Trial reportAnnals of behavioral medicine : a publication of the Society of Behavioral Medicine2019
Outcomes From a Sequential Multiple Assignment Randomized Trial of Weight Loss Strategies for African American Adolescents With Obesity.
Trial report in Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05675020 (Promote Healthy Lifestyle Behaviors for Adolescents With Mental Health Conditions), which is not on this map. Cited by 16 papers, 2 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.
Promote Healthy Lifestyle Behaviors for Adolescents With Mental Health Conditions
Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The role of motivation in weight reduction programs for children and adolescents with overweight or obesity: a systematic review.Eating and weight disorders : EWD · 2025Pooled it
- Pooled it
- Home-Delivered Pediatric Weight Management for Low-Income Families: A Randomized Controlled Trial.Pediatrics · 2025Trial
- Examining engagement effects in an adaptive preventive intervention for college student drinking.Journal of consulting and clinical psychology · 2023Trial
- Daytime sleepiness, addictive-like eating, and obesity sequelae in Black and African American youth with obesity.Sleep health · 2022Trial
- Development of the Motivational Interviewing Coach Rating Scale (MI-CRS) for health equity implementation contexts.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2021Trial
- African-American Adolescents' Weight Loss Skills Utilization: Effects on Weight Change in a Sequential Multiple Assignment Randomized Trial.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2019Trial
- A Scoping Review of Tailoring in Pediatric Obesity Interventions.Childhood obesity (Print) · 2025Article
- Article
- Evidence Base Update on Behavioral Treatments for Overweight and Obesity in Children and Adolescents.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53 · 2023Review
- Psychosocial-Behavioral Phenotyping: A Novel Precision Health Approach to Modeling Behavioral, Psychological, and Social Determinants of Health Using Machine Learning.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2022Article
- Racial Disparities in Methylation ofGenes · 2022Article
- Feasibility of an MI-CBT ketogenic adherence program for older adults with mild cognitive impairment.Pilot and feasibility studies · 2022Article
- Joint modeling and multiple comparisons with the best of data from a SMART with survival outcomes.Biostatistics (Oxford, England) · 2022Article
- Motivating Children and Adolescents in Obesity Treatment.Journal of obesity & metabolic syndrome · 2020Review
- An Examination of Adolescents' Values in a Motivational Interviewing-based Obesity Intervention.American journal of health behavior · 2020Article
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
backgroundMinority adolescents are at highest risk for obesity and extreme obesity; yet, there are few clinical trials targeting African American adolescents with obesity. PURPOSE: The purpose of the study was to develop an adaptive family-based behavioral obesity treatment for African American adolescents using a sequential multiple assignment randomized trial (SMART) design.
methodsFit Families was a SMART where 181 African American adolescents (67% female) aged 12-17 were first randomized to office-based versus home-based behavioral skills treatment delivered from a Motivational Interviewing foundation. After 3 months, nonresponders to first phase treatment were rerandomized to continued home-based behavioral skills treatment or contingency management with voucher-based reinforcement for adolescent weight loss and for caregiver adherence to the program. All interventions were delivered by community health workers. The primary outcome was treatment retention and percent overweight.
resultsAll adolescents reduced percent overweight by -3.20%; there were no significant differences in percent overweight based on treatment sequence. Adolescents receiving home-based delivery in Phase 1 and contingency management in Phase 2 completed significantly more sessions than those receiving office-based treatment and continued skills without CM (M = 8.03, SD = 3.24 and M = 6.62, SD = 2.95, respectively). The effect of contingency management was strongest among older and those with lower baseline confidence. Younger adolescents experienced greater weight reductions when receiving continued skills (-4.90% compared with -.02%).
conclusionsBehavioral skills training can be successfully delivered to African American adolescents with obesity and their caregivers by community health workers when using a home-based service model with incentives. More potent interventions are needed to increase reductions in percent overweight and may need to be developmentally tailored for younger and older adolescents.
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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.