Joshua R Dilley1, Camelia R Singletary2, Jamy D Ard3,4, Steven Giles5, Joseph A Skelton4,6, Vahé Heboyan7, Danielle E Jake-Schoffman8, Gabrielle Turner-McGrievy9, Matthew McGrievy10, Edward H Ip11, Justin B Moore2,4,12. 1. Department of Plastic Surgery, Wake forest School of Medicine, Winston-Salem, NC, USA. 2. Department of Implementation Science, Wake Forest School of Medicine, Winston-Salem, NC, USA. 3. Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA. 4. Department of Epidemiology & Prevention, Wake Forest School of Medicine, Winston-Salem, NC, USA. 5. Department of Communication, Wake Forest University, Winston-Salem, NC, USA. 6. Department of Pediatrics, Wake Forest School of Medicine, Winston-Salem, NC, USA. 7. Department of Interdisciplinary Health Sciences, Augusta University, Augusta, GA, USA. 8. Department of Health Education & Behavior, University of Florida, Gainesville, FL, USA. 9. Department of Health Promotion, Education & Behavior, University of South Carolina, Columbia, SC, USA. 10. University of South Carolina, Columbia, SC, USA. 11. Department of Biostatistics & Data Science, Wake Forest School of Medicine, Winston-Salem, NC, USA. 12. Department of Family & Community Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Abstract
The prevalence of in youth with overweight and obesity is a global health concern, necessitating clinical interventions to treat obesity effectively through lifestyle modification. Interventions in adolescents have demonstrated improvements in healthy eating and physical activity with only modest weight loss outcomes. Consequently, there is growing interest in developing strategies to enhance the effectiveness of clinical interventions in adolescents. Targeting the family system can be an effective approach, but existing studies have failed to examine the impact of co-enrolling both the adolescent and adult in individually tailored weight loss programs and coordinating the adolescent/adult weight loss efforts. PURPOSE: This paper reports on the design and conceptual framework of the Dyad Plus study, which utilizes two weight loss clinics of the Wake Forest Baptist Medical Center: Brenner Families in training (Brenner FIT®; adolescents) and By Design (adults). Dyad Plus is a coordinated program designed to facilitate self-monitoring, positive communication, joint problem solving, and social support to increase physical activity, healthy eating, and weight loss relative to Brenner FIT alone. METHODS: A total of 45 parent/adolescent dyads are randomized to one of three conditions (n = 15 for each): Brenner FIT only, Dyad (adolescent and parent both enroll simultaneously in the age appropriate program), and Dyad Plus (both parent and adolescent enroll simultaneously, but with a coordinated component for adolescent and caregiver). This study aims to develop and pilot the coordinated intervention, establish feasibility of the intervention, and determine costs associated with implementation. RESULTS: The results of the study are expected in winter of 2021. CONCLUSION: If proven feasible and acceptable, Dyad Plus will be tested for effectiveness in a large-scale implementation-effectiveness clinical trial.
The prevalence of in youth with overweight and obesity is a global health concern, necessitating clinical interventions to treat obesity effectively through lifestyle modification. Interventions in adolescents have demonstrated improvements in healthy eating and physical activity with only modest weight loss outcomes. Consequently, there is growing interest in developing strategies to enhance the effectiveness of clinical interventions in adolescents. Targeting the family system can be an effective approach, but existing studies have failed to examine the impact of co-enrolling both the adolescent and adult in individually tailored weight loss programs and coordinating the adolescent/adult weight loss efforts. PURPOSE: This paper reports on the design and conceptual framework of the Dyad Plus study, which utilizes two weight loss clinics of the Wake Forest Baptist Medical Center: Brenner Families in training (Brenner FIT®; adolescents) and By Design (adults). Dyad Plus is a coordinated program designed to facilitate self-monitoring, positive communication, joint problem solving, and social support to increase physical activity, healthy eating, and weight loss relative to Brenner FIT alone. METHODS: A total of 45 parent/adolescent dyads are randomized to one of three conditions (n = 15 for each): Brenner FIT only, Dyad (adolescent and parent both enroll simultaneously in the age appropriate program), and Dyad Plus (both parent and adolescent enroll simultaneously, but with a coordinated component for adolescent and caregiver). This study aims to develop and pilot the coordinated intervention, establish feasibility of the intervention, and determine costs associated with implementation. RESULTS: The results of the study are expected in winter of 2021. CONCLUSION: If proven feasible and acceptable, Dyad Plus will be tested for effectiveness in a large-scale implementation-effectiveness clinical trial.
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