Efficacy of a Community- Versus Primary Care–Centered Program for Childhood Obesity: TX CORD RCT

Nancy F. Butte, Deanna M. Hoelscher, Sarah E. Barlow, Stephen Pont, Casey Durand, Elizabeth A. Vandewater, Yan Liu, Anne L. Adolph, Adriana Pérez, Theresa A. Wilson, Alejandra Gonzalez, Maurice R. Puyau, Shreela V. Sharma, Courtney Byrd-Williams, Abiodun Oluyomi, Terry Huang, Eric A. Finkelstein, Paul M. Sacher, Steven H. Kelder

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Objective: This randomized controlled trial was conducted to determine comparative efficacy of a 12-month community-centered weight management program (MEND2-5 for ages 2-5 or MEND/CATCH6-12 for ages 6-12) against a primary care-centered program (Next Steps) in low-income children. Methods: Five hundred forty-nine Hispanic and black children (BMI ≥ 85th percentile), stratified by age groups (2-5, 6-8, and 9-12 years), were randomly assigned to MEND2-5 (27 contact hours)/MEND/CATCH6-12 (121.5 contact hours) or Next Steps (8 contact hours). Primary (BMI value at the 95th percentile [%BMIp95]) and secondary outcomes were measured at baseline, 3 months (Intensive Phase), and 12 months (Transition Phase). Results: For age group 6-8, MEND/CATCH6-12 resulted in greater improvement in %BMIp95 than Next Steps during the Intensive Phase. Effect size (95% CI) was −1.94 (−3.88, −0.01) percentage points (P = 0.05). For age group 9-12, effect size was −1.38 (−2.87, 0.16) percentage points for %BMIp95 (P = 0.07). MEND2-5 did not differentially affect %BMIp95. Attendance averaged 52% and 22% during the Intensive and Transition Phases. Intervention compliance was inversely correlated to change in %BMIp95 during the Intensive Phase (P < 0.05). In the Transition Phase, %BMIp95 was maintained or rebounded in both programs (P < 0.05). Conclusions: MEND/CATCH6-12 was more efficacious for BMI reduction at 3 months but not 12 months compared to Next Steps in underserved children. Intervention compliance influenced outcomes, emphasizing the need for research in sustaining family engagement in low-income populations.

Original languageEnglish (US)
Pages (from-to)1584-1593
Number of pages10
JournalObesity
Volume25
Issue number9
DOIs
StatePublished - Sep 1 2017

Fingerprint

Pediatric Obesity
Phase Transition
Age Groups
Compliance
Poverty
Hispanic Americans
Primary Health Care
Randomized Controlled Trials
Weights and Measures
MEND
Research

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Endocrinology, Diabetes and Metabolism
  • Endocrinology
  • Nutrition and Dietetics

Cite this

Butte, N. F., Hoelscher, D. M., Barlow, S. E., Pont, S., Durand, C., Vandewater, E. A., ... Kelder, S. H. (2017). Efficacy of a Community- Versus Primary Care–Centered Program for Childhood Obesity: TX CORD RCT. Obesity, 25(9), 1584-1593. https://doi.org/10.1002/oby.21929

Efficacy of a Community- Versus Primary Care–Centered Program for Childhood Obesity : TX CORD RCT. / Butte, Nancy F.; Hoelscher, Deanna M.; Barlow, Sarah E.; Pont, Stephen; Durand, Casey; Vandewater, Elizabeth A.; Liu, Yan; Adolph, Anne L.; Pérez, Adriana; Wilson, Theresa A.; Gonzalez, Alejandra; Puyau, Maurice R.; Sharma, Shreela V.; Byrd-Williams, Courtney; Oluyomi, Abiodun; Huang, Terry; Finkelstein, Eric A.; Sacher, Paul M.; Kelder, Steven H.

In: Obesity, Vol. 25, No. 9, 01.09.2017, p. 1584-1593.

