The Role of Parents in Adolescent Obesity Treatment: Randomized Controlled Trial of TEENS+

项目总结 迫切需要创新的方法来治疗青少年肥胖症，特别是在非洲 美国人(AA)，肥胖风险及其相关发病率和死亡率增加的人群。有一个 尤其缺乏对青少年肥胖治疗的长期疗效的研究。进一步，研究和 临床实践指南一贯建议，父母应该包括在他们青少年的 肥胖治疗，然而让父母参与青少年肥胖治疗的最有效战略仍然是 不清楚。为此，这项调查(由R21HD084930通报)将进行一项全面的、 随机对照试验，以检验两种不同方法让父母参与家庭生活的有效性 青少年肥胖的治疗。参与者将是210名12-16岁的青少年(BMI和GT；85%)和 超重或肥胖的父母(BMI和GT；25公斤/平方米)。家庭将被随机分配到两个4个月的 治疗方法：1)青少年父母担任教练(PAC)，聘请父母作为孩子体重的帮手 通过父母技能培训进行管理，或2)青少年父母减肥(PWL)，让父母参与到他们自己的工作中来 行为体重管理。所有青少年都将参加青少年议定书，其中包括 营养教育与饮食目标、有监督的体力活动和行为支持相结合，并将 激励性访谈，以提高治疗参与度。人体测量学评估，饮食摄入量， 体力活动、育儿和家庭环境变量将在0、2、4、8和12个月时完成 主要终点在1200万次随访期。这项调查的结果有可能显著推进 这一领域的科学，并最终为有关青少年父母角色的临床实践指南提供信息 肥胖症治疗。

PROJECT SUMMARY There is an urgent need for innovative approaches to adolescent obesity treatment, particularly among African Americans (AA), a population at increased risk of obesity and its associated morbidity and mortality. There is a particular dearth of research on the long-term efficacy of adolescent obesity treatments. Further, research and clinical practice guidelines consistently recommend that parents should be included in their adolescents' obesity treatment, yet the most effective strategy to engage parents in adolescent obesity treatment remains unclear. Towards that end, this investigation, (informed by R21HD084930), will conduct a fully-powered, randomized controlled trial, to examine the efficacy of two distinct approaches to involving parents in their adolescents' obesity treatment. Participants will be 210 12-16 year old adolescents (BMI>85th percentile) and parents (BMI>25 kg/m2) with overweight or obesity. Families will be randomized to one of two 4-month treatments: 1) TEENS+Parents as Coaches (PAC), engaging parents as helpers in their child's weight management via parent skills training, or 2) TEENS+Parent Weight Loss (PWL), engaging parents in their own behavioral weight management. All adolescents will participate in the TEENS+ protocol, which includes nutrition education with dietary goals, supervised physical activity, and behavioral support, and integrates motivational interviewing to enhance treatment engagement. Assessments of anthropometrics, dietary intake, physical activity, parenting and home environment variables will be completed at 0, 2, 4, 8, and 12 months with the primary endpoint at 12m follow-up. Results of this investigation have the potential to significantly advance science in this area and ultimately inform clinical practice guidelines related to the role of parents in adolescent obesity treatment.