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

项目摘要 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），肥胖及其相关发病率和死亡率风险增加的人群。有一个 特别是缺乏对青少年肥胖治疗长期有效性的研究。此外，研究和 临床实践指南一贯建议父母应该包括在他们的青少年的 肥胖治疗，但最有效的策略，使家长参与青少年肥胖治疗仍然是 不清楚为此，本调查（由R21 HD 084930告知）将进行全功率， 随机对照试验，以检查两种不同的方法，让父母参与他们的 青少年肥胖症的治疗参与者将是210名12-16岁的青少年（BMI>第85百分位数）， 父母（BMI>25 kg/m2）超重或肥胖。家庭将被随机分配到两个4个月 治疗方法：1）青少年+父母作为教练（PAC），让父母成为孩子体重的助手 通过家长技能培训管理，或2）青少年+家长减肥（PWL），让家长参与他们自己的 行为体重管理所有青少年都将参加TEENS+协议，其中包括 营养教育与饮食目标，监督体力活动，行为支持，并整合 动机访谈，以提高治疗参与度。人体测量学，饮食摄入量， 体力活动、养育和家庭环境变量将在0、2、4、8和12个月时完成， 12个月随访时的主要终点。这项调查的结果有可能大大促进 科学在这一领域，并最终告知临床实践指南有关的作用，父母在青少年 肥胖治疗

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.