Study protocol for clinical trial of the FIT Families multicomponent obesity intervention for African American adolescents and their caregivers: Next step from the ORBIT initiative

Introduction This study will test the effectiveness of FIT Families (FIT), a multicomponent family-based behavioural intervention, against a credible attention control condition, Home-Based Family Support (HBFS). This protocol paper describes the design of a randomised clinical trial testing the eff...

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Main Authors: Jennifer Powell, Samiran Ghosh, Sylvie Naar, Phillippe B Cunningham, James R Roberts, David M Ledgerwood, Jeff Randall, Brian E Lozano, Colleen A Halliday, Mohan Madisetti
Format: Article
Language:English
Published: BMJ Publishing Group 2024-02-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/14/2/e074552.full
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author Jennifer Powell
Samiran Ghosh
Sylvie Naar
Phillippe B Cunningham
James R Roberts
David M Ledgerwood
Jeff Randall
Brian E Lozano
Colleen A Halliday
Mohan Madisetti
author_facet Jennifer Powell
Samiran Ghosh
Sylvie Naar
Phillippe B Cunningham
James R Roberts
David M Ledgerwood
Jeff Randall
Brian E Lozano
Colleen A Halliday
Mohan Madisetti
author_sort Jennifer Powell
collection DOAJ
description Introduction This study will test the effectiveness of FIT Families (FIT), a multicomponent family-based behavioural intervention, against a credible attention control condition, Home-Based Family Support (HBFS). This protocol paper describes the design of a randomised clinical trial testing the efficacy of the FIT intervention. The protocol will assess the efficacy of FIT to improve health status in African American adolescents with obesity (AAAO) and their primary caregivers on primary (percent body fat) and secondary (physical activity, metabolic control, weight loss) outcomes and its cost-effectiveness.Methods 180 youth/caregiver dyads are randomised into FIT or HBFS, stratified by age, gender and baseline per cent overweight. The proposed study follows a two condition (FIT, HBFS) by four assessment time points. Tests will be conducted to identify potential relationship of baseline demographic and clinical variables to our dependent variables and see whether they are balanced between groups. It is hypothesised that youth/caregiver dyads randomised to FIT will show significantly greater reductions in percent body fat over a 12-month follow-up period compared with AAAO receiving HBFS. Preliminary findings are expected by November 2023.Ethics This protocol received IRB approval from the Medical University of South Carolina (Pro00106021; see ‘MUSC IRB 106021 Main Approval.doxc’ in online supplemental materials).Dissemination Dissemination activities will include summary documents designed for distribution to the broader medical community/family audience and submission of manuscripts, based on study results, to relevant peer-reviewed scientific high-impact journals.Trial registration number NCT04974554.
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spelling doaj.art-13d64b522fda48658ef793d3f90fcecc2024-03-07T03:30:07ZengBMJ Publishing GroupBMJ Open2044-60552024-02-0114210.1136/bmjopen-2023-074552Study protocol for clinical trial of the FIT Families multicomponent obesity intervention for African American adolescents and their caregivers: Next step from the ORBIT initiativeJennifer Powell0Samiran Ghosh1Sylvie Naar2Phillippe B Cunningham3James R Roberts4David M Ledgerwood5Jeff Randall6Brian E Lozano7Colleen A Halliday8Mohan Madisetti9Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina, USADepartment of Biostatistics and Data Science, University of Texas School of Public Health, Houston, Texas, USADepartment of Behavioral Sciences and Social Medicine, FSU College of Medicine, Florida State Univ, Tallahassee, Florida, USADepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina, USADepartment of Pediatrics, Medical University of South Carolina, Charleston, South Carolina, USADepartment of Psychiatry and Behavioral Neurosciences, Wayne State University, Detroit, Michigan, USADepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina, USADepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina, USADepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina, USACollege of Nursing, Medical University of South Carolina, Charleston, South Carolina, USAIntroduction This study will test the effectiveness of FIT Families (FIT), a multicomponent family-based behavioural intervention, against a credible attention control condition, Home-Based Family Support (HBFS). This protocol paper describes the design of a randomised clinical trial testing the efficacy of the FIT intervention. The protocol will assess the efficacy of FIT to improve health status in African American adolescents with obesity (AAAO) and their primary caregivers on primary (percent body fat) and secondary (physical activity, metabolic control, weight loss) outcomes and its cost-effectiveness.Methods 180 youth/caregiver dyads are randomised into FIT or HBFS, stratified by age, gender and baseline per cent overweight. The proposed study follows a two condition (FIT, HBFS) by four assessment time points. Tests will be conducted to identify potential relationship of baseline demographic and clinical variables to our dependent variables and see whether they are balanced between groups. It is hypothesised that youth/caregiver dyads randomised to FIT will show significantly greater reductions in percent body fat over a 12-month follow-up period compared with AAAO receiving HBFS. Preliminary findings are expected by November 2023.Ethics This protocol received IRB approval from the Medical University of South Carolina (Pro00106021; see ‘MUSC IRB 106021 Main Approval.doxc’ in online supplemental materials).Dissemination Dissemination activities will include summary documents designed for distribution to the broader medical community/family audience and submission of manuscripts, based on study results, to relevant peer-reviewed scientific high-impact journals.Trial registration number NCT04974554.https://bmjopen.bmj.com/content/14/2/e074552.full
spellingShingle Jennifer Powell
Samiran Ghosh
Sylvie Naar
Phillippe B Cunningham
James R Roberts
David M Ledgerwood
Jeff Randall
Brian E Lozano
Colleen A Halliday
Mohan Madisetti
Study protocol for clinical trial of the FIT Families multicomponent obesity intervention for African American adolescents and their caregivers: Next step from the ORBIT initiative
BMJ Open
title Study protocol for clinical trial of the FIT Families multicomponent obesity intervention for African American adolescents and their caregivers: Next step from the ORBIT initiative
title_full Study protocol for clinical trial of the FIT Families multicomponent obesity intervention for African American adolescents and their caregivers: Next step from the ORBIT initiative
title_fullStr Study protocol for clinical trial of the FIT Families multicomponent obesity intervention for African American adolescents and their caregivers: Next step from the ORBIT initiative
title_full_unstemmed Study protocol for clinical trial of the FIT Families multicomponent obesity intervention for African American adolescents and their caregivers: Next step from the ORBIT initiative
title_short Study protocol for clinical trial of the FIT Families multicomponent obesity intervention for African American adolescents and their caregivers: Next step from the ORBIT initiative
title_sort study protocol for clinical trial of the fit families multicomponent obesity intervention for african american adolescents and their caregivers next step from the orbit initiative
url https://bmjopen.bmj.com/content/14/2/e074552.full
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