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The Families and Schools for Health Project: A Longitudinal Cluster Randomized Controlled Trial Targeting Children with Overweight and Obesity

Author

Listed:
  • Glade L. Topham

    (Department of Applied Human Sciences, Kansas State University, Manhattan, KS 66506, USA)

  • Isaac J. Washburn

    (Department of Human Development & Family Science, Oklahoma State University, Stillwater, OK 74078, USA)

  • Laura Hubbs-Tait

    (Department of Human Development & Family Science, Oklahoma State University, Stillwater, OK 74078, USA)

  • Tay S. Kennedy

    (Department of Nutritional Sciences, Oklahoma State University, Stillwater, OK 74078, USA)

  • Julie M. Rutledge

    (School of Human Ecology, Louisiana Tech University, Ruston, LA 71272, USA)

  • Melanie C. Page

    (Department of Psychology, West Virginia University, Morgantown, WV 26506, USA)

  • Taren Swindle

    (Department of Family and Preventive Medicine, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA)

  • Lenka H. Shriver

    (Department of Nutrition, University of North Carolina Greensboro, Greensboro, NC 27412, USA)

  • Amanda W. Harrist

    (Department of Human Development & Family Science, Oklahoma State University, Stillwater, OK 74078, USA)

Abstract

This cluster randomized controlled trial aimed at overweight and obese children compared three treatments. Two psychoeducation interventions for parents and children were conducted: Family Lifestyle (FL) focused on food and physical activity; Family Dynamics (FD) added parenting and healthy emotion management. A third Peer Group (PG) intervention taught social acceptance to children. Crossing interventions yielded four conditions: FL, FL + PG, FL + FD, and FL + FD + PG—compared with the control. Longitudinal BMI data were collected to determine if family- and peer-based psychosocial components enhanced the Family Lifestyle approach. Participants were 1st graders with BMI%ile >75 ( n = 538: 278 boys, 260 girls). Schools were randomly assigned to condition after stratifying for community size and percent American Indian. Anthropometric data were collected pre- and post-intervention in 1st grade and annually through 4th grade. Using a two-level random intercept growth model, intervention status predicted differences in growth in BMI or BMI-M% over three years. Children with obesity who received the FL + FD + PG intervention had lower BMI gains compared to controls for both raw BMI (B = −0.05) and BMI-M% (B = −2.36). Interventions to simultaneously improve parent, child, and peer-group behaviors related to physical and socioemotional health offer promise for long-term positive impact on child obesity.

Suggested Citation

  • Glade L. Topham & Isaac J. Washburn & Laura Hubbs-Tait & Tay S. Kennedy & Julie M. Rutledge & Melanie C. Page & Taren Swindle & Lenka H. Shriver & Amanda W. Harrist, 2021. "The Families and Schools for Health Project: A Longitudinal Cluster Randomized Controlled Trial Targeting Children with Overweight and Obesity," IJERPH, MDPI, vol. 18(16), pages 1-13, August.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:16:p:8744-:d:617318
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    Cited by:

    1. Pâmela Ferreira Todendi & Caroline Brand & João Francisco de Castro Silveira & Ryan Donald Burns & J. Alfredo Martínez & Marilu Fiegenbaum & Anelise Reis Gaya & Jane Dagmar Pollo Renner & Cézane Prisc, 2021. "Cardiorespiratory Fitness and Muscular Strength Moderates the Relationship between FNDC5 Polymorphism and Adiposity in Children and Adolescents," IJERPH, MDPI, vol. 18(18), pages 1-9, September.

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