The Results of the Families Improving Together (FIT) for Weight Loss Randomized Trial in Overweight African American Adolescents
Few intervention studies have integrated cultural tailoring, parenting, behavioral, and motivational strategies to address African American adolescent weight loss. The Families Improving Together (FIT) for Weight Loss trial was a randomized group cohort study testing the efficacy of a cultural tailo...
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| Veröffentlicht in: | Annals of behavioral medicine 2022-10, Vol.56 (10), p.1042-1055 |
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| container_title | Annals of behavioral medicine |
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| creator | Wilson, Dawn K Sweeney, Allison M Van Horn, M Lee Kitzman, Heather Law, Lauren H Loncar, Haylee Kipp, Colby Brown, Asia Quattlebaum, Mary McDaniel, Tyler St George, Sara M Prinz, Ron Resnicow, Ken |
| description | Few intervention studies have integrated cultural tailoring, parenting, behavioral, and motivational strategies to address African American adolescent weight loss.
The Families Improving Together (FIT) for Weight Loss trial was a randomized group cohort study testing the efficacy of a cultural tailoring, positive parenting, and motivational intervention for weight loss in overweight African American adolescents (N = 241 adolescent/caregiver dyads).
The trial tested an 8-week face-to-face group motivational plus family weight loss program (M + FWL) compared with a comprehensive health education control program. Participants were then rerandomized to an 8-week tailored or control online program to test the added effects of the online intervention on reducing body mass index and improving physical activity (moderate-to-vigorous physical activity [MVPA], light physical activity [LPA]), and diet.
There were no significant intervention effects for body mass index or diet. There was a significant effect of the group M + FWL intervention on parent LPA at 16 weeks (B = 33.017, SE = 13.115, p = .012). Parents in the group M + FWL intervention showed an increase in LPA, whereas parents in the comprehensive health education group showed a decrease in LPA. Secondary analyses using complier average causal effects showed a significant intervention effect at 16 weeks for parents on MVPA and a similar trend for adolescents.
While the intervention showed some impact on physical activity, additional strategies are needed to impact weight loss among overweight African American adolescents. |
| doi_str_mv | 10.1093/abm/kaab110 |
| format | Article |
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The Families Improving Together (FIT) for Weight Loss trial was a randomized group cohort study testing the efficacy of a cultural tailoring, positive parenting, and motivational intervention for weight loss in overweight African American adolescents (N = 241 adolescent/caregiver dyads).
The trial tested an 8-week face-to-face group motivational plus family weight loss program (M + FWL) compared with a comprehensive health education control program. Participants were then rerandomized to an 8-week tailored or control online program to test the added effects of the online intervention on reducing body mass index and improving physical activity (moderate-to-vigorous physical activity [MVPA], light physical activity [LPA]), and diet.
There were no significant intervention effects for body mass index or diet. There was a significant effect of the group M + FWL intervention on parent LPA at 16 weeks (B = 33.017, SE = 13.115, p = .012). Parents in the group M + FWL intervention showed an increase in LPA, whereas parents in the comprehensive health education group showed a decrease in LPA. Secondary analyses using complier average causal effects showed a significant intervention effect at 16 weeks for parents on MVPA and a similar trend for adolescents.
While the intervention showed some impact on physical activity, additional strategies are needed to impact weight loss among overweight African American adolescents.</description><identifier>ISSN: 0883-6612</identifier><identifier>EISSN: 1532-4796</identifier><identifier>DOI: 10.1093/abm/kaab110</identifier><identifier>PMID: 35226095</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Adolescent ; Black or African American ; Cohort Studies ; Humans ; Overweight - therapy ; Regular ; Weight Loss ; Weight Reduction Programs</subject><ispartof>Annals of behavioral medicine, 2022-10, Vol.56 (10), p.1042-1055</ispartof><rights>Society of Behavioral Medicine 2022. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.</rights><rights>Society of Behavioral Medicine 2022. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c381t-fcccd8d4d2194f006a8edaacd92f162ec801eb462401daa1f51337bd3e075ed03</citedby><cites>FETCH-LOGICAL-c381t-fcccd8d4d2194f006a8edaacd92f162ec801eb462401daa1f51337bd3e075ed03</cites><orcidid>0000-0002-9829-0274 ; 0000-0001-6433-8463</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35226095$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wilson, Dawn K</creatorcontrib><creatorcontrib>Sweeney, Allison M</creatorcontrib><creatorcontrib>Van Horn, M Lee</creatorcontrib><creatorcontrib>Kitzman, Heather</creatorcontrib><creatorcontrib>Law, Lauren H</creatorcontrib><creatorcontrib>Loncar, Haylee</creatorcontrib><creatorcontrib>Kipp, Colby</creatorcontrib><creatorcontrib>Brown, Asia</creatorcontrib><creatorcontrib>Quattlebaum, Mary</creatorcontrib><creatorcontrib>McDaniel, Tyler</creatorcontrib><creatorcontrib>St George, Sara M</creatorcontrib><creatorcontrib>Prinz, Ron</creatorcontrib><creatorcontrib>Resnicow, Ken</creatorcontrib><title>The Results of the Families Improving Together (FIT) for Weight Loss Randomized Trial in Overweight African American Adolescents</title><title>Annals of behavioral medicine</title><addtitle>Ann Behav Med</addtitle><description>Few intervention studies have integrated cultural tailoring, parenting, behavioral, and motivational strategies to address African American adolescent weight loss.
