Evidence map›Paper›PMID 28003178›Full record

Trial reportArchives of disease in childhood2017

Randomised controlled trial and economic evaluation of the 'Families for Health' programme to reduce obesity in children.

Wendy Robertson, Joanna Fleming, Atiya Kamal, Thomas Hamborg, Kamran A Khan, Frances Griffiths, Sarah Stewart-Brown, Nigel Stallard, Stavros Petrou, Douglas Simkiss and 3 more

Abstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Archives of disease in childhood, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 6 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

14 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
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  6. A developmental cascade perspective of paediatric obesity: A systematic review of preventive interventions from infancy through late adolescence.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2020
    Pooled it
  7. Trial
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  14. Is there an association between early weight status and utility-based health-related quality of life in young children?Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2018
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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

13 authors.

Wendy RobertsonDivision of Health Sciences, Warwick Medical School, University of Warwick, Coventry, UK.
Joanna FlemingDivision of Health Sciences, Warwick Medical School, University of Warwick, Coventry, UK.
Atiya KamalDivision of Health Sciences, Warwick Medical School, University of Warwick, Coventry, UK.
Thomas HamborgDivision of Health Sciences, Warwick Medical School, University of Warwick, Coventry, UK.
Kamran A KhanDivision of Health Sciences, Warwick Medical School, University of Warwick, Coventry, UK.
Frances GriffithsDivision of Health Sciences, Warwick Medical School, University of Warwick, Coventry, UK.
Sarah Stewart-BrownDivision of Health Sciences, Warwick Medical School, University of Warwick, Coventry, UK.
Nigel StallardDivision of Health Sciences, Warwick Medical School, University of Warwick, Coventry, UK.
Stavros PetrouDivision of Health Sciences, Warwick Medical School, University of Warwick, Coventry, UK.
Douglas SimkissDivision of Health Sciences, Warwick Medical School, University of Warwick, Coventry, UK.
Elizabeth HarrisonDivision of Health Sciences, Warwick Medical School, University of Warwick, Coventry, UK.
Sung Wook KimDivision of Health Sciences, Warwick Medical School, University of Warwick, Coventry, UK.
Margaret ThorogoodDivision of Health Sciences, Warwick Medical School, University of Warwick, Coventry, UK.

Funding

Department of Health 09/127/41Department of Health WMCLAHRC-2014-1Medical Research Council G0501681Medical Research Council G0700452
6 · The paper itself

Abstract

objectiveEvaluating effectiveness and cost-effectiveness of 'Families for Health V2' (FFH) compared with usual care (UC).

designMulticentre randomised controlled trial (RCT) (investigators blinded, families unblinded) and economic evaluation. Stratified randomisation by family; target of 120 families.

settingThree National Health Service Primary Care Trusts in West Midlands, England.

participantsOverweight or obese (≥91st or ≥98th centile body mass index (BMI)) children aged 6-11 years and their parents/carers, recruited March 2012-February 2014.

interventionsFFH; a 10-week community-based family programme addressing parenting, lifestyle change and social and emotional development. UC; usual support for childhood obesity at each site.

main outcome measuresPrimary outcomes were 12-months change in children's BMI z-score and incremental cost per quality-adjusted life-year gained (QALY). Secondary outcomes included changes in children's physical activity, fruit and vegetable consumption and quality of life, parents' BMI and mental well-being, family eating/activity, parent-child relationships and parenting style.

results115 families (128 children) were randomised to FFH (n=56) or UC (n=59). There was no significant difference in BMI z-score 12-months change (0.114, 95% CI -0.001 to 0.229, p=0.053; p=0.026 in favour of UC with missing value multiple imputation). One secondary outcome, change in children's waist z-score, was significantly different between groups in favour of UC (0.15, 95% CI 0.00 to 0.29). Economic evaluation showed that mean costs were significantly higher for FFH than UC (£998 vs £548, p<0.001). Mean incremental cost-effectiveness of FFH was estimated at £552 175 per QALY.

conclusionsFFH was neither effective nor cost-effective for the management of obesity compared with UC. TRIAL REGISTRATION NUMBER: ISRCTN45032201.

Indexed as

Family HealthParentingAnthropometryBody Mass IndexChildChild Health ServicesCost-Benefit AnalysisDietEnglandFeeding BehaviorFemaleHealth PromotionHumansLife StyleMaleObesityEvidence Based MedicineNutritionObesityParenting

Identifiers

PMID28003178
PMCPMC6234231

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.