Adolescence Family-based lifestyle intervention Ripple effects Weight loss Obesity
Understanding the effects of family-based lifestyle intervention beyond the treated adolescent is important, given that obesity is a familial disease and there are likely bidirectional relations between an adolescent's treatment success and broader household changes. However, it is unknown if recommended household-wide changes are adopted or if untreated family members experience weight-related benefits.
TEENS + REACH leverages our ongoing randomized clinical trial of TEENS+, a family-based lifestyle intervention for adolescents with obesity, to determine: 1) if household-wide changes to the shared home environment are implemented, 2) if ripple effects to untreated family members are observed, and 3) whether these changes are predictive of adolescents’ weight management success. TEENS + REACH will expand trial assessments to include comprehensive assessments of the shared home feeding, weight, and physical activity environment of the target adolescents. Specifically, we will enroll untreated children (8–17yrs) and caregivers living in the same household as the target parent/adolescent dyad (N = 60 families). At 0, 2, 4 (primary endpoint), and 8-months, the target parent/adolescent dyad and other untreated children and caregivers in the home will complete anthropometric assessments.
Results will determine the familial reach of TEENS+ and reveal potential mediators of treatment response, which can inform future efforts to optimize family-based lifestyle interventions.
TEENS + REACH was retrospectively registered in Clinicaltrials.gov March 22, 2023 (NCT05780970) as an observational study ancillary to the TEENS + clinical trial, registered February 22, 2019 (NCT03851796).
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Title
Study design and rationale for TEENS+REACH: Evaluating ripple effects of a family-based lifestyle intervention to untreated family members
Creators
Kristal Lyn Brown - Drexel University
Jessica Gokee LaRose - Virginia Commonwealth University
Hollie A. Raynor - University of Tennessee at Knoxville
Amy A. Gorin - University of Connecticut
Laura M. Thornton - University of North Carolina at Chapel Hill
Sarah Farthing - Children's Hospital of Richmond at VCU
Kristina Tatum - Children's Hospital of Richmond at VCU
Melanie K. Bean - Children's Hospital of Richmond at VCU
Publication Details
Contemporary clinical trials communications, v 38, 101276
Publisher
Elsevier
Resource Type
Journal article
Language
English
Academic Unit
Creative Arts Therapies
Web of Science ID
WOS:001199939000001
Scopus ID
2-s2.0-85185602102
Other Identifier
991021861672504721
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Collaboration types
Domestic collaboration
Web of Science research areas
Medicine, Research & Experimental
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