ArticlePatient education and counseling2015
Engaging children in the development of obesity interventions: Exploring outcomes that matter most among obesity positive outliers.
Article in Patient education and counseling, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
What it found
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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.
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.
Who cites it
12 citing papers in PubMed, 20 citations in OpenAlex.
- Comparative Effectiveness of Clinical and Community-Based Approaches to Healthy Weight.Pediatrics · 2021Trial
- Comparative Effectiveness of Clinical-Community Childhood Obesity Interventions: A Randomized Clinical Trial.JAMA pediatrics · 2017Trial
- Connect for Health: Design of a clinical-community childhood obesity intervention testing best practices of positive outliers.Contemporary clinical trials · 2015Trial
- Protective Eating Behaviors Among Children at Higher Risk for Obesity in the INSIGHT Study.Childhood obesity (Print) · 2025Article
- Keys to Achieving Clinically Important Weight Loss: Perceptions of Responders and Nonresponders in the Clinic and Community Approaches to Healthy Weight Trial.Childhood obesity (Print) · 2023Article
- Article
- Qualitative Comparative Analysis of Program and Participant Factors That Explain Success in a Micropolitan Pediatric Weight Management Intervention.Childhood obesity (Print) · 2022Article
- Positive deviance in health and medical research on individual level outcomes - a review of methodology.Annals of epidemiology · 2022Review
- Characteristics of achieving clinically important weight loss in two paediatric weight management interventions.Pediatric obesity · 2021Article
- Child Health Behaviour and Parent Priorities for a School-Based Healthy Lifestyle Programme.Health education journal · 2021Article
- Developing a patient-centered outcome for targeting early childhood obesity across multiple stakeholders.BMC obesity · 2018Article
- Expectations for Treatment in Pediatric Weight Management and Relationship to Attrition.Childhood obesity (Print) · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 4 institutions in 1 country.
Funding
Abstract
objectiveTo explore outcomes and measures of success that matter most to 'positive outlier' children who improved their body mass index (BMI) despite living in obesogenic neighborhoods.
methodsWe collected residential address and longitudinal height/weight data from electronic health records of 22,657 children ages 6-12 years in Massachusetts. We defined obesity "hotspots" as zip codes where >15% of children had a BMI ≥95th percentile. Using linear mixed effects models, we generated a BMI z-score slope for each child with a history of obesity. We recruited 10-12 year-olds with negative slopes living in hotspots for focus groups. We analyzed group transcripts and discussed emerging themes in iterative meetings using an immersion/crystallization approach.
resultsWe reached thematic saturation after 4 focus groups with 21 children. Children identified bullying and negative peer comparisons related to physical appearance, clothing size, and athletic ability as motivating them to achieve a healthier weight, and they measured success as improvement in these domains. Positive relationships with friends and family facilitated both behavior change initiation and maintenance.
conclusionsThe perspectives of positive outlier children can provide insight into children's motivations leading to successful obesity management. PRACTICE IMPLICATIONS: Child/family engagement should guide the development of patient-centered obesity interventions.
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Registered trials
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.