Evidence map›Paper›PMID 33706002›Full record

ArticleContemporary clinical trials2021

Supporting families of children with overweight and obesity to live healthy lifestyles: Design and rationale for the Fitline cluster randomized controlled pediatric practice-based trial.

Lori Pbert, Michelle Trivedi, Susan Druker, Jennifer Bram, Barbara Olendzki, Sybil Crawford, Christine Frisard, Victoria Andersen, Molly E Waring, Karen Clements and 2 more

Registry-linked trialAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Contemporary clinical trials, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03143660 (Pediatric Practice-based Obesity Intervention to Support Families), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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.

NCT03143660 nacompletednot on this map

Pediatric Practice-based Obesity Intervention to Support Families:FITLINE

TypeinterventionalSponsorUniversity of Massachusetts, WorcesterRan2017 to 2022Enrolled501ConditionsObesity, ChildhoodArmsCoaching, Materials
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Review
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

12 authors.

Lori PbertDepartment of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA, United States. Electronic address: lori.pbert@umassmed.edu.
Michelle TrivediDepartment of Pediatrics, University of Massachusetts Medical School, Worcester, MA, United States.
Susan DrukerDepartment of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA, United States.
Jennifer BramDepartment of Pediatrics, University of Massachusetts Medical School, Worcester, MA, United States.
Barbara OlendzkiDepartment of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA, United States.
Sybil CrawfordGraduate School of Nursing, University of Massachusetts Medical School, Worcester, MA, United States.
Christine FrisardDepartment of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA, United States.
Victoria AndersenDepartment of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA, United States.
Molly E WaringDepartment of Allied Health Sciences, University of Connecticut, Storrs, CT, United States.
Karen ClementsDepartment of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA, United States.
Kristin SchneiderDepartment of Psychology, Rosalind Franklin University of Medicine and Science, North Chicago, IL, United States.
Alan C GellerDepartment of Social and Behavioral Sciences, Harvard School of Public Health, Boston, MA, United States.

Funding

Pediatric Practice-based Obesity Intervention to Support Families: FITLINER01HL130505 · NHLBI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI PBERT, LORI · 2016 to 2020
$3.9M
Asthma Link: School Supervised Therapy to Improve Medication Adherence in Children with Poorly Controlled AsthmaK23HL150341 · NHLBI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI TRIVEDI, MICHELLE · 2020 to 2024
$881k
NHLBI NIH HHS K23 HL150341NHLBI NIH HHS R01 HL130505
6 · The paper itself

Abstract

backgroundOver a third of preadolescent children with overweight or obesity. The American Academy of Pediatrics (AAP) recommends pediatric providers help families make changes in eating and activity to improve body mass index (BMI). However, implementation is challenging given limited time and referral sources, and family burden to access in-person weight management programs. PURPOSE: To describe the design of a National Heart Blood and Lung Institute sponsored cluster randomized controlled pediatric-based trial evaluating the effectiveness of the Fitline pediatric practice-based referral program to reduce BMI and improve diet and physical activity in children with overweight or obesity. Comparison will be made between brief provider intervention plus referral to (1) eight weekly nutritionist-delivered coaching calls with workbook to help families make AAP-recommended lifestyle changes (Fitline-Coaching), vs. (2) the same workbook in eight mailings without coaching (Fitline-Workbook).

methodsTwenty practices are pair-matched and randomized to one of the two conditions; 494 parents and their children ages 8-12 with a BMI of ≥85th percentile are being recruited. The primary outcome is child BMI; secondary outcomes are child's diet and physical activity at baseline and 6- and 12-months post-baseline. Cost-effectiveness of the two interventions also will be examined.

conclusionThis is the first randomized controlled trial to examine use of a centrally located telephonic coaching service to support families of children with overweight and obesity in making AAP-recommended lifestyle changes. If effective, the Fitline program will provide an innovative model for widespread dissemination, setting new standards for weight management care in pediatric practice.

trial registrationThe ClinicalTrials.gov registration number is NCT03143660.

Indexed as

Pediatric ObesityPediatricsBody Mass IndexChildHealth PromotionHealthy LifestyleHumansOverweightRandomized Controlled Trials as TopicChildrenCoachingGroup randomized controlled trialObesityOverweightPediatric practice

Identifiers

PMID33706002
PMCPMC8180505

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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.