Parents in peer delivery of family-based behavioral pediatric weight management: the SHIFT randomized noninferiority trial.

• Tác giả: Guadalupe X Ayala, Maya G Rowland, Brian E Saelens, Kelley Scholz, Jane M Simoni, Davene R Wright
• Ngôn ngữ: eng
• Ký hiệu phân loại: 274 Christianity in Europe Christian church in Europe
• Thông tin xuất bản: United States : Obesity (Silver Spring, Md.) , 2025
• Bộ sưu tập: NCBI
• ID: 690994

Tóm tắt

 OBJECTIVE: This trial examined the noninferiority of family-based behavioral pediatric weight management treatment (FBT) delivered by peers relative to professionals. METHODS: Children (n = 127) aged 7 to 11 years with BMI >
  85th percentile for age and sex and at least one parent with BMI >
  25 kg/m RESULTS: Peer FBT delivery was noninferior to professional FBT delivery (margin of 0.072 in child BMI z score change) at treatment end and at 12-month follow-up
  however, superiority testing suggested that professional FBT delivery resulted in better child BMI z score change. No differential changes were observed in child quality of life or parental BMI by FBT delivery mode. Peer-delivered FBT was well received, with peers providing personal examples of behavior change success but less skills-focused content. Peer FBT delivery was about one-quarter the cost of professional FBT delivery. CONCLUSIONS: This study informs new strategies for sustaining the delivery of pediatric obesity interventions by involving trained parents.