Comparison of parent-only vs family-based interventions for overweight children in underserved rural settings: outcomes from project STORY.
Comparison of parent-only vs family-based interventions for overweight children in underserved rural settings: outcomes from project STORY.
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DOI：
10.1001/archpedi.162.12.1119
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发表时间：
2008-12
影响因子：
--
通讯作者：
Brumback, Babette
中科院分区：
文献类型：
--
作者：
Janicke, David M.;Sallinen, Bethany J.;Perri, Michael G.;Lutes, Lesley D.;Huerta, Milagros;Silverstein, Janet H.;Brumback, Babette
评估在缺乏服务的农村环境中，仅由父母干预与以家庭为基础的干预措施对儿童体重管理的有效性。三组随机对照临床试验。所有会议都在服务不足的农村县的合作推广服务处举行。93名超重或肥胖儿童(8-14岁)及其家长(S)。家庭被随机分为(1)基于家庭的行为干预，(2)仅针对父母的行为干预，或(3)等待名单控制组。主要的结果衡量标准是儿童标准化体重指数(BMI)的变化。71名儿童完成了治疗后(4个月)和随访(10个月)的评估。在第4个月的评估中，仅父母干预组的儿童比对照组儿童的体重指数z得分有更大的下降(平均差值[MD]，0.127；95%可信区间[CI]，0.027~0.226)。家庭干预与对照组比较差异无统计学意义(MD，0.065；95%CI，−0.027~0.158)。在10个月的随访中，单纯父母干预组和以家庭为基础的干预组儿童的BMIz评分较治疗前有较大幅度的下降(MD，0.115；95%CI，0.003~0.220；MD，0.136；95%CI，0.018~0.254)。在两种评估中，只接受父母干预和以家庭为基础的干预措施之间的体重状况变化没有发现差异。仅由父母干预可能是以家庭为基础的儿童超重治疗的一个可行和有效的替代方案。合作推广服务办公室有潜力成为传播与肥胖相关的健康促进计划的有效场所。
To assess the effectiveness of parent-only vs family-based interventions for pediatric weight management in underserved rural settings. A 3-arm randomized controlled clinical trial. All sessions were conducted at Cooperative Extension Service offices in underserved rural counties. Ninety-three overweight or obese children (8–14 years old) and their parent(s). Families were randomized to (1) a behavioral family-based intervention, (2) a behavioral parent-only intervention, or (3) a wait-list control group. The primary outcome measure was change in children’s standardized body mass index (BMI). Seventy-one children completed posttreatment (month 4) and follow-up (month 10) assessments. At the month 4 assessment, children in the parent-only intervention demonstrated a greater decrease in BMI z score (mean difference [MD], 0.127; 95% confidence interval [CI], 0.027 to 0.226) than children in the control condition. No significant difference was found between the family-based intervention and the control condition (MD, 0.065; 95% CI, −0.027 to 0.158). At month 10 follow-up, children in the parent-only and family-based intervention groups demonstrated greater decreases in BMI z score from before treatment compared with those in the control group (MD, 0.115; 95% CI, 0.003 to 0.220; and MD, 0.136; 95% CI, 0.018 to 0.254, respectively). No difference was found in weight status change between the parent-only and family-based interventions at either assessment. A parent-only intervention may be a viable and effective alternative to family-based treatment of childhood overweight. Cooperative Extension Service offices have the potential to serve as effective venues for the dissemination of obesity-related health promotion programs.
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影响因子：
3.8
作者：
Glasgow, RE;Klesges, LM;Estabrooks, P
通讯作者：
Estabrooks, P
影响因子：
6.9
作者：
Lutfiyya, May Nawal;Lipsky, Martin S.;Inpanbutr-Martinkus, Melissa
通讯作者：
Inpanbutr-Martinkus, Melissa
影响因子：
3.6
作者：
Golan, M;Kaufman, V;Shahar, DR
通讯作者：
Shahar, DR
影响因子：
3.6
作者：
Jelalian, E;Saelens, BE
通讯作者：
Saelens, BE
影响因子：
5.5
作者：
Brownson, RC;Housemann, RA;Sallis, JF
通讯作者：
Sallis, JF