ENTREN-F family-system based intervention for managing childhood obesity: Study protocol for a randomized controlled trial at primary care
EntityUAM. Departamento de Educación Física, Deporte y Motricidad Humana; UAM. Departamento de Psicología Biológica y de la Salud
10.1016/j.orcp.2022.07.001Obesity Research & Clinical Practice (2022): 1-11
Funded byThis study was funded by the Spanish Ministry of Science and Innovation (RETOS PSI2016-79471-R). Partial financial support was received from the “Auchan Foundation for Youth” and the “Promotion of Knowledge Transfer” of the UAM-Foundation (2019-ES-00067). Ms. Rojo was awarded a Research Fellowship (FPU) for students of Ph.D. Programs from the Spanish Ministry of Science and Innovation (FPU2017/02840
ProjectGobierno de España. PSI2016-79471-R
SubjectsChildhood obesity; Family-based intervention; Family-system-based intervention; Primary care; Randomized controlled trial; Study protocol; Deportes; Psicología
Rights© 2022 The Author(s)
Esta obra está bajo una licencia de Creative Commons Reconocimiento-NoComercial-SinObraDerivada 4.0 Internacional.
Background: Pediatric obesity is a primary public health concern, and designing effective programs for managing it is of the utmost importance. The objective of this study was to describe the protocol study of a three-arm, parallel, randomized controlled trial aimed at assessing the efficacy of a family-system-based intervention (“ENTREN-F” program) for managing childhood obesity, compared to the “ENTREN” program (no “F” - without specific family-system-based workshop) and a control group (behavioral monitoring). Methods/design: The ENTREN-F program was a multicomponent family-system-based intervention carried out by a multidisciplinary team in the primary health care setting. The program targeted children between 8 and 12 years with overweight and obesity (P ≥ 85th). Parents were actively involved in the process. The contents were designed using the Cognitive Behavioral Therapy (CBT) principles. The program comprised individual behavioral monitoring, a healthy habits workshop for children and their parents, a CBT workshop for children, and a family-system-based workshop for parents, enhancing parental management skills plus family functioning. The trial's primary outcomes included changes in child body mass index (BMI) z-scores, child's psychological well-being, and family functioning over six months. Secondary outcomes included changes in eating behavior, physical activity, self-esteem, parental distress, parental feeding practices, and parental modeling. Discussion: To our knowledge, this is one of the few randomized controlled trials to assess the efficacy of a multicomponent program that considers health from a comprehensive perspective, trying to improve children's psychological well-being and family functioning besides weight loss. This study, therefore, addresses a gap in the literature. If found to be efficacious, it suggests a new potential health service for translation into National Primary Health Care services in Spain, one of the ten countries with the highest prevalence of obesity in Europe
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Google Scholar:Rojo Hidalgo, Marta - Lacruz, Tatiana - Solano, Santos - Vivar, Mario - Del Río, Andrea - Martínez Bacaicoa, Jone - Foguet, Sara - Marín, Marta - Moreno Encinas, Alba - Veiga Núñez, Óscar Luis - Cabanas Sánchez, Verónica - Rey, Consuelo - Graell Berna, Montserrat - Sepúlveda García, Ana Rosa
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