Research output: Contribution to journalArticle

Butte, NF, Hoelscher, DM, Barlow, SE, Pont, S, Durand, C, Vandewater, EA, Liu, Y, Adolph, AL, Pérez, A, Wilson, TA, Gonzalez, A, Puyau, MR, Sharma, SV, Byrd-Williams, C, Oluyomi, A, Huang, T, Finkelstein, EA, Sacher, PM & Kelder, SH 2017, 'Efficacy of a Community- Versus Primary Care–Centered Program for Childhood Obesity: TX CORD RCT', Obesity, vol. 25, no. 9, pp. 1584-1593. https://doi.org/10.1002/oby.21929
Butte, Nancy F. ; Hoelscher, Deanna M. ; Barlow, Sarah E. ; Pont, Stephen ; Durand, Casey ; Vandewater, Elizabeth A. ; Liu, Yan ; Adolph, Anne L. ; Pérez, Adriana ; Wilson, Theresa A. ; Gonzalez, Alejandra ; Puyau, Maurice R. ; Sharma, Shreela V. ; Byrd-Williams, Courtney ; Oluyomi, Abiodun ; Huang, Terry ; Finkelstein, Eric A. ; Sacher, Paul M. ; Kelder, Steven H. / Efficacy of a Community- Versus Primary Care–Centered Program for Childhood Obesity : TX CORD RCT. In: Obesity. 2017 ; Vol. 25, No. 9. pp. 1584-1593.
@article{84bd2ec6950c48a8a9b327f444a086bb,
title = "Efficacy of a Community- Versus Primary Care–Centered Program for Childhood Obesity: TX CORD RCT",
abstract = "Objective: This randomized controlled trial was conducted to determine comparative efficacy of a 12-month community-centered weight management program (MEND2-5 for ages 2-5 or MEND/CATCH6-12 for ages 6-12) against a primary care-centered program (Next Steps) in low-income children. Methods: Five hundred forty-nine Hispanic and black children (BMI ≥ 85th percentile), stratified by age groups (2-5, 6-8, and 9-12 years), were randomly assigned to MEND2-5 (27 contact hours)/MEND/CATCH6-12 (121.5 contact hours) or Next Steps (8 contact hours). Primary (BMI value at the 95th percentile [{\%}BMIp95]) and secondary outcomes were measured at baseline, 3 months (Intensive Phase), and 12 months (Transition Phase). Results: For age group 6-8, MEND/CATCH6-12 resulted in greater improvement in {\%}BMIp95 than Next Steps during the Intensive Phase. Effect size (95{\%} CI) was −1.94 (−3.88, −0.01) percentage points (P = 0.05). For age group 9-12, effect size was −1.38 (−2.87, 0.16) percentage points for {\%}BMIp95 (P = 0.07). MEND2-5 did not differentially affect {\%}BMIp95. Attendance averaged 52{\%} and 22{\%} during the Intensive and Transition Phases. Intervention compliance was inversely correlated to change in {\%}BMIp95 during the Intensive Phase (P < 0.05). In the Transition Phase, {\%}BMIp95 was maintained or rebounded in both programs (P < 0.05). Conclusions: MEND/CATCH6-12 was more efficacious for BMI reduction at 3 months but not 12 months compared to Next Steps in underserved children. Intervention compliance influenced outcomes, emphasizing the need for research in sustaining family engagement in low-income populations.",
author = "Butte, {Nancy F.} and Hoelscher, {Deanna M.} and Barlow, {Sarah E.} and Stephen Pont and Casey Durand and Vandewater, {Elizabeth A.} and Yan Liu and Adolph, {Anne L.} and Adriana P{\'e}rez and Wilson, {Theresa A.} and Alejandra Gonzalez and Puyau, {Maurice R.} and Sharma, {Shreela V.} and Courtney Byrd-Williams and Abiodun Oluyomi and Terry Huang and Finkelstein, {Eric A.} and Sacher, {Paul M.} and Kelder, {Steven H.}",
year = "2017",
month = "9",
day = "1",
doi = "10.1002/oby.21929",
language = "English (US)",
volume = "25",
pages = "1584--1593",
journal = "Obesity",
issn = "1930-7381",
publisher = "Wiley-Blackwell",
number = "9",

}

TY - JOUR

T1 - Efficacy of a Community- Versus Primary Care–Centered Program for Childhood Obesity

T2 - TX CORD RCT

AU - Butte, Nancy F.

AU - Hoelscher, Deanna M.

AU - Barlow, Sarah E.

AU - Pont, Stephen

AU - Durand, Casey

AU - Vandewater, Elizabeth A.

