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

父母在青少年肥胖治疗中的作用：青少年随机对照试验

• 批准号: 10580665
• 负责人: Melanie K Bean
• 金额: $ 49.84万
• 依托单位: VIRGINIA COMMONWEALTH UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-01-15 至 2024-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10580665
• 关键词: 16 year old; Adolescent; Adolescent obesity; African American; African American population; Aftercare; Age; Area; Behavior; Behavioral; Body Weight decreased; Body mass index; Child; Child Rearing; Clinical Practice Guideline; Data; Diet; Dietary intake; Educational process of instructing; Exercise; Family; Female; Goals; Home; Home environment; Intervention; Investigation; Life Style Modification; Maintenance; Mediating; Mediator; Monitor; Morbidity - disease rate; Obesity; Overweight; Parents; Participant; Pathology; Perception; Physical activity; Population; Protocols documentation; Race; Randomized; Randomized, Controlled Trials; Recommendation; Research; Sampling; Science; Weight; Weight Gain; Weight maintenance regimen; comparative efficacy; dietary; efficacy evaluation; experience; feeding; follow up assessment; follow-up; food environment; good diet; improved; innovation; loss of control over eating; mortality; motivational enhancement therapy; novel strategies; nutrition; nutrition education; obesity in children; obesity risk; obesity treatment; parental role; pilot trial; primary endpoint; satisfaction; sex; skills training; sociodemographics; socioeconomics; standard of care; treatment program; weight loss intervention

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.

项目摘要 迫切需要创新的肥胖症治疗方法，尤其是在非洲人中 美国人（AA），肥胖风险及其相关的发病率和死亡率的人口增加。有一个 特别缺乏关于青少年肥胖治疗的长期疗效的研究。此外，研究和 临床实践指南始终建议将父母包括在青少年中 肥胖症治疗，但是与父母参与青少年肥胖治疗的最有效策略仍然存在 不清楚。为此，这项调查（由R21HD084930告知）将进行完全动力的， 随机对照试验，以研究两种不同的方法的疗效，使父母参与他们的 青少年的肥胖治疗。参与者将为210 12-16岁的青少年（BMI> 85％）和 父母（BMI> 25 kg/m2）具有超重或肥胖。家庭将被随机分为两个4个月之一 治疗：1）青少年+父母作为教练（PAC），让父母成为孩子体重的助手 通过父母技能培训的管理，或2）青少年+父母体重减轻（PWL），与父母自己交往 行为体重管理。所有青少年将参加青少年+协议，其中包括 营养教育具有饮食目标，有监督的体育锻炼和行为支持，并整合 激励访谈以增强治疗参与。评估人类学，饮食摄入量， 体育锻炼，育儿和家庭环境变量将在0、2、4、8和12个月完成 在12m随访中的主要终点。这项调查的结果有可能显着进步 该领域的科学，最终为与父母在青少年中的作用有关的临床实践指南提供信息 肥胖治疗。