Trial reportJournal of pediatric psychology2019
Featured Article: Behavior Interventions Addressing Obesity in Rural Settings: The E-FLIP for Kids Trial.
Trial report in Journal of pediatric psychology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01820338 (Extension Family Lifestyle Intervention Project), which is not on this map. Cited by 17 papers, 1 of them a synthesis 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.
Extension Family Lifestyle Intervention Project (E-FLIP for Kids)
Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The effect of psychological interventions targeting overweight and obesity in school-aged children: a systematic review and meta-analysis.BMC public health · 2023Pooled it
- Retention, blinding, and health outcomes from a rural pediatric obesity feasibility randomized control trial.Journal of pediatric psychology · 2026Trial
- Mental health outcomes of a pediatric-focused obesity randomized control trial in rural communities.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025Trial
- Feasibility and acceptability of the TEAM pilot trial with African American and Latino families.Journal of pediatric psychology · 2025Trial
- A family-based behavioral group obesity randomized control feasibility trial across a clinical trials network: a focus on contact hours.Journal of pediatric psychology · 2025Trial
- 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
- A Multi-Level Intervention to Address Childhood Obesity in Rural Hispanic Communities.Obesity science & practice · 2026Article
- Key components of effective non-pharmacological interventions for childhood obesity: a review considering social determinants of health.European journal of pediatrics · 2025Review
- 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
- School Health Education Program in Pakistan (SHEPP): findings from a feasibility trial in pre-adolescent school children from a lower middle-income country.Pilot and feasibility studies · 2023Article
- Engaging Stakeholders to Adapt an Evidence-Based Family Healthy Weight Program.Translational behavioral medicine · 2023Article
- Family-focused obesity prevention program implementation in urban versus rural communities: a case study.BMC public health · 2021Article
- Implementation of theChildhood obesity (Print) · 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
- Latent Profiles of Health Behaviors in Rural Children with Overweight and Obesity.Journal of pediatric psychology · 2020Article
- Contextualizing Rural/Non-Rural Differences in Pediatric Primary Care Patterns in South Carolina: A Mixed-Methods Study.Family & community healthArticle
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
objectiveTo assess the effectiveness of behavioral parent-only (PO) and family-based (FB) interventions on child weight, dietary intake, glycated hemoglobin, and quality of life in rural settings.
methodsThis study was a three-armed, randomized controlled trial. Participants were children (age 8-12 years) with overweight or obesity and their parents. A FB (n = 88), a PO (n = 78) and a health education condition (HEC) (n = 83) each included 20 group contacts over 1 year. Assessment and treatment contacts occurred at Cooperative Extension Service offices. The main outcome was change in child body mass index z-score (BMIz) from baseline to year 2.
resultsParents in all conditions reported high treatment satisfaction (mean of 3.5 or higher on a 4-point scale). A linear mixed model analysis of change in child BMIz from baseline to year 1 and year 2 found that there were no significant group by time differences in child BMIz (year 2 change in BMIz for FB = -0.03 [-0.1, 0.04], PO = -0.01 [-0.08, 0.06], and HEC = -0.09 [-0.15, -0.02]). While mean attendance across conditions was satisfactory during months 1-4 (69%), it dropped during the maintenance phase (42%). High attendance for the PO intervention was related to greater changes in child BMIz (p < .02). Numerous barriers to participation were reported.
conclusionMany barriers exist that inhibit regular attendance at in-person contacts for many families. Innovative delivery strategies are needed that balance treatment intensity with feasibility and acceptability to families and providers to facilitate broad dissemination in underserved rural settings.ClinicalTrials.gov Identifier: NCT01820338.
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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.