ArticlePilot and feasibility studies2018
Feasibility and outcomes of an out-of-school and home-based obesity prevention pilot study for rural children on an American Indian reservation.
Article in Pilot and feasibility studies, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 4 of them syntheses that pooled 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.
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
17 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Barriers and facilitators to structured, out-of-school physical activity participation among rural youth in the United States: a systematic review.BMC public health · 2026Pooled it
- The Efficacy of Interventions Targeting 24-h Movement Behaviours in Children and Adolescents: A Systematic Review and Meta-analysis.Sports medicine - open · 2025Pooled it
- Interventions in outside-school hours childcare settings for promoting physical activity amongst schoolchildren aged 4 to 12 years.The Cochrane database of systematic reviews · 2021Pooled it
- Identifying effective intervention strategies to reduce children's screen time: a systematic review and meta-analysis.The international journal of behavioral nutrition and physical activity · 2021Pooled it
- Pre-school-based behaviour change intervention to increase physical activity levels amongst young children: a feasibility cluster randomised controlled trial.Frontiers in public health · 2024Trial
- Parent Weight, Diet, Active Living, and Food-Related Outcomes of the Family-Focused:NU-HOME Randomized Controlled Trial: NU-HOME Randomized Controlled Trial.Journal of the Academy of Nutrition and Dietetics · 2023Trial
- Weight outcomes of NU-HOME: a randomized controlled trial to prevent obesity among rural children.The international journal of behavioral nutrition and physical activity · 2022Trial
- Article
- A Multi-Level Intervention to Address Childhood Obesity in Rural Hispanic Communities.Obesity science & practice · 2026Article
- Interventions to prevent obesity in school-aged children 6-18 years: An update of a Cochrane systematic review and meta-analysis including studies from 2015-2021.EClinicalMedicine · 2022Article
- Estimates of future cancer mortality attributable to modifiable risk factors in Canada.Canadian journal of public health = Revue canadienne de sante publique · 2021Article
- A Scoping Review of the Use of Indigenous Food Sovereignty Principles for Intervention and Future Directions.Current developments in nutrition · 2021Article
- Lessons Learned in Conducting Community Participatory School-Based Health Research on an American Indian Reservation.Progress in community health partnerships : research, education, and action · 2021Article
- Universal childhood obesity prevention in a rural community: Study design, methods and baseline participant characteristics of the NU-HOME randomized controlled trial.Contemporary clinical trials · 2021Article
- Community Readiness Model for Prevention Planning: Addressing Childhood Obesity in American Indian Reservation Communities.Journal of racial and ethnic health disparities · 2019Article
- A feasibility cluster randomised controlled trial of a preschool obesity prevention intervention: ToyBox-Scotland.Pilot and feasibility studies · 2019Article
- Rural Parent Support of Child Health Behavior in the Home Environment: A Qualitative Study on an American Indian Reservation.Global pediatric health · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
backgroundChildren living in rural areas are at higher risk for obesity compared to urban children, and Native American (NA) children have the highest prevalence of overweight/obesity for all races combined. Out-of-school programs (OOSPs) are a promising setting to improve children's health. Parents are important in supporting their child's obesity-related behaviors, yet it remains unclear what combination and dose of parent engagement strategies is feasible and optimal. This study's primary objective was to assess the feasibility of an OOSP and home-based obesity prevention intervention for rural NA and non-NA children.
methodsThis was an 11-week, two group, randomized feasibility study. Participants were children and their parents at one OOSP on a rural American Indian reservation. Children, ages 6-9, were randomized to receive the Generations Health (GH) intervention or comparison condition. The GH group received daily activities focused on physical activity (PA), nutrition, sleep, and reducing TV/screen time, and frequently engaged parents. The comparison group received usual OOSP activities. To assess intervention feasibility, we measured recruitment and participation rates and program satisfaction. We assessed pre- to posttest changes in body composition, PA and sleep patterns, dietary intake and Healthy Eating Index-2010 (HEI-2010) scores, TV/screen time, and nutrition knowledge. We report recruitment and participation rates as percentages and participants' program satisfaction as means. Two-tailed paired
resultsForty-six children met age eligibility criteria; following screening, 52% (24/46) met the inclusion criteria and 96% (23/24) were randomized to the study. Overall, 91% of the children participated in the intervention and 100% participated in at least some of the posttest assessments. Parents reported high program satisfaction (mean rating of 4, on a 1-5 scale). Our outcome measure for child adiposity, zBMI, was reduced by 0.15 in the GH group, but increased by 0.13 in the comparison condition. Meaningful changes were evident for total kilocalories, HEI-2010 scores, PA, TV/screen time, and nutrition knowledge.
conclusionsHigh recruitment, participation and program satisfaction and positive health and behavioral outcomes at 11 weeks provide encouraging indications of the feasibility and potential effectiveness of the intervention.
trial registrationISRCTN24274245.
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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.