The Families Improving Together (FIT) for Weight Loss trial was a randomized group cohort study testing the efficacy of a cultural tailoring, positive parenting, and motivational intervention for weight loss in overweight African American adolescents (N = 241 adolescent/caregiver dyads).
The trial tested an 8-week face-to-face group motivational plus family weight loss program (M + FWL) compared with a comprehensive health education control program. Participants were then rerandomized to an 8-week tailored or control online program to test the added effects of the online intervention on reducing body mass index and improving physical activity (moderate-to-vigorous physical activity [MVPA], light physical activity [LPA]), and diet.
There were no significant intervention effects for body mass index or diet. There was a significant effect of the group M + FWL intervention on parent LPA at 16 weeks (B = 33.017, SE = 13.115, p = .012). Parents in the group M + FWL intervention showed an increase in LPA, whereas parents in the comprehensive health education group showed a decrease in LPA. Secondary analyses using complier average causal effects showed a significant intervention effect at 16 weeks for parents on MVPA and a similar trend for adolescents.
While the intervention showed some impact on physical activity, additional strategies are needed to impact weight loss among overweight African American adolescents.</description><subject>Adolescent</subject><subject>Black or African American</subject><subject>Cohort Studies</subject><subject>Humans</subject><subject>Overweight - therapy</subject><subject>Regular</subject><subject>Weight Loss</subject><subject>Weight Reduction Programs</subject><issn>0883-6612</issn><issn>1532-4796</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkc1rGzEQxUVoaZy0p9yLjgllG32tdvdSMCFuDYZA2NKj0EojW83uypHWLs2pf3oU7Ib2NBrNj_dGeghdUPKZkoZf6264ftC6o5ScoBktOStE1cg3aEbqmhdSUnaKzlL6SQjhgsp36JSXjEnSlDP0p90Avoe066eEg8NTbhd68L2HhJfDNoa9H9e4DWvIo4gvF8v2CrsQ8Q_w682EVyElfK9HGwb_BBa30ese-xHf7SH-OjBzF73RI54PcDzY0EMyME7pPXrrdJ_gw7Geo--L2_bmW7G6-7q8ma8Kw2s6Fc4YY2srLKONcIRIXYPV2tiGOSoZmJpQ6IRkgtB8T11JOa86y4FUJVjCz9GXg-521w1gX7yj7tU2-kHH3ypor_6fjH6j1mGvmpLVVVNmgcujQAyPO0iTGnx-Qt_rEcIuKSa5KIUUlcjopwNqYv6dCO7VhhL1kpnKmaljZpn--O9mr-zfkPgzyIaWRA</recordid><startdate>20221003</startdate><enddate>20221003</enddate><creator>Wilson, Dawn K</creator><creator>Sweeney, Allison M</creator><creator>Van Horn, M Lee</creator><creator>Kitzman, Heather</creator><creator>Law, Lauren H</creator><creator>Loncar, Haylee</creator><creator>Kipp, Colby</creator><creator>Brown, Asia</creator><creator>Quattlebaum, Mary</creator><creator>McDaniel, Tyler</creator><creator>St George, Sara M</creator><creator>Prinz, Ron</creator><creator>Resnicow, Ken</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-9829-0274</orcidid><orcidid>https://orcid.org/0000-0001-6433-8463</orcidid></search><sort><creationdate>20221003</creationdate><title>The Results of the Families Improving Together (FIT) for Weight Loss Randomized Trial in Overweight African American Adolescents</title><author>Wilson, Dawn K ; Sweeney, Allison M ; Van Horn, M Lee ; Kitzman, Heather ; Law, Lauren H ; Loncar, Haylee ; Kipp, Colby ; Brown, Asia ; Quattlebaum, Mary ; McDaniel, Tyler ; St George, Sara M ; Prinz, Ron ; Resnicow, Ken</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c381t-fcccd8d4d2194f006a8edaacd92f162ec801eb462401daa1f51337bd3e075ed03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adolescent</topic><topic>Black or African American</topic><topic>Cohort Studies</topic><topic>Humans</topic><topic>Overweight - therapy</topic><topic>Regular</topic><topic>Weight Loss</topic><topic>Weight Reduction Programs</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wilson, Dawn K</creatorcontrib><creatorcontrib>Sweeney, Allison