Evidence map›Paper›PMID 30144630›Full record

ArticleContemporary clinical trials2018

Competency Based Approach to Community Health (COACH): The methods of a family-centered, community-based, individually adaptive obesity randomized trial for pre-school child-parent pairs.

William J Heerman, Laura E Burgess, Juan Escarfuller, Leah Teeters, Lauren Slesur, Jia Liu, Ally Qi, Lauren R Samuels, Marcy Singer-Gabella

Open access · greenAbstract readClinical Trial Protocol
In one paragraph

Article in Contemporary clinical trials, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
1.1field-weighted citation impact, top 19% of its field
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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Interventions to prevent obesity in children aged 2 to 4 years old.The Cochrane database of systematic reviews · 2025
    Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. 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

9 authors at 3 institutions in 1 country.

William J HeermanDepartment of Pediatrics, Vanderbilt University Medical Center, USA. Electronic address: Bill.Heerman@vanderbilt.edu.
Laura E BurgessDepartment of Pediatrics, Vanderbilt University Medical Center, USA.
Juan EscarfullerDepartment of Pediatrics, Vanderbilt University Medical Center, USA.
Leah TeetersSchool of Education, University of Colorado Boulder, USA.
Lauren SlesurSchool of Medicine, Vanderbilt University, USA.
Jia LiuSchool of Medicine, Vanderbilt University, USA.
Ally QiDepartment of Pediatrics, Vanderbilt University Medical Center, USA.
Lauren R SamuelsDepartment of Biostatistics, Vanderbilt University Medical Center, USA.
Marcy Singer-GabellaPeabody College of Education and Human Development, Vanderbilt University, USA.
Vanderbilt University Medical Center · USVanderbilt University · USUniversity of Colorado Boulder · US

Funding

The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
Vanderbilt Center for Diabetes Translation ResearchP30DK092986 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI OSBORN, CHANDRA Y. · 2011 to 2020
$6.7M
GROW Baby: Improving Maternal Gestational Weight Gain and Infant Growth in the Growing Right Onto Wellness (GROW) TrialK23HL127104 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI HEERMAN, WILLIAM · 2016 to 2020
$914k
NCATS NIH HHS UL1 TR000445NHLBI NIH HHS K23 HL127104NIDDK NIH HHS P30 DK092986
6 · The paper itself

Abstract

Competency-Based Approaches to Community Health (COACH) is a randomized controlled trial of a family-centered, community-based, and individually-tailored behavioral intervention for childhood obesity among Latino pre-school children. COACH focuses on improving personal agency for health behavior change by tailoring content to overcome contextual barriers. The intervention focuses on diet, physical activity, sleep, media use, and engaged parenting. The content is individually adapted based on routine assessments of competency in specific health behaviors using a mobile health platform and novel measurement tools developed by our team. In response to these regular assessments, health coaches provide tailored health behavior change strategies to help families focus on the areas where they decide to improve the most. The intervention consists of a 15-week group-based intensive phase, with weekly sessions delivered by health coaches in community centers. Following weekly sessions, a 3-month maintenance phase of the intervention consists of twice monthly coaching calls for participants to focus on individual health goals for their families. The primary outcome of the trial is child body mass index trajectory over 1 year. Secondary outcomes include parent body mass index change, child waist circumference, child diet, child physical activity, and other psychosocial mediators of child health behavior change. The control arm consists of a school readiness intervention, delivered by the Nashville Public Library. By applying a personalized approach to child behavior change, in the setting of both family and community, COACH aims to develop sustainable solutions for childhood obesity by supporting healthy childhood growth in low-income, minority preschool children.

Indexed as

DietExerciseParentingParentsPediatric ObesityAdaptive Clinical Trials as TopicBody Mass IndexChild, PreschoolFamilyHealth BehaviorHispanic or LatinoHumansRandomized Controlled Trials as TopicScreen TimeSleepWaist CircumferenceBehavioral interventionChildhood obesityPersonal agency

Identifiers

PMID30144630
PMCPMC6310120
OpenAlexW2888084877

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.