{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T07:17:03Z","timestamp":1772176623289,"version":"3.50.1"},"reference-count":35,"publisher":"Oxford University Press (OUP)","issue":"3","funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"name":"IDeA States Pediatric Clinical Trials Network","award":["U24 OD024957"],"award-info":[{"award-number":["U24 OD024957"]}]},{"DOI":"10.13039\/100008519","name":"University of Arkansas for Medical Sciences","doi-asserted-by":"publisher","award":["UG1 OD024943"],"award-info":[{"award-number":["UG1 OD024943"]}],"id":[{"id":"10.13039\/100008519","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006727","name":"University of Kansas Medical Center","doi-asserted-by":"publisher","award":["UG1 OD024945"],"award-info":[{"award-number":["UG1 OD024945"]}],"id":[{"id":"10.13039\/100006727","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Arkansas Children\u2019s Research Institute","award":["UG1 OD024950"],"award-info":[{"award-number":["UG1 OD024950"]}]},{"DOI":"10.13039\/100007927","name":"University of Oklahoma Health Sciences Center","doi-asserted-by":"publisher","award":["UG1 OD024958"],"award-info":[{"award-number":["UG1 OD024958"]}],"id":[{"id":"10.13039\/100007927","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Nemours Alfred I. duPont Hospital for Children","award":["UG1 OD024953"],"award-info":[{"award-number":["UG1 OD024953"]}]},{"DOI":"10.13039\/100006518","name":"University of Nebraska Medical Center","doi-asserted-by":"publisher","award":["UG1 OD024956"],"award-info":[{"award-number":["UG1 OD024956"]}],"id":[{"id":"10.13039\/100006518","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008899","name":"University of South Carolina","doi-asserted-by":"publisher","award":["UG1 OD024942"],"award-info":[{"award-number":["UG1 OD024942"]}],"id":[{"id":"10.13039\/100008899","id-type":"DOI","asserted-by":"publisher"}]},{"name":"University of Mississippi Medical Center","award":["UG1 OD030016"],"award-info":[{"award-number":["UG1 OD030016"]}]},{"DOI":"10.13039\/100009455","name":"West Virginia University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009455","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,3,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>This ancillary study\u2019s purpose is to describe the relationship between dose of treatment and body mass index (BMI) outcomes in a tele-behavioral health program delivered in the IDeA States Pediatric Clinical Trials Network to children and their families living in rural communities.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Participants randomized to the intervention were able to receive 26 contact hours (15\u2009hr of group sessions and 11\u2009hr of individual sessions) of material focused on nutrition, physical activity, and behavioral caregiver training delivered via interactive televideo. Dose of the intervention received by child\/caregiver dyads (n\u2009=\u200952) from rural areas was measured as contact hours. The total doses of group, individual, and total contact hours were analyzed, and generalized linear mixed models were utilized to determine how dose received impacted BMI outcomes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The majority (64.4%) of participants received the target of at least 80% (20.8\u2009hr) of the total intervention dose. Older children (9\u201311\u2009years) achieved significantly less intervention dose than targeted (M\u2009=\u200919.7; p\u2009=\u2009.031); as did males (M\u2009=\u200917.2; p\u2009&amp;lt;\u2009.001), children who identified as Black (M\u2009=\u200917.8; p\u2009&amp;lt;\u2009.001), and children from Site 3 (M\u2009=\u200918.0; p\u2009&amp;lt;\u2009.001). Dose was not significantly related to BMI outcomes in children or caregivers.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>As this study is underpowered and took place during the early stages of the COVID-19 pandemic, results should be interpreted with caution, but contact hours did not predict health outcomes for families living in rural communities.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jpepsy\/jsae110","type":"journal-article","created":{"date-parts":[[2025,1,29]],"date-time":"2025-01-29T22:42:36Z","timestamp":1738190556000},"page":"280-288","source":"Crossref","is-referenced-by-count":4,"title":["A family-based behavioral group obesity randomized control feasibility trial across a clinical trials network: a focus on contact hours"],"prefix":"10.1093","volume":"50","author":[{"given":"Ann M","family":"Davis","sequence":"first","affiliation":[{"name":"Department of Pediatrics, University of Kansas Medical Center , Kansas City, KS,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Darden","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, University of Oklahoma Health Science Center , Oklahoma City, OK,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7556-743X","authenticated-orcid":false,"given":"Brittany","family":"Lancaster","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Kansas Medical Center , Kansas City, KS,","place":["United States"]},{"name":"Department of Psychology, Mississippi State University , Mississippi State, MS,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Di","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, University of Arkansas for Medical Sciences , Little Rock, AR,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher C","family":"Cushing","sequence":"additional","affiliation":[{"name":"The Department of Clinical Child Psychology, University of Kansas , Lawrence, KS,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David M","family":"Janicke","sequence":"additional","affiliation":[{"name":"Clinical Child and Pediatric Psychology, University of Florida , Gainesville, FL,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Crystal