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The purpose of the current study is examine the feasibility and efficacy of providing a behavioral family intervention in 30 youth 10 to 17 years of age who are obese and attending a multidisciplinary pediatric obesity clinic and their parents. Participating families will complete assessments consisting of weight status, dietary intake, physical activity, health-related quality of life, psychological functioning, home-food environment, parenting skills, and self-efficacy at pre-treatment (Baseline), post-treatment (Month 3), and 2 month post-treatment follow-up (Month 5). Family attendance data will be collected during the behavioral family intervention and children and parents will complete a treatment satisfaction questionnaire at the post-treatment assessment. Health outcomes (e.g., A1C, glucose) routinely assessed through standard medical care in the multidisciplinary pediatric obesity clinic will be obtained from child medical charts.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Behavioral Family Intervention (BFI) | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Behavioral Family Intervention (BFI) | Behavioral | Participating families will receive standard medical care through the Wellness and Weight Clinic, as well as the BFI. The BFI is based on family systems (Minuchin et al., 1975) and social-cognitive (Bandura, 1998) theories. Each dyad will participate in simultaneous, but separate, 75-minute parent and child groups over a 3 month period. The groups will start off meeting every week for 8 weeks and then bi-weekly for 1 month. Thus, dyads will attend a total of 10 group meetings over the 3 month period (12.5 hours of total treatment contact). |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Child Weight Status (BMIz) | BMIz calculated from measured child height and weight | Baseline, Post-Treatment (Month 3), and Follow-up (Month 5) |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Total Child Physical Activity kcals from Block Kids Physical Activity Screener | Child-report questionnaire | Baseline, Post-Treatment (Month 3), and Follow-up (Month 5) |
| Change in Child Dietary Intake Total kcals from 24-hour dietary recall |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Child Self-Efficacy for Total Healthy Lifestyle Behaviors | Child-report questionnaire; sum of scores from Child Dietary Self-Efficacy Scale and Self-Efficacy for Physical Activity Scale | Baseline, Post-Treatment (Month 3), and Follow-up (Month 5) |
| Change in Child-Reported Total Health-Related Quality of Life |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Crystal S. Lim, Ph.D. | University of Mississippi Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Mississippi Medical Center | Jackson | Mississippi | 39216 | United States |
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| ID | Term |
|---|---|
| D063766 | Pediatric Obesity |
| ID | Term |
|---|---|
| D009765 | Obesity |
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
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Child-report 24-hour dietary recall assessed via Automated Self-administered 24-hour recall (ASA24) System; Children will complete the ASA-2014-Kids
| Baseline, Post-Treatment (Month 3), and Follow-up (Month 5) |
| Change in Child A1C Values | From child medical chart - testing completed as part of standard medical care | Baseline, Post-Treatment (Month 3), and Follow-up (Month 5) |
| Change in Child Glucose Values | From child medical chart - testing completed as part of standard medical care | Baseline, Post-Treatment (Month 3), and Follow-up (Month 5) |
| Change in Parent Weight | Measured parent weight | Baseline, Post-Treatment (Month 3), and Follow-up (Month 5) |
| Change in Total Parent Physical Activity kcals from Block Physical Activity Screener Adults | Parent-report questionnaire | Baseline, Post-Treatment (Month 3), and Follow-up (Month 5) |
| Change in Parent Dietary Intake Total kcals from 24-hour dietary recall | Parent-report 24-hour dietary recall assessed via ASA24-2014 | Baseline, Post-Treatment (Month 3), and Follow-up (Month 5) |
Child-report; total score from Pediatric Quality of Life Inventory |
| Baseline, Post-Treatment (Month 3), and Follow-up (Month 5) |
| Change in Parent-Reported Total Health-Related Quality of Life | Parent-report; total score from Pediatric Quality of Life Inventory | Baseline, Post-Treatment (Month 3), and Follow-up (Month 5) |
| Change in Child Psychological Functioning (Total Problems Subscale from CBCL) | parent-report; Child Behavior Checklist (CBCL) Total Problems Scale | Baseline, Post-Treatment (Month 3), and Follow-up (Month 5) |
| Change in Home Food Inventory Obesiogenic Food Availability Score | Parent-reported | Baseline, Post-Treatment (Month 3), and Follow-up (Month 5) |
| Change in Total Parenting Competence | Parent-report; Total score from Parenting Sense of Competency (PSOC) Scale | Baseline, Post-Treatment (Month 3), and Follow-up (Month 5) |
| D009750 |
| Nutritional and Metabolic Diseases |
| D001835 | Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |