The purpose of Next Steps pilot intervention is to develop and test a new program designed to help low-income multiethnic families with overweight or obese children achieve long-term maintenance of healthful behaviors following completion of Hennepin County Medical Center's (HCMC) 16-week intensive obesity management course (Taking Steps Together (TST)).

Next Steps is a community based pilot intervention study conducted in collaboration between community leaders, the University of Minnesota, Hennepin County Medical Center (HCMC) and The Family Partnership. The study collaborators will develop and test a new program designed to help low-income multiethnic families with overweight or obese children achieve long-term maintenance of healthful behaviors following completion of HCMC's 16-week intensive obesity management course (Taking Steps Together (TST)). Next Steps, the focus of this study, will comprise a network of parent-led, community-based health maintenance programs that will be offered to TST graduate families.

Project Aims:

Aim 1: Establish a core parent leadership group and health maintenance program network that is self-sustaining and can serve the community for years to come.

Aim 2: Test the feasibility, acceptability and sustainability of the Next Steps programs.

Aim 3: Assess the impact of the Next Steps programs on helping participant families sustain or improve healthful behaviors and achieve or maintain healthy body mass index (BMI).

Inclusion Criteria:

• Families that are graduates of the Taking Step Together program.
• Families with at least one overweight or obese child between the ages of 7-17.
• Family members of all ages who have graduated from the Taking Steps Together program will be included in the study.

Exclusion Criteria:

• Families who are not graduates of the Taking Steps Together program.
• Families who do not have one child that is between the ages of 7-17 and who is overweight or obese