Dawn K Wilson1, Heather Kitzman-Ulrich2, Ken Resnicow3, M Lee Van Horn1, Sara M St George4, E Rebekah Siceloff1, Kassandra A Alia1, Tyler McDaniel1, VaShawn Heatley1, Lauren Huffman1, Sandra Coulon1, Ron Prinz1. 1. Department of Psychology, University of South Carolina, Columbia, SC 29208, United States. 2. Department of Behavioral and Community Health, Texas Prevention Institute, School of Public Health, University of North Texas Health Science Center, Fort Worth, TX, United States. 3. Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, MI, United States. 4. Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, United States.
Abstract
BACKGROUND: The Families Improving Together (FIT) randomized controlled trial tests the efficacy of integrating cultural tailoring, positive parenting, and motivational strategies into a comprehensive curriculum for weight loss in African American adolescents. The overall goal of the FIT trial is to test the effects of an integrated intervention curriculum and the added effects of a tailored web-based intervention on reducing z-BMI in overweight African American adolescents. DESIGN AND SETTING: The FIT trial is a randomized group cohort design the will involve 520 African American families with an overweight adolescent between the ages of 11-16 years. The trial tests the efficacy of an 8-week face-to-face group randomized program comparing M + FWL (Motivational Plus Family Weight Loss) to a comprehensive health education program (CHE) and re-randomizes participants to either an 8-week on-line tailored intervention or control on-line program resulting in a 2 (M + FWL vs. CHE group) × 2 (on-line intervention vs. control on-line program) factorial design to test the effects of the intervention on reducing z-BMI at post-treatment and at 6-month follow-up. INTERVENTION: The interventions for this trial are based on a theoretical framework that is novel and integrates elements from cultural tailoring, Family Systems Theory, Self-Determination Theory and Social Cognitive Theory. The intervention targets positive parenting skills (parenting style, monitoring, communication); cultural values; teaching parents to increase youth motivation by encouraging youth to have input and choice (autonomy-support); and provides a framework for building skills and self-efficacy through developing weight loss action plans that target goal setting, monitoring, and positive feedback.
RCT Entities:
BACKGROUND: The Families Improving Together (FIT) randomized controlled trial tests the efficacy of integrating cultural tailoring, positive parenting, and motivational strategies into a comprehensive curriculum for weight loss in African American adolescents. The overall goal of the FIT trial is to test the effects of an integrated intervention curriculum and the added effects of a tailored web-based intervention on reducing z-BMI in overweight African American adolescents. DESIGN AND SETTING: The FIT trial is a randomized group cohort design the will involve 520 African American families with an overweight adolescent between the ages of 11-16 years. The trial tests the efficacy of an 8-week face-to-face group randomized program comparing M + FWL (Motivational Plus Family Weight Loss) to a comprehensive health education program (CHE) and re-randomizes participants to either an 8-week on-line tailored intervention or control on-line program resulting in a 2 (M + FWL vs. CHE group) × 2 (on-line intervention vs. control on-line program) factorial design to test the effects of the intervention on reducing z-BMI at post-treatment and at 6-month follow-up. INTERVENTION: The interventions for this trial are based on a theoretical framework that is novel and integrates elements from cultural tailoring, Family Systems Theory, Self-Determination Theory and Social Cognitive Theory. The intervention targets positive parenting skills (parenting style, monitoring, communication); cultural values; teaching parents to increase youth motivation by encouraging youth to have input and choice (autonomy-support); and provides a framework for building skills and self-efficacy through developing weight loss action plans that target goal setting, monitoring, and positive feedback.
Authors: Ken Resnicow; Rachel E Davis; Guangyu Zhang; Janine Konkel; Victor J Strecher; Abdul R Shaikh; Dennis Tolsma; Josephine Calvi; Gwen Alexander; Julia P Anderson; Cheryl Wiese Journal: Ann Behav Med Date: 2008-04
Authors: Kevin Patrick; Gregory J Norman; Evelyn P Davila; Karen J Calfas; Fred Raab; Michael Gottschalk; James F Sallis; Suni Godbole; Jennifer R Covin Journal: J Diabetes Sci Technol Date: 2013-05-01
Authors: Elissa Jelalian; E Whitney Evans; Diana Rancourt; Lisa Ranzenhofer; Neta Taylor; Chantelle Hart; Ronald Seifer; Kelly Klinepier; Gary D Foster Journal: Child Obes Date: 2019-12-18 Impact factor: 2.992
Authors: Lauren E Huffman; Dawn K Wilson; Heather Kitzman-Ulrich; Jordan E Lyerly; Haylee M Gause; Ken Resnicow Journal: Ethn Dis Date: 2016-07-21 Impact factor: 1.847