ArticleContemporary clinical trials2019
Communities for healthy living (CHL) - A family-centered childhood obesity prevention program integrated into Head Start services: Study protocol for a pragmatic cluster randomized trial.
Article in Contemporary clinical trials, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03334669 (Empowerment as a Mechanism for Change in Childhood Obesity Prevention), which is not on this map. Cited by 15 papers, 2 of them syntheses that pooled it.
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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.
Empowerment as a Mechanism for Change in Childhood Obesity Prevention
Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Interventions to prevent obesity in children aged 2 to 4 years old.The Cochrane database of systematic reviews · 2025Pooled it
- Healthy eating interventions delivered in early childhood education and care settings for improving the diet of children aged six months to six years.The Cochrane database of systematic reviews · 2023Pooled it
- Trial
- Evaluation of a cluster-randomized controlled trial: Communities for Healthy Living, family-centered obesity prevention program for Head Start parents and children.The international journal of behavioral nutrition and physical activity · 2023Trial
- Digital and Blended Lifestyle Interventions for Preschool-Aged Children and Families With a Low Socioeconomic Position and the General Population: Scoping Review.Journal of medical Internet research · 2026Article
- Healthy eating interventions delivered in early childhood education and care settings for improving the diet of children aged six months to six years.The Cochrane database of systematic reviews · 2023Review
- Adaptation and implementation outcomes of a parenting program for low-income, ethnically diverse families delivered virtually versus in-person.Translational behavioral medicine · 2022Article
- Exploring a theory of change: Are increases in parental empowerment associated with healthier weight-related parenting practices?Social science & medicine (1982) · 2022Article
- Summer Weight Gain Among Preschool-Aged Children With Obesity: An Observational Study in Head Start.Preventing chronic disease · 2021Observational
- Acceptability and appropriateness of a novel parent-staff co-leadership model for childhood obesity prevention in Head Start: a qualitative interview study.BMC public health · 2021Article
- The Complex Quest of Preventing Obesity in Early Childhood: Describing Challenges and Solutions Through Collaboration and Innovation.Frontiers in endocrinology · 2021Article
- Modifications to Communities for Healthy Living trial design resulting from COVID-19.Contemporary clinical trials · 2020Article
- Development and Validation of a Parental Health-Related Empowerment Scale with Low Income Parents.International journal of environmental research and public health · 2020Article
- Article
- The Obesity Parenting Intervention Scale: Factorial Validity and Invariance Among Head Start Parents.American journal of preventive medicine · 2019Article
Corrections and comments
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Authors and funding
16 authors.
Funding
Abstract
backgroundChildhood obesity is highly prevalent and carries substantial health consequences. Childhood obesity interventions have had mixed results, which may be partially explained by the absence of theory that incorporates broader family context and methods that address implementation challenges in low-resource settings. Communities for Healthy Living (CHL) is an obesity prevention program for Head Start preschools designed with careful focus on theory and implementation. This protocol paper outlines the design, content, implementation, and evaluation of CHL. METHODS/
designCHL integrates a parenting program co-led by Head Start staff and parents, enhanced nutrition support, and a media campaign. CHL content and implementation are informed by the Family Ecological Model, Psychological Empowerment Theory, and Organizational Empowerment Theory. The intervention is directed by community-based participatory research and implementation science principles, such as co‑leadership with parents and staff, and implementation in a real world context. CHL is evaluated in a three-year pragmatic cluster-randomized trial with a stepped wedge design. The primary outcome is change in child Body Mass Index z-score. Secondary outcomes include children's weight-related behaviors (i.e., diet, physical activity, screen use, and sleep), parenting practices targeted at these behaviors (e.g., food parenting), and parent empowerment. The evaluation capitalizes on routine health data collected by Head Start (e.g., child height and weight, diet) coupled with parent surveys completed by subsamples of families. DISCUSSION: CHL is an innovative childhood obesity prevention program grounded in theory and implementation science principles. If successful, CHL is positioned for sustained implementation and nationwide Head Start scale-up.
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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.