Evidence map›Paper›PMID 29350459›Full record

Trial reportPediatric blood & cancer2018

NOURISH-T: Targeting caregivers to improve health behaviors in pediatric cancer survivors with obesity.

Marilyn Stern, Jennifer Bleck, Linda J Ewing, Esther Davila, Courtney Lynn, Gregory Hale, Suzanne Mazzeo

3 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Pediatric blood & cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 19 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 5 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.

NCT04656496 naactive not recruitingnot on this mapstarted 2020, after this paper: background citation

NOURISH-T+: A Randomized Control Trial Targeting Parents in Promoting Healthy Eating and Exercise Behaviors in Pediatric Cancer Survivors With Overweight/Obesity

TypeinterventionalSponsorUniversity of South FloridaRan2020 to 2027Enrolled520ConditionsObesity, Childhood, Cancer, SurvivorshipArmsNOURISH-T+, Brief NOURISH-T+
NCT04800432 nacompletednot on this mapstarted 2021, after this paper: background citation

ADAPT+: Optimizing an Intervention to Promote Healthy Behaviors in Rural, Latino Youth With Obesity and Their Parents, Using Mindfulness Strategies

TypeinterventionalSponsorUniversity of South FloridaRan2021 to 2023Enrolled95ConditionsPediatric ObesityArmsADAPT+, EUC
NCT05194345 nacompletednot on this mapstarted 2022, after this paper: background citation

An Integrated Nutrition Intervention Through the Part C Early Intervention Services to Promote Healthy Eating Habits for Children With ASD

TypeinterventionalSponsorUniversity of South FloridaRan2022 to 2024Enrolled132ConditionsAutism Spectrum DisorderArmsAutism Eats nutrition intervention, We Can! enhanced usual care
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  6. Trial
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  8. Article
  9. Diet and physical activity intervention preferences for young adult cancer survivors.Journal of cancer survivorship : research and practice · 2025
    Article
  10. The evolution of nutritional care in children and young people with acute lymphoblastic leukaemia: a narrative review.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025
    Review
  11. Metabolic Implications of Childhood Cancer.Current pediatrics reports · 2025
    Article
  12. Review
  13. Review
  14. Review
  15. Article
  16. Article
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  18. Dietary and Exercise Interventions for Pediatric Oncology Patients: The Way Forward.Journal of the National Cancer Institute. Monographs · 2019
    Review
  19. 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

7 authors.

Marilyn SternDepartment of Child and Family Studies, University of South Florida, Tampa, Florida.ORCID 0000-0003-2183-0030
Jennifer BleckDepartment of Child and Family Studies, University of South Florida, Tampa, Florida.
Linda J EwingDepartment of Psychiatry, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Esther DavilaDepartment of Psychology, University of South Florida, Tampa, Florida.
Courtney LynnDepartment of Educational and Psychological Studies, University of South Florida, Tampa, Florida.
Gregory HaleAll Children's Hospital/Johns Hopkins Medical Center, St. Petersburg, Florida.
Suzanne MazzeoDepartment of Psychology, Virginia Commonwealth University, Richmond, Virginia.

Funding

Targeting Caregivers to Enhance Health Behaviors in Pediatric Cancer SurvivorsR21CA167259 · NCI · UNIVERSITY OF SOUTH FLORIDA · PI STERN, MARILYN · 2013 to 2014
$369k
NCI NIH HHS R21 CA167259
6 · The paper itself

Abstract

backgroundObesity rates in pediatric cancer survivors (PCS) are alarmingly high. Although healthy lifestyle changes may prevent future health complications, promoting healthy behaviors in PCS is challenging, and few interventions have successfully addressed this issue. PROCEDURE: This randomized control trial evaluated the feasibility and preliminary effectiveness of a parent-focused six-session intervention, NOURISH-T (Nourishing Our Understanding of Role Modeling to Improve Support and Health for Healthy Transitions), compared with enhanced usual care (EUC) on the outcomes of caregiver and PCS anthropometric measurements, eating behaviors, and physical activity. Behavioral and self-report assessments of caregivers and PCS in both conditions were conducted at baseline, postintervention, and at a 4-month follow-up.

resultsIn comparison to no change among EUC caregivers, NOURISH-T caregivers showed small yet significant decreases from baseline through follow-up on BMI, waist-hip ratio, and total daily caloric intake. However, there was no change with regard to daily fat and sugar intake. NOURISH-T caregivers also showed positive changes in their child feeding behaviors, including decreases in pressuring their child to eat and restricting their child's eating and increased eating together as a family. Similarly, decreases in BMI percentile, waist-hip ratio, and sugary beverage consumption were found for NOURISH-T PCS from baseline to postintervention. NOURISH-T PCS also significantly increased their daily steps, whereas EUC PCS decreased their daily steps.

conclusionsResults suggest that an intervention targeting parents is feasible and demonstrates preliminary effectiveness. NOURISH-T showed a longer term effect on caregivers, and, although shorter term effect, a positive impact on the PCS themselves. Implications for ways to improve NOURISH-T as an intervention for increasing healthy behaviors of PCS are discussed.

Indexed as

Health BehaviorAdultCancer SurvivorsCaregiversChildChild, PreschoolFeasibility StudiesFemaleFollow-Up StudiesHumansMaleNeoplasmsParentsPediatric ObesitySurveys and Questionnairesparent trainingpediatric cancerpediatric obesityrandomized clinical

Identifiers

PMID29350459
PMCPMC5867222

What OpenQuestion holds

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Read underepoch 390

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.