AU - Liu, Yan

AU - Adolph, Anne L.

AU - Pérez, Adriana

AU - Wilson, Theresa A.

AU - Gonzalez, Alejandra

AU - Puyau, Maurice R.

AU - Sharma, Shreela V.

AU - Byrd-Williams, Courtney

AU - Oluyomi, Abiodun

AU - Huang, Terry

AU - Finkelstein, Eric A.

AU - Sacher, Paul M.

AU - Kelder, Steven H.

PY - 2017/9/1

Y1 - 2017/9/1

N2 - Objective: This randomized controlled trial was conducted to determine comparative efficacy of a 12-month community-centered weight management program (MEND2-5 for ages 2-5 or MEND/CATCH6-12 for ages 6-12) against a primary care-centered program (Next Steps) in low-income children. Methods: Five hundred forty-nine Hispanic and black children (BMI ≥ 85th percentile), stratified by age groups (2-5, 6-8, and 9-12 years), were randomly assigned to MEND2-5 (27 contact hours)/MEND/CATCH6-12 (121.5 contact hours) or Next Steps (8 contact hours). Primary (BMI value at the 95th percentile [%BMIp95]) and secondary outcomes were measured at baseline, 3 months (Intensive Phase), and 12 months (Transition Phase). Results: For age group 6-8, MEND/CATCH6-12 resulted in greater improvement in %BMIp95 than Next Steps during the Intensive Phase. Effect size (95% CI) was −1.94 (−3.88, −0.01) percentage points (P = 0.05). For age group 9-12, effect size was −1.38 (−2.87, 0.16) percentage points for %BMIp95 (P = 0.07). MEND2-5 did not differentially affect %BMIp95. Attendance averaged 52% and 22% during the Intensive and Transition Phases. Intervention compliance was inversely correlated to change in %BMIp95 during the Intensive Phase (P < 0.05). In the Transition Phase, %BMIp95 was maintained or rebounded in both programs (P < 0.05). Conclusions: MEND/CATCH6-12 was more efficacious for BMI reduction at 3 months but not 12 months compared to Next Steps in underserved children. Intervention compliance influenced outcomes, emphasizing the need for research in sustaining family engagement in low-income populations.

AB - Objective: This randomized controlled trial was conducted to determine comparative efficacy of a 12-month community-centered weight management program (MEND2-5 for ages 2-5 or MEND/CATCH6-12 for ages 6-12) against a primary care-centered program (Next Steps) in low-income children. Methods: Five hundred forty-nine Hispanic and black children (BMI ≥ 85th percentile), stratified by age groups (2-5, 6-8, and 9-12 years), were randomly assigned to MEND2-5 (27 contact hours)/MEND/CATCH6-12 (121.5 contact hours) or Next Steps (8 contact hours). Primary (BMI value at the 95th percentile [%BMIp95]) and secondary outcomes were measured at baseline, 3 months (Intensive Phase), and 12 months (Transition Phase). Results: For age group 6-8, MEND/CATCH6-12 resulted in greater improvement in %BMIp95 than Next Steps during the Intensive Phase. Effect size (95% CI) was −1.94 (−3.88, −0.01) percentage points (P = 0.05). For age group 9-12, effect size was −1.38 (−2.87, 0.16) percentage points for %BMIp95 (P = 0.07). MEND2-5 did not differentially affect %BMIp95. Attendance averaged 52% and 22% during the Intensive and Transition Phases. Intervention compliance was inversely correlated to change in %BMIp95 during the Intensive Phase (P < 0.05). In the Transition Phase, %BMIp95 was maintained or rebounded in both programs (P < 0.05). Conclusions: MEND/CATCH6-12 was more efficacious for BMI reduction at 3 months but not 12 months compared to Next Steps in underserved children. Intervention compliance influenced outcomes, emphasizing the need for research in sustaining family engagement in low-income populations.

UR - http://www.scopus.com/inward/record.url?scp=85023632271&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85023632271&partnerID=8YFLogxK

U2 - 10.1002/oby.21929

DO - 10.1002/oby.21929

M3 - Article

C2 - 28703504

AN - SCOPUS:85023632271

VL - 25

SP - 1584

EP - 1593

JO - Obesity

JF - Obesity

SN - 1930-7381

IS - 9

ER -