M</creatorcontrib><creatorcontrib>Van Horn, M Lee</creatorcontrib><creatorcontrib>Kitzman, Heather</creatorcontrib><creatorcontrib>Law, Lauren H</creatorcontrib><creatorcontrib>Loncar, Haylee</creatorcontrib><creatorcontrib>Kipp, Colby</creatorcontrib><creatorcontrib>Brown, Asia</creatorcontrib><creatorcontrib>Quattlebaum, Mary</creatorcontrib><creatorcontrib>McDaniel, Tyler</creatorcontrib><creatorcontrib>St George, Sara M</creatorcontrib><creatorcontrib>Prinz, Ron</creatorcontrib><creatorcontrib>Resnicow, Ken</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Annals of behavioral medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wilson, Dawn K</au><au>Sweeney, Allison M</au><au>Van Horn, M Lee</au><au>Kitzman, Heather</au><au>Law, Lauren H</au><au>Loncar, Haylee</au><au>Kipp, Colby</au><au>Brown, Asia</au><au>Quattlebaum, Mary</au><au>McDaniel, Tyler</au><au>St George, Sara M</au><au>Prinz, Ron</au><au>Resnicow, Ken</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Results of the Families Improving Together (FIT) for Weight Loss Randomized Trial in Overweight African American Adolescents</atitle><jtitle>Annals of behavioral medicine</jtitle><addtitle>Ann Behav Med</addtitle><date>2022-10-03</date><risdate>2022</risdate><volume>56</volume><issue>10</issue><spage>1042</spage><epage>1055</epage><pages>1042-1055</pages><issn>0883-6612</issn><eissn>1532-4796</eissn><abstract>Few intervention studies have integrated cultural tailoring, parenting, behavioral, and motivational strategies to address African American adolescent weight loss.
The Families Improving Together (FIT) for Weight Loss trial was a randomized group cohort study testing the efficacy of a cultural tailoring, positive parenting, and motivational intervention for weight loss in overweight African American adolescents (N = 241 adolescent/caregiver dyads).
The trial tested an 8-week face-to-face group motivational plus family weight loss program (M + FWL) compared with a comprehensive health education control program. Participants were then rerandomized to an 8-week tailored or control online program to test the added effects of the online intervention on reducing body mass index and improving physical activity (moderate-to-vigorous physical activity [MVPA], light physical activity [LPA]), and diet.
There were no significant intervention effects for body mass index or diet. There was a significant effect of the group M + FWL intervention on parent LPA at 16 weeks (B = 33.017, SE = 13.115, p = .012). Parents in the group M + FWL intervention showed an increase in LPA, whereas parents in the comprehensive health education group showed a decrease in LPA. Secondary analyses using complier average causal effects showed a significant intervention effect at 16 weeks for parents on MVPA and a similar trend for adolescents.
While the intervention showed some impact on physical activity, additional strategies are needed to impact weight loss among overweight African American adolescents.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>35226095</pmid><doi>10.1093/abm/kaab110</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0002-9829-0274</orcidid><orcidid>https://orcid.org/0000-0001-6433-8463</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Annals of behavioral medicine, 2022-10, Vol.56 (10), p.1042-1055 |
| issn | 0883-6612 1532-4796 |
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| source | MEDLINE; Oxford University Press Journals All Titles (1996-Current) |
| subjects | Adolescent Black or African American Cohort Studies Humans Overweight - therapy Regular Weight Loss Weight Reduction Programs |
| title | The Results of the Families Improving Together (FIT) for Weight Loss Randomized Trial in Overweight African American Adolescents |
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