A pilot randomized controlled trial of a behavioral family-based intervention with and without home visits to decrease obesity in preschoolers

Tested two family-based behavioral treatments for obesity in preschool children, one meeting the Expert Committee guidelines for Stage 3 obesity intervention criteria (LAUNCH-clinic) and one exceeding Stage 3 (LAUNCH with home visit [LAUNCH-HV]), compared with a Stage 1 intervention, pediatrician co...

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Bibliographic Details
Published in:	Journal of pediatric psychology 2014-10, Vol.39 (9), p.1001-1012
Main Authors:	Stark, Lori J, Clifford, Lisa M, Towner, Elizabeth K, Filigno, Stephanie S, Zion, Cindy, Bolling, Christopher, Rausch, Joseph
Format:	Article
Language:	eng
Subjects:	Behavior Therapy - methods Body Mass Index Child, Preschool Counseling - methods Family Therapy - methods Female Follow-Up Studies House Calls Humans Male Midwestern United States Pediatric Obesity - prevention & control Pediatric Obesity - therapy Program Evaluation - statistics & numerical data Regular
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Summary:	Tested two family-based behavioral treatments for obesity in preschool children, one meeting the Expert Committee guidelines for Stage 3 obesity intervention criteria (LAUNCH-clinic) and one exceeding Stage 3 (LAUNCH with home visit [LAUNCH-HV]), compared with a Stage 1 intervention, pediatrician counseling (PC). In all, 42 children aged 2-5 years with a body mass index (BMI) percentile of ≥95th were randomized. A total of 33 met intent-to-treat criteria. Assessments were conducted at baseline, Month 6 (posttreatment), and Month 12 (6-month follow-up). LAUNCH-HV demonstrated a significantly greater decrease on the primary outcome of change in BMI z-score (BMIz) pre- to posttreatment compared with PC (p = .007), whereas LAUNCH-clinic was not significantly different from PC (p = .08). Similar results were found for secondary outcomes. LAUNCH-HV, but not LAUNCH-clinic, significantly reduced BMIz compared with PC by posttreatment, indicating the need for intensive behavioral intervention, including home visitation, to address weight management in obese preschool children.
ISSN:	0146-8693 1465-735X