Evidence map›Paper›PMID 32527270›Full record

Trial reportHealth and quality of life outcomes2020

Family-centeredness of childhood obesity interventions: psychometrics & outcomes of the family-centered care assessment tool.

Meg Simione, Mona Sharifi, Monica W Gerber, Richard Marshall, Earlene Avalon, Lauren Fiechtner, Christine Horan, E John Orav, Joseph Skelton, Elsie M Taveras

Registry-linked trialOpen access · goldAbstract readRandomized Controlled TrialValidation Study
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Health and quality of life outcomes, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02124460 (Improving Childhood Obesity Outcomes), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.3field-weighted citation impact, top 9% 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.

NCT02124460 nacompletednot on this map

Improving Childhood Obesity Outcomes: Testing Best Practices of Positive Outliers

TypeinterventionalSponsorMassachusetts General HospitalRan2014 to 2016Enrolled721ConditionsOverweight, ObesityArmsHealth Coaching
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 16 citations in OpenAlex.

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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

10 authors at 7 institutions in 1 country.

Meg SimioneDivision of General Academic Pediatrics, Department of Pediatrics, MassGeneral Hospital for Children, 125 Nashua Street, Suite 860, Boston, MA, 02114, USA. msimione@mgh.harvard.edu.ORCID http://orcid.org/0000-0003-2636-9714
Mona SharifiSection of General Pediatrics, Department of Pediatrics, Yale University School of Medicine, New Haven, CT, USA.
Monica W GerberDivision of General Academic Pediatrics, Department of Pediatrics, MassGeneral Hospital for Children, 125 Nashua Street, Suite 860, Boston, MA, 02114, USA.
Richard MarshallDepartment of Pediatrics, Harvard Vanguard Medical Associates, Boston, MA, USA.
Earlene AvalonNortheastern University, Boston, MA, USA.
Lauren FiechtnerDivision of General Academic Pediatrics, Department of Pediatrics, MassGeneral Hospital for Children, 125 Nashua Street, Suite 860, Boston, MA, 02114, USA.
Christine HoranDivision of General Academic Pediatrics, Department of Pediatrics, MassGeneral Hospital for Children, 125 Nashua Street, Suite 860, Boston, MA, 02114, USA.
E John OravDepartment of Medicine, Brigham and Women's Hospital, Boston, MA, USA.
Joseph SkeltonDepartment of Pediatrics, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Elsie M TaverasDivision of General Academic Pediatrics, Department of Pediatrics, MassGeneral Hospital for Children, 125 Nashua Street, Suite 860, Boston, MA, 02114, USA.
Harvard University · USMassachusetts General Hospital · USBrigham and Women's Hospital · USHarvard Vanguard Medical Associates · USNortheastern University · USWake Forest University · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Patient Oriented Research and Mentorship in Childhood Obesity DisparitiesK24DK105989 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI TAVERAS BENAVIDEZ, ELSIE MIREYA · 2015 to 2019
$907k
Creating effective childhood obesity interventions through the study ofpositive outliersK23HD090222 · NICHD · MASSACHUSETTS GENERAL HOSPITAL · PI FIECHTNER, LAUREN GEHLER · 2018 to 2021
$696k
Agency for Healthcare Research and Quality K12HS022986AHRQ HHS K08 HS024332Eunice Kennedy Shriver National Institute of Child Health and Human Development 1K23HD090222NCATS NIH HHS UL1 TR001863NICHD NIH HHS K23 HD090222NIDDK NIH HHS K24DK105989Patient-Centered Outcomes Research Institute IH-1304-6739
6 · The paper itself

Abstract

backgroundIncorporating family-centered care principles into childhood obesity interventions is integral for improved clinical decision making, better follow-through, and more effective communication that leads to better outcomes and greater satisfaction with services. The purpose of this study is to evaluate the psychometric properties of a modified version of the Family Centered-Care Assessment (mFCCA) tool and to assess the family-centeredness of two clinical-community childhood obesity interventions.

methodsConnect for Health was a randomized trial testing the comparative effectiveness of two interventions that enrolled 721 children, ages 2-12 years, with a body mass index (BMI) ≥ 85th percentile. The two arms were (1) enhanced primary care; and (2) enhanced primary care plus contextually-tailored, health coaching. At the end of the one-year intervention, the mFCCA was administered. We used Rasch analyses to assess the tool's psychometrics and examined differences between the groups using multiple linear regression.

results629 parents completed the mFCCA resulting in an 87% response rate. The mean (SD) age of children was 8.0 (3.0) years. The exploratory factor analysis with 24 items all loaded onto a single factor. The Rasch modeling demonstrated good reliability as evidenced by the person separation reliability coefficient (0.99), and strong validity as evidenced by the range of item difficulty and overall model fit. The mean (SD, range) mFCCA score was 4.14 (0.85, 1-5). Compared to parents of children in the enhanced primary care arm, those whose children were in the enhanced primary care plus health coaching arm had higher mFCCA scores indicating greater perception of family-centeredness (β = 0.61 units [95% CI: 0.49, 0.73]).

conclusionsUsing the mFCCA which demonstrated good psychometric properties for the assessment of family-centered care among parents of children with obesity, we found that individualized health coaching is a family-centered approach to pediatric weight management.

trial registrationClinicaltrials.gov NCT02124460.

Indexed as

Professional-Family RelationsAdultBody Mass IndexChildChild, PreschoolFemaleHumansMaleParentsPatient-Centered CarePediatric ObesityPrimary Health CarePsychometricsQuality of LifeReproducibility of ResultsChildhood obesityFamily-centered outcomesPediatric weight managementPrimary care

Identifiers

PMID32527270
PMCPMC7291578
OpenAlexW3034446742

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.