Evidence map›Paper›PMID 26478951›Full record

Trial reportChildhood obesity (Print)2015

Pediatric Primary Care-Based Obesity Prevention for Parents of Preschool Children: A Pilot Study.

Nancy E Sherwood, Meghan M JaKa, A Lauren Crain, Brian C Martinson, Marcia G Hayes, Julie D Anderson

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Childhood obesity (Print), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 8 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

20 citing papers in PubMed, 8 syntheses or guidelines pooled it.

  1. Interventions to prevent obesity in children aged 2 to 4 years old.The Cochrane database of systematic reviews · 2025
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  7. Interventions for preventing obesity in children.The Cochrane database of systematic reviews · 2019
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  13. From preschool to policy: A scoping review of recommended interventions for a systems approach to improve dietary intake in early childhood.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
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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

6 authors.

Nancy E SherwoodHealthPartners Institute for Education and Research , Bloomington, MN.
Meghan M JaKaHealthPartners Institute for Education and Research , Bloomington, MN.
A Lauren CrainHealthPartners Institute for Education and Research , Bloomington, MN.
Brian C MartinsonHealthPartners Institute for Education and Research , Bloomington, MN.
Marcia G HayesHealthPartners Institute for Education and Research , Bloomington, MN.
Julie D AndersonHealthPartners Institute for Education and Research , Bloomington, MN.

Funding

Obesity and Energy Metabolism CoreP30DK050456 · NIDDK · UNIVERSITY OF MINNESOTA TWIN CITIES · PI CROW, SCOTT J · 1995 to 2015
$17.0M
Translational Research Core - Health Engagement & Action Translational (HEAT)P30DK092924 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI Alyce Sophia Adams, HILARY Kessler SELIGMAN · 2011 to 2026
$9.2M
Minnesota Obesity Prevention Training (MnOPT)T32DK083250 · NIDDK · UNIVERSITY OF MINNESOTA · PI KOTZ, CATHERINE M, LASKA, MELISSA N. · 2010 to 2024
$5.1M
Linking home environments and primary care: Obesity prevention for 2-5 year oldsR21DK078239 · NIDDK · HEALTHPARTNERS INSTITUTE · PI SHERWOOD, NANCY E. · 2009 to 2010
$412k
NIDDK NIH HHS A1R21DK078239NIDDK NIH HHS P30DK050456NIDDK NIH HHS P30 DK092924NIDDK NIH HHS P30DK092924NIDDK NIH HHS R21 DK078239NIDDK NIH HHS T32 DK083250
6 · The paper itself

Abstract

backgroundThe Healthy Homes/Healthy Kids Preschool (HHHK-Preschool) pilot program is an obesity prevention intervention integrating pediatric care provider counseling and a phone-based program to prevent unhealthy weight gain among 2- to 4-year-old children at risk for obesity (BMI percentile between the 50th and 85th percentile and at least one overweight parent) or currently overweight (85th percentile ≤ BMI < 95th percentile). The aim of this randomized, controlled pilot study was to evaluate the feasibility, acceptability, and potential efficacy of the HHHK-Preschool intervention.

methodsSixty parent-child dyads recruited from pediatric primary care clinics were randomized to: (1) the Busy Bodies/Better Bites Obesity Prevention Arm or the (2) Healthy Tots/Safe Spots safety/injury prevention Contact Control Arm. Baseline and 6-month data were collected, including measured height and weight, accelerometry, previous day dietary recalls, and parent surveys. Intervention process data (e.g., call completion) were also collected.

resultsHigh intervention completion and satisfaction rates were observed. Although a statistically significant time by treatment interaction was not observed for BMI percentile or BMI z-score, post-hoc examination of baseline weight status as a moderator of treatment outcome showed that the Busy Bodies/Better Bites obesity prevention intervention appeared to be effective among children who were in the overweight category at baseline relative to those who were categorized as at risk for obesity (p = 0.04).

conclusionsHHHK-Preschool pilot study results support the feasibility, acceptability, and potential efficacy in already overweight children of a pediatric primary care-based obesity prevention intervention integrating brief provider counseling and parent-targeted phone coaching. What's New: Implementing pediatric primary care-based obesity interventions is challenging. Previous interventions have primarily involved in-person sessions, a barrier to sustained parent involvement. HHHK-preschool pilot study results suggest that integrating brief provider counseling and parent-targeted phone coaching is a promising approach.

Indexed as

CounselingPediatricsAdultBody Mass IndexChild, PreschoolDietExerciseFemaleHealth EducationHumansMaleOverweightParentsPediatric ObesityPhysicians, Primary CarePilot Projects

Identifiers

PMID26478951
PMCPMC4677530

What OpenQuestion holds

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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.