Evidence map›Paper›PMID 33042569›Full record

ArticlePilot and feasibility studies2020

Raising Well at Home: a pre-post feasibility study of a lifestyle intervention for caregivers and their child with obesity.

Debra Haire-Joshu, Cindy Schwarz, Rebekah Jacob, Pat Kristen, Shelly Johnston, Karyn Quinn, Rachel Tabak

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Pilot and feasibility studies, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04224623 (Raising Well at Home), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 20% 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.

NCT04224623 nacompletednot on this map

Raising Well at Home

TypeinterventionalSponsorWashington University School of MedicineRan2016 to 2019Enrolled195ConditionsObesityArmsRaising Well at Home
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Identifying effective intervention strategies to reduce children's screen time: a systematic review and meta-analysis.The international journal of behavioral nutrition and physical activity · 2021
    Pooled it
  2. 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

7 authors at 1 institution in 1 country.

Debra Haire-JoshuCenter for Obesity Prevention and Policy Research, the Brown School, Washington University in St. Louis, One Brookings Drive, CB 1196, Saint Louis, MO 63130 USA.ORCID 0000-0001-6255-5616
Cindy SchwarzCenter for Obesity Prevention and Policy Research, the Brown School, Washington University in St. Louis, One Brookings Drive, CB 1196, Saint Louis, MO 63130 USA.
Rebekah JacobPrevention Research Center in St. Louis, the Brown School, Washington University in St. Louis, One Brookings Drive, CB 1196, Saint Louis, MO 63130 USA.
Pat KristenCentene Center for Health Transformation, the Brown School, Washington University in St. Louis, One Brookings Drive, CB 1196, Saint Louis, MO 63130 USA.
Shelly JohnstonCenter for Diabetes Translation Research, the Brown School, Washington University in St. Louis, One Brookings Drive, CB 1196, Saint Louis, MO 63130 USA.
Karyn QuinnCentene Center for Health Transformation, the Brown School, Washington University in St. Louis, One Brookings Drive, CB 1196, Saint Louis, MO 63130 USA.
Rachel TabakCenter for Diabetes Translation Research, the Brown School, Washington University in St. Louis, One Brookings Drive, CB 1196, Saint Louis, MO 63130 USA.
Washington University in St. Louis · US

Funding

Washington University Nutrition Obesity Research CenterP30DK056341 · NIDDK · WASHINGTON UNIVERSITY · PI Dominic N Reeds · 1999 to 2026
$30.2M
Training / Career DevelopmentP50CA095815 · NCI · WASHINGTON UNIVERSITY · PI LUKE, DOUGLAS A · 2003 to 2012
$20.4M
Washington University Center for Diabetes Translation Research P30DK092950 · NIDDK · WASHINGTON UNIVERSITY · PI Ross C Brownson, Debra Haire-Joshu · 2011 to 2026
$11.7M
NCI NIH HHS P50 CA095815NIDDK NIH HHS P30 DK056341NIDDK NIH HHS P30 DK092950
6 · The paper itself

Abstract

backgroundFew efficacious pediatric obesity interventions have been successfully translated and sustained in real-world practice, often due to inadequate fit with the priorities of under-resourced populations. Lifestyle interventions, which incorporate tailoring of essential weight loss ingredients and adaptation of mode and intensity to the living circumstances of children with obesity, are needed. The purpose of this pilot study was to test the feasibility and efficacy of a tailored lifestyle intervention for caregivers and their children with obesity, conducted in partnership with Envolve, Inc., a family of comprehensive health solutions and wholly owned subsidiary of Centene Corporation.

methodsThis 6-month pilot study employed a pretest-posttest design to assess the impact of a tailored lifestyle intervention delivered by peer coaches on (a) caregiver and child weight impacted by changes in dietary intake, walking, and screen time; (b) changes in the home environment; and (c) caregiver engagement and satisfaction. The intervention was delivered via 3 core home visits every 4-6 weeks, with additional support via text.

resultsThe majority of caregivers were female (95.2%) and Black (73.7%). Children had median age of 11.1 years and majority were female (57.6%), with a median BMI near the 99th percentile (Mdn 98.8, IQR 3.5) or 118.3% (IQR 35.8) of the 95th percentile for their sex and age. Participants expressed high satisfaction with the program (mean range 96.7-100.0% agreement on satisfaction items). From baseline to post, caregivers' BMI decreased by 1.8% (

conclusionThe Raising Well at Home pilot demonstrated that tailored lifestyle interventions, delivered by peer coaches in the home and via text, are feasible and can improve weight, eating, and environmental measures of caregivers and children with obesity. Future work should determine the effectiveness, sustainability, and scalability of this intervention in sites located across the country.

trial registrationClinicalTrials.gov (NCT04224623). Registered 9 January 2020-retrospectively registered.

Indexed as

CaregiverChildhood obesityHome visitingMedicaid populationPeer coaches

Identifiers

PMID33042569
PMCPMC7541221
OpenAlexW3092438150

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.