Trial reportObesity (Silver Spring, Md.)2025
Parents in peer delivery of family-based behavioral pediatric weight management: the SHIFT randomized noninferiority trial.
Trial report in Obesity (Silver Spring, Md.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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
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Authors and funding
6 authors.
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Abstract
objectiveThis trial examined the noninferiority of family-based behavioral pediatric weight management treatment (FBT) delivered by peers relative to professionals.
methodsChildren (n = 127) aged 7 to 11 years with BMI > 85th percentile for age and sex and at least one parent with BMI > 25 kg/m
resultsPeer FBT delivery was noninferior to professional FBT delivery (margin of 0.072 in child BMI z score change) at treatment end and at 12-month follow-up; however, superiority testing suggested that professional FBT delivery resulted in better child BMI z score change. No differential changes were observed in child quality of life or parental BMI by FBT delivery mode. Peer-delivered FBT was well received, with peers providing personal examples of behavior change success but less skills-focused content. Peer FBT delivery was about one-quarter the cost of professional FBT delivery.
conclusionsThis study informs new strategies for sustaining the delivery of pediatric obesity interventions by involving trained parents.
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