin Trials Date: 2012-01-18 Impact factor: 2.226
Authors: Suzanne E Mazzeo; Nichole R Kelly; Marilyn Stern; Rachel W Gow; Elizabeth W Cotter; Laura M Thornton; Ronald K Evans; Cynthia M Bulik Journal: Eat Behav Date: 2014-02-03
Authors: Julie Bishop; Megan B Irby; Scott Isom; Caroline S Blackwell; Mara Z Vitolins; Joseph A Skelton Journal: Fam Community Health Date: 2013 Apr-Jun
Authors: Kristine A Madsen; Andrea K Garber; Michele L Mietus-Snyder; Joan K Orrell-Valente; Cam-Tu Tran; Lidya Wlasiuk; Renee I Matos; John Neuhaus; Robert H Lustig Journal: J Pediatr Endocrinol Metab Date: 2009-09 Impact factor: 1.634