Document Detail


IMPACT: a multi-level family and school intervention targeting obesity in urban youth.
MedLine Citation:
PMID:  24008055     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
IMPACT (Ideas Moving Parents and Adolescents to Change Together) is a 3-group randomized, multi-level trial comparing the efficacy of two distinct behavioral interventions and a control condition on body mass index (BMI) in middle school urban youth who are overweight/obese. Interventions include: (1) SystemCHANGE (SC), a promising new behavior change approach that focuses on system redesign of the family environment and daily routines; (2) HealthyCHANGE (HC), a cognitive-behavioral and Motivational Interviewing (MI)-consistent approach to behavior change that focuses on increasing intrinsic motivation, self-monitoring, goal setting, and problem solving; and (3) diet and physical education counseling (attention control). In addition, about half of the participants are enrolled in a K-8 public school that offers an innovative community-sponsored fitness program, augmented by study-supported navigators. In addition to the primary interventions effects, the study assesses the moderating effect of the school environment on BMI, blood pressure, cardiovascular risk factors, and quality of life. The sample consists of 360 children entering 6th grade from a large urban school district in the Midwest, identified through an existing BMI screening program. The intervention period is 36 months, and measures are obtained at baseline, 12, 24, and 36 months. Using intent-to-treat analyses across the 36-month intervention window, we hypothesize that both SC and HC will have a greater impact on BMI and other health outcomes compared to health education alone, and that the enriched school environment will enhance these effects. This manuscript describes IMPACT's study design and methods.
Authors:
Shirley M Moore; Elaine A Borawski; Leona Cuttler; Carolyn E Ievers-Landis; Thomas E Love
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural     Date:  2013-09-02
Journal Detail:
Title:  Contemporary clinical trials     Volume:  36     ISSN:  1559-2030     ISO Abbreviation:  Contemp Clin Trials     Publication Date:  2013 Nov 
Date Detail:
Created Date:  2013-11-27     Completed Date:  2014-08-13     Revised Date:  2014-11-04    
Medline Journal Info:
Nlm Unique ID:  101242342     Medline TA:  Contemp Clin Trials     Country:  United States    
Other Details:
Languages:  eng     Pagination:  574-86     Citation Subset:  IM    
Copyright Information:
© 2013.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Cognitive Therapy / methods
Community Health Services
Diet / methods
Family / psychology*
Humans
Motivational Interviewing / methods
Motor Activity
Pediatric Obesity / therapy*
School Health Services*
Sleep
Stress, Psychological / therapy
Grant Support
ID/Acronym/Agency:
HL103622/HL/NHLBI NIH HHS; U01 HL103622/HL/NHLBI NIH HHS; UL1 TR000439/TR/NCATS NIH HHS
Comments/Corrections

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