S","family":"Lim","sequence":"additional","affiliation":[{"name":"Department of Health Psychology, University of Missouri , Columbia, MO,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Megan","family":"Olalde","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Kansas Medical Center , Kansas City, KS,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Bullard","sequence":"additional","affiliation":[{"name":"Unstuck Nutrition , Nacogdoches, TX,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Russell","family":"McCulloh","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Nebraska Medical Center , Omaha, NE,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danika","family":"Perry","sequence":"additional","affiliation":[{"name":"Nemours School Based Health Center , New Castle, DE,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lee","family":"Pyles","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, West Virginia University , Morgantown, WV,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanda E","family":"Staiano","sequence":"additional","affiliation":[{"name":"Pennington Biomedical Research Center , Baton Rouge, LA,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monica","family":"Serrano-Gonzalez","sequence":"additional","affiliation":[{"name":"Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University , Providence, RI,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deborah Winders","family":"Davis","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Louisville School of Medicine , Louisville, KY,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elissa","family":"Jelalian","sequence":"additional","affiliation":[{"name":"Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University , Providence, RI,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,1,29]]},"reference":[{"key":"2025040919115377700_jsae110-B1","author":"American Academy of Pediatrics","year":"2020"},{"key":"2025040919115377700_jsae110-B2","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1002\/oby.23313","article-title":"Attenuated efficacy of pediatric obesity treatment during the COVID-19 pandemic","volume":"30","author":"Appelhans","year":"2022","journal-title":"Obesity (Silver Spring, Md.)"},{"key":"2025040919115377700_jsae110-B3","doi-asserted-by":"publisher","first-page":"e147","DOI":"10.1016\/j.orcp.2011.09.004","article-title":"Predicting success: factors associated with weight change in obese youth undertaking a weight management program","volume":"7","author":"Baxter","year":"2013","journal-title":"Obesity Research & Clinical Practice"},{"key":"2025040919115377700_jsae110-B4","doi-asserted-by":"crossref","first-page":"S126","DOI":"10.1016\/j.acap.2021.08.001","article-title":"Health and poverty of rural children: an under-researched and under-resourced vulnerable population","volume":"21","author":"Bettenhausen","year":"2021","journal-title":"Academic Pediatrics"},{"key":"2025040919115377700_jsae110-B5","doi-asserted-by":"crossref","first-page":"280","DOI":"10.1542\/peds.2009-1832","article-title":"Challenge! Health promotion\/obesity prevention mentorship model among urban, black adolescents","volume":"126","author":"Black","year":"2010","journal-title":"Pediatrics"},{"key":"2025040919115377700_jsae110-B6","doi-asserted-by":"crossref","first-page":"e12878","DOI":"10.1111\/ijpo.12878","article-title":"Childhood obesity within the lens of racism","volume":"17","author":"Browne","year":"2022","journal-title":"Pediatric Obesity"},{"key":"2025040919115377700_jsae110-B7","author":"Centers for Disease Control and Prevention","year":"2022"},{"key":"2025040919115377700_jsae110-B8","doi-asserted-by":"publisher","first-page":"e2244040","DOI":"10.1001\/jamanetworkopen.2022.44040","article-title":"Active vs traditional methods of recruiting children for a clinical trial in rural primary care clinics","volume":"5","author":"Darden","year":"2022","journal-title":"JAMA Network Open"},{"key":"2025040919115377700_jsae110-B9","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1016\/j.cct.2019.01.001","article-title":"iAmHealthy: rationale, design and application of a family-based mHealth pediatric obesity intervention for rural children","volume":"78","author":"Davis","year":"2019","journal-title":"Contemporary Clinical Trials"},{"key":"2025040919115377700_jsae110-B10","doi-asserted-by":"crossref","first-page":"106476","DOI":"10.1016\/j.cct.2021.106476","article-title":"Rationale and protocol for a cluster randomized, cross-over trial of recruitment methods of rural children in primary care clinics: a feasibility study of a pediatric weight control trial in the IDeA States Pediatric Clinical Trials Network","volume":"107","author":"Davis","year":"2021","journal-title":"Contemporary Clinical Trials"},{"key":"2025040919115377700_jsae110-B11","doi-asserted-by":"crossref","first-page":"2133","DOI":"10.1038\/oby.2008.312","article-title":"Pediatric obesity attitudes, services, and information among rural parents: a qualitative study","volume":"16","author":"Davis","year":"2008","journal-title":"Obesity (Silver Spring, Md.)"},{"key":"2025040919115377700_jsae110-B12","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1177\/1357633X15586642","article-title":"Treating rural paediatric obesity through telemedicine vs. telephone: outcomes from a cluster randomized controlled trial","volume":"22","author":"Davis","year":"2016","journal-title":"Journal of Telemedicine and Telecare"},{"key":"2025040919115377700_jsae110-B13","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1089\/chi.2014.0060","article-title":"Attrition and the management of pediatric obesity: an integrative review","volume":"10","author":"Dhaliwal","year":"2014","journal-title":"Childhood Obesity (Print)"},{"key":"2025040919115377700_jsae110-B14","doi-asserted