The results of the Families Improving Together (FIT) for weight loss randomized trial in overweight African American Adolescents

DK Wilson, AM Sweeney, ML Van Horn… - Annals of Behavioral …, 2022 - academic.oup.com
Annals of Behavioral Medicine, 2022academic.oup.com
Background Few intervention studies have integrated cultural tailoring, parenting,
behavioral, and motivational strategies to address African American adolescent weight loss.
Purpose The Families Improving Together (FIT) for Weight Loss trial was a randomized
group cohort study testing the efficacy of a cultural tailoring, positive parenting, and
motivational intervention for weight loss in overweight African American adolescents (N=
241 adolescent/caregiver dyads). Methods The trial tested an 8-week face-to-face group …
Background
Few intervention studies have integrated cultural tailoring, parenting, behavioral, and motivational strategies to address African American adolescent weight loss.
Purpose
The Families Improving Together (FIT) for Weight Loss trial was a randomized group cohort study testing the efficacy of a cultural tailoring, positive parenting, and motivational intervention for weight loss in overweight African American adolescents (N = 241 adolescent/caregiver dyads).
Methods
The trial tested an 8-week face-to-face group motivational plus family weight loss program (M + FWL) compared with a comprehensive health education control program. Participants were then rerandomized to an 8-week tailored or control online program to test the added effects of the online intervention on reducing body mass index and improving physical activity (moderate-to-vigorous physical activity [MVPA], light physical activity [LPA]), and diet.
Results
There were no significant intervention effects for body mass index or diet. There was a significant effect of the group M + FWL intervention on parent LPA at 16 weeks (B = 33.017, SE = 13.115, p = .012). Parents in the group M + FWL intervention showed an increase in LPA, whereas parents in the comprehensive health education group showed a decrease in LPA. Secondary analyses using complier average causal effects showed a significant intervention effect at 16 weeks for parents on MVPA and a similar trend for adolescents.
Conclusions
While the intervention showed some impact on physical activity, additional strategies are needed to impact weight loss among overweight African American adolescents.
Oxford University Press
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