A Family-Based Behavioral Group Obesity Randomized Control Feasibility Trial Across a Clinical Trials Network: A Focus on Contact Hours
ORCID
Lancaster: https://orcid.org/0000-0001-7556-743X
MSU Affiliation
College of Arts and Sciences; Department of Psychology
Creation Date
2026-03-02
Abstract
Objective. This ancillary study’s purpose is to describe the relationship between dose of treatment and body mass index (BMI) outcomes in a tele-behavioral health program delivered in the IDeA States Pediatric Clinical Trials Network to children and their families living in rural communities. Methods: Participants randomized to the intervention were able to receive 26 contact hours (15 hr of group sessions and 11 hr of individual sessions) of material focused on nutrition, physical activity, and behavioral caregiver training delivered via interactive televideo. Dose of the intervention received by child/caregiver dyads (n = 52) from rural areas was measured as contact hours. The total doses of group, individual, and total contact hours were analyzed, and generalized linear mixed models were utilized to determine how dose received impacted BMI outcomes. Results: The majority (64.4%) of participants received the target of at least 80% (20.8 hr) of the total intervention dose. Older children (9–11 years) achieved significantly less intervention dose than targeted (M = 19.7; p = .031); as did males (M = 17.2; p < .001), children who identified as Black (M = 17.8; p < .001), and children from Site 3 (M = 18.0; p < .001). Dose was not significantly related to BMI outcomes in children or caregivers. Conclusions: As this study is underpowered and took place during the early stages of the COVID-19 pandemic, results should be interpreted with caution, but contact hours did not predict health outcomes for families living in rural communities.
Publication Date
1-29-2025
Publication Title
Journal of Pediatric Psychology
Publisher
Oxford University Press
First Page
280
Last Page
288
Rights
This work is written by (a) US Government employee(s) and is in the public domain in the US.
Recommended Citation
Ann M Davis, Paul Darden, Brittany Lancaster, Di Chang, Christopher C Cushing, David M Janicke, Crystal S Lim, Megan Olalde, Sarah Bullard, Russell McCulloh, Danika Perry, Lee Pyles, Amanda E Staiano, Monica Serrano-Gonzalez, Deborah Winders Davis, Elissa Jelalian, A family-based behavioral group obesity randomized control feasibility trial across a clinical trials network: a focus on contact hours, Journal of Pediatric Psychology, Volume 50, Issue 3, March 2025, Pages 280–288, https://doi.org/10.1093/jpepsy/jsae110