TY - JOUR
T1 - Family, community and clinic collaboration to treat overweight and obese children
T2 - Stanford GOALS-A randomized controlled trial of a three-year, multi-component, multi-level, multi-setting intervention
AU - Robinson, Thomas N.
AU - Matheson, Donna
AU - Desai, Manisha
AU - Wilson, Darrell M.
AU - Weintraub, Dana L.
AU - Haskell, William L.
AU - McClain, Arianna
AU - McClure, Samuel
AU - A. Banda, Jorge
AU - Sanders, Lee M.
AU - Haydel, K. Farish
AU - Killen, Joel D.
PY - 2013/11
Y1 - 2013/11
N2 - Objective: To test the effects of a three-year, community-based, multi-component, multi-level, multi-setting (MMM) approach for treating overweight and obese children. Design: Two-arm, parallel group, randomized controlled trial with measures at baseline, 12, 24, and 36. months after randomization. Participants: Seven through eleven year old, overweight and obese children (BMI. ≥. 85th percentile) and their parents/caregivers recruited from community locations in low-income, primarily Latino neighborhoods in Northern California. Interventions: Families are randomized to the MMM intervention versus a community health education active-placebo comparison intervention. Interventions last for three years for each participant. The MMM intervention includes a community-based after school team sports program designed specifically for overweight and obese children, a home-based family intervention to reduce screen time, alter the home food/eating environment, and promote self-regulatory skills for eating and activity behavior change, and a primary care behavioral counseling intervention linked to the community and home interventions. The active-placebo comparison intervention includes semi-annual health education home visits, monthly health education newsletters for children and for parents/guardians, and a series of community-based health education events for families. Main outcome measure: Body mass index trajectory over the three-year study. Secondary outcome measures include waist circumference, triceps skinfold thickness, accelerometer-measured physical activity, 24-hour dietary recalls, screen time and other sedentary behaviors, blood pressure, fasting lipids, glucose, insulin, hemoglobin A1c, C-reactive protein, alanine aminotransferase, and psychosocial measures. Conclusions: The Stanford GOALS trial is testing the efficacy of a novel community-based multi-component, multi-level, multi-setting treatment for childhood overweight and obesity in low-income, Latino families.
AB - Objective: To test the effects of a three-year, community-based, multi-component, multi-level, multi-setting (MMM) approach for treating overweight and obese children. Design: Two-arm, parallel group, randomized controlled trial with measures at baseline, 12, 24, and 36. months after randomization. Participants: Seven through eleven year old, overweight and obese children (BMI. ≥. 85th percentile) and their parents/caregivers recruited from community locations in low-income, primarily Latino neighborhoods in Northern California. Interventions: Families are randomized to the MMM intervention versus a community health education active-placebo comparison intervention. Interventions last for three years for each participant. The MMM intervention includes a community-based after school team sports program designed specifically for overweight and obese children, a home-based family intervention to reduce screen time, alter the home food/eating environment, and promote self-regulatory skills for eating and activity behavior change, and a primary care behavioral counseling intervention linked to the community and home interventions. The active-placebo comparison intervention includes semi-annual health education home visits, monthly health education newsletters for children and for parents/guardians, and a series of community-based health education events for families. Main outcome measure: Body mass index trajectory over the three-year study. Secondary outcome measures include waist circumference, triceps skinfold thickness, accelerometer-measured physical activity, 24-hour dietary recalls, screen time and other sedentary behaviors, blood pressure, fasting lipids, glucose, insulin, hemoglobin A1c, C-reactive protein, alanine aminotransferase, and psychosocial measures. Conclusions: The Stanford GOALS trial is testing the efficacy of a novel community-based multi-component, multi-level, multi-setting treatment for childhood overweight and obesity in low-income, Latino families.
KW - Children
KW - Community
KW - Family
KW - Obesity
KW - Overweight
KW - Treatment
UR - http://www.scopus.com/inward/record.url?scp=84884810229&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84884810229&partnerID=8YFLogxK
U2 - 10.1016/j.cct.2013.09.001
DO - 10.1016/j.cct.2013.09.001
M3 - Article
C2 - 24028942
AN - SCOPUS:84884810229
SN - 1551-7144
VL - 36
SP - 421
EP - 435
JO - Contemporary Clinical Trials
JF - Contemporary Clinical Trials
IS - 2
ER -