Evidence map›Paper›PMID 24937148›Full record

ArticleThe Permanente journal2014

An adaptation of family-based behavioral pediatric obesity treatment for a primary care setting: group health family wellness program pilot.

Karin R Riggs, Paula Lozano, Amy Mohelnitzky, Sarah Rudnick, Julie Richards

Abstract read
In one paragraph

Article in The Permanente journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Evidence Base Update on Behavioral Treatments for Overweight and Obesity in Children and Adolescents.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53 · 2023
    Review
  5. Article
  6. Article
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  10. Quality of life improves in children and adolescents during a community-based overweight and obesity treatment.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2017
    Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Karin R RiggsBehavioral Health Specialist at the Seattle Children's Research Institute, a Masters candidate in Advanced Practice Nursing-Family Psychiatric Mental Health at Seattle University, and a former Research Associate at Group Health Research Institute in Seattle, WA. kriggs@uw.edu.
Paula LozanoSenior Investigator at Group Health Research Institute and Assistant Medical Director of Preventive Care at Group Health in Seattle, WA. lozano.p@ghc.org.
Amy MohelnitzkyPhysician Assistant candidate in the MEDEX Physician Assistant Program at the University of Washington School of Medicine and former Senior Research Interventionist at Group Health Research Institute in Seattle, WA. moheal1@uw.edu.
Sarah RudnickPediatrician at Group Health in Seattle, WA. rudnick.s@ghc.org.
Julie RichardsProject Manager at Group Health Research Institute in Seattle, WA. richards.je@ghc.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the feasibility and acceptability of family-based group pediatric obesity treatment in a primary care setting, to obtain an estimate of its effectiveness, and to describe participating parents' experiences of social support for healthy lifestyle changes.

methodsWe adapted an evidence-based intervention to a group format and completed six 12- to 16-week groups over 3 years. We assessed program attendance and completion, changes in child and parent body mass index (BMI; calculated as weight in kilograms divided by height in meters squared), and changes in child quality of life in a single-arm before-and-after trial. Qualitative interviews explored social support for implementing healthy lifestyle changes.

resultsThirty-eight parent-child pairs enrolled (28% of the 134 pairs invited). Of those, 24 (63%) completed the program and another 6 (16%) attended at least 4 sessions but did not complete the program. Children who completed the program achieved a mean change in BMI Z-scores (Z-BMI) of -0.1 (0.1) (p < 0.001) and significant improvement in parent-reported child quality of life (mean change = 8.5; p = 0.002). Mean BMI of parents changed by -0.9 (p = 0.003). Parents reported receiving a wide range of social support for healthy lifestyle changes and placed importance on the absence or presence of support.

conclusionsA pilot group program for family-based treatment of pediatric obesity is feasible and acceptable in a primary care setting. Change in child and parent BMI outcomes and child quality of life among completers were promising despite the pilot's low intensity. Parent experiences with lack of social support suggest possible ways to improve retention and adherence.

Indexed as

AdolescentBehavior TherapyBody Mass IndexChildFamily TherapyFeasibility StudiesFemaleHumansLife StyleMalePatient Acceptance of Health CarePatient SatisfactionPediatric ObesityPilot ProjectsQualitative ResearchQuality of Life

Identifiers

PMID24937148
PMCPMC4116258

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.