Families Improving Together (FIT) for Weight Loss
- Conditions
- ObeseOverweight
- Interventions
- Behavioral: Motivational and Family Weight LossBehavioral: Basic Health EducationBehavioral: Online InterventionBehavioral: Online Control
- Registration Number
- NCT01796067
- Lead Sponsor
- University of South Carolina
- Brief Summary
The increasing rate of obesity has become a major public health concern with national reports indicating 40% of African American adolescents are now overweight/obese. Little is known about effective weight loss interventions in ethnic minority adolescents. However, research has shown that ethnic minorities attend fewer intervention sessions, have higher attrition rates and lose less weight compared to Caucasians. Two fundamental problems related to this lack of progress are 1) lack of appropriate content of weight loss interventions for African American adolescents that integrate cultural issues, parenting skills, and motivational strategies for long-term change and, 2) poor dose of weight loss interventions because of participant fatigue and drop out. While previous weight loss studies for adolescents have been long lasting (12-25 weeks), our team developed a weight loss program that is a relatively brief (8-week) face-to-face intervention that integrates motivational (autonomy-support) and positive parenting skills (monitoring, social support, positive communication skills) for reducing z-BMI in overweight African American adolescents. Our team recently conducted a pilot study testing the feasibility of an 8-week on-line culturally tailored intervention, Thus, the goal of this project is to conduct a randomized controlled efficacy trial to address the problems with past studies by 1) making the face-to-face group intervention shorter, 2) using an on-line component to compliment the group-based intervention for increasing dose, and by 3) tailoring a motivational and parenting skills program directly to parents and adolescents skill levels and cultural background. 520 overweight African American adolescents and their parents will be recruited to participate. Phase I of the trial will test the efficacy of an 8-week face-to-face group randomized trial comparing motivational plus family-based weight loss (M+FWL) to a basic health (BH) education program on reducing z-BMI and improving diet and physical activity (PA) in overweight African American adolescents. In phase II of the trial participants will be re-randomized to either an 8-week on-line intervention or a control on-line program resulting in a 2 (M+FWL vs. BH group) x 2 (intervention vs. control on-line program) factorial design. A 6-month follow-up will examine whether adolescents in the 8-week M+FWL group plus 8-week on-line intervention program will show the greatest maintenance in reducing z-BMI.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 241
- Must have a parent or primary caregiver who lives in the same house as the adolescent
- Live within 60 miles of the program's office
- Have at least 3 grandparents who are African American
- Access to the internet
- Children between the ages of 11 and 16
- Child must have BMI above 85th percentile and below 99th percentile
- Have no medical condition that would limit participation in moderate intensity exercise including life-threatening illness (e.g., immobile, severely disabled, or bed ridden)
- Available and able to participate in measures and intervention activities over the next year
- Adolescents with chronic illness
- Adolescents who require a specialized diet may not be eligible
- Developmental delay
- Partaking currently in another weight loss program
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- FACTORIAL
- Arm && Interventions
Group Intervention Description Mot. & Fam. Weight Loss + Online Interv. Online Intervention Participants are randomized to motivational and family weight loss program plus the online intervention. Mot. & Fam. Weight Loss + Online Control Motivational and Family Weight Loss Participants are randomized to motivational and family weight loss intervention and then the online control program. Basic Health Educ. & Online Interv. Basic Health Education Participants are randomized to the basic health education program and then the online intervention program. Basic Health Educ. & Online Control Basic Health Education Participants are randomized to the basic health education program and then to the online control program. Mot. & Fam. Weight Loss + Online Interv. Motivational and Family Weight Loss Participants are randomized to motivational and family weight loss program plus the online intervention. Mot. & Fam. Weight Loss + Online Control Online Control Participants are randomized to motivational and family weight loss intervention and then the online control program. Basic Health Educ. & Online Control Online Control Participants are randomized to the basic health education program and then to the online control program. Basic Health Educ. & Online Interv. Online Intervention Participants are randomized to the basic health education program and then the online intervention program.
- Primary Outcome Measures
Name Time Method Change in Body Mass Index (z-BMI) in Adolescents Baseline to 6-month follow-up We are investigating intervention effects on change in body mass index (BMI; age- and sex-adjusted based upon CDC norms) from baseline to 6 months post-intervention. Specifically, we will examine whether there are group differences (i.e., M+FWL \& Intervention online, M+FWL \& Control online, BH \& Intervention online, BH \& Control online) in maintenance in BMI in adolescents.
- Secondary Outcome Measures
Name Time Method Change in Psychosocial Variables in Adolescents Baseline to 4 months Examine the effects of psychosocial variables (autonomy-support, monitoring, communication) as potential mediators of the intervention effects on changes in z-BMI, dietary intake, and MVPA in adolescents.
Change in Body Mass Index (z-BMI) for Parents Baseline to 6 Months Follow-up We are investigating whether there is change in body mass index (BMI; age- and sex-adjusted based upon CDC norms) from baseline to 6 months and whether there are group differences (i.e., M+FWL \& Intervention online, M+FWL \& Control online, BH \& Intervention online, BH \& Control online) in change in BMI in parents.
Change of 24 Hour Dietary Recall (NDRS) of Kcals in Parents and Adolescents Baseline to 4 months We are investigating whether there is change of Kcals at 4 months. We are looking at these effects for fruit and vegetable intake, as well as total fat intake and whether there are group differences (i.e., M+FWL \& Intervention online, M+FWL \& Control online, BH \& Intervention online, BH \& Control online) in change in diet in parents and adolescents.
Change in Body Mass Index (z-BMI) in Parents Baseline to 4 months We are investigating whether there is change in body mass index (BMI; age- and sex-adjusted based upon CDC norms) from baseline to 4 months and whether there are group differences (i.e., M+FWL \& Intervention online, M+FWL \& Control online, BH \& Intervention online, BH \& Control online) in change in BMI in parents.
Change in Moderate to Vigorous Physical Activity (MVPA) in Parents and Adolescents Baseline to 4 months Minutes per day; We are investigating whether there is change of physical activity from baseline to 4 months and whether there are group differences (i.e., M+FWL \& Intervention online, M+FWL \& Control online, BH \& Intervention online, BH \& Control online) in change in MVPA in parents and adolescents.
Change in Moderate to Vigorous Physical Activity in Adolescents Baseline to 6-month Follow-up Minutes per day; We are investigating whether there is change of physical activity at the 6-month follow-up and whether there are group differences (i.e., M+FWL \& Intervention online, M+FWL \& Control online, BH \& Intervention online, BH \& Control online) in change in MVPA in adolescents.
Change of 24 Hour Dietary Recall (NDRS) of Kcals in Adolescents Baseline to 6-month Follow-up We are investigating whether there is change of Kcals at 6-month follow-up. We are specifically looking at effects for fruit and vegetable intake, as well as total fat intake in adolescents, and vegetable intake, as well as total fat intake and whether there are group differences (i.e., M+FWL \& Intervention online, M+FWL \& Control online, BH \& Intervention online, BH \& Control online) in change in diet in adolescents.
Trial Locations
- Locations (1)
Obesity Research Group
🇺🇸Columbia, South Carolina, United States