Evidence map›Paper›PMID 42261973›Full record

ArticleChildhood obesity (Print)2026

Family-Based Behavioral Treatment for Childhood Obesity Adapted to Align with the MOHealthNet Medicaid Benefit: Results of the Missouri Childhood Obesity Research Demonstration Study.

Meredith L Dreyer Gillette, Alyssa M Button, Amanda E Staiano, Lisa C Nelson, Jordan A Carlson, Kelsey M Dean, Sarah E Bullard, Lawrence T Monocello, Robbie Beyl, R Robinson Welch and 3 more

Abstract read
In one paragraph

Article in Childhood obesity (Print), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Meredith L Dreyer GilletteCenter for Children's Healthy Lifestyles & Nutrition, Children's Mercy Kansas City, University of Missouri Kansas City, Kansas City, MO, USA.
Alyssa M ButtonChildren's Hospital of Richmond, Healthy Lifestyles Center, Virginia Commonwealth University, Richmond, VA, USA.
Amanda E StaianoDepartment of Population and Public Health Sciences, Pennington Biomedical Research Center, Baton Rouge, LA, USA.
Lisa C NelsonFreeman Health System, Joplin, MO, USA.
Jordan A CarlsonCenter for Children's Healthy Lifestyles & Nutrition, Children's Mercy Hospital, Children's Mercy Kansas City, University of Missouri Kansas City, Kansas City, MO, USA.
Kelsey M DeanCenter for Children's Healthy Lifestyles & Nutrition, Children's Mercy Kansas City, Kansas City, MO, USA.
Sarah E BullardChildren's Mercy Kansas City, Kansas City, MO, USA.
Lawrence T MonocelloDepartment of Anthropology, Texas A&M University, College Station, TX, USA.
Robbie BeylPennington Biomedical Research Center, Baton Rouge, LA, USA.
R Robinson WelchWashington University in St. Louis, St. Louis, MO, USA.
Sarah E HamplCenter for Children's Healthy Lifestyles & Nutrition, Children's Mercy Kansas City, University of Missouri Kansas City, Kansas City, MO, USA.
Denise E WilfleyWashington University in St. Louis, St. Louis, MO, USA.ORCID 0000-0002-3599-8689
MO CORD Research Group

Funding

WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
Tracking & Evaluation CoreU54GM104940 · NIGMS · LSU PENNINGTON BIOMEDICAL RESEARCH CTR · PI Peter Todd Katzmarzyk · 2012 to 2026
$69.1M
Research BaseP30DK072476 · NIDDK · LSU PENNINGTON BIOMEDICAL RESEARCH CTR · PI ROBERT A KESTERSON · 2005 to 2026
$26.5M
WUSTL Transdisciplinary Pre- and Postdoctoral Training Program in Obesity and Cardiovascular DiseaseT32HL130357 · NHLBI · WASHINGTON UNIVERSITY · PI WILFLEY, DENISE ELLA · 2016 to 2025
$4.3M
NCATS NIH HHS UL1 TR002345NCCDPHP CDC HHS U18 DP006425NHLBI NIH HHS T32 HL130357NIDDK NIH HHS P30 DK072476NIGMS NIH HHS U54 GM104940
6 · The paper itself

Abstract

backgroundThis study leveraged a novel Missouri Medicaid (MOHealthNet) benefit to adapt and implement evidence-based family-based behavioral treatment (FBT) within health care settings in alignment with policy requirements.

methodsIn a nonrandomized matched-comparison trial, 108 parent-child dyads participated in FBT, and 92 dyads attended at least one session. Licensed Clinical Social Workers or Registered Dietitian Nutritionists offered 26-33 FBT hours delivered virtually over 6-12 months to Medicaid-insured patients in an urban and rural pediatric health system in Missouri. The matched-comparison group included 186 participants. The Reach, Effectiveness, Adoption, Implementation, and Maintenance framework (RE-AIM) framework was used to evaluate effectiveness (primary) and reach (secondary) and explore adoption, implementation, and maintenance.

resultsChildren in the FBT group reduced their percent over median body mass index (BMI) compared with the matched comparison group (mean reduction: -3.9 ± 1.4,

conclusionsData demonstrate the feasibility of adopting and implementing FBT within health care systems and inform efforts to support maintenance. FBT reached a diverse population of families receiving Medicaid in pediatric primary care settings and was associated with greater improvements in youth weight outcomes compared with a matched comparison group. Adaptations made to align with the benefit may have reduced the magnitude of effects; however, this policy provides an opportunity to deliver FBT within primary care settings and expand access.

Indexed as

Behavior TherapyFamily TherapyMedicaidPediatric ObesityAdolescentChildFemaleHumansMaleMissouriUnited Statesadoptionbehavioral healthfamily-based treatmentMedicaidobesity treatmentreach

Identifiers

PMID42261973
PMCPMC13372312

What OpenQuestion holds

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Registered trials

None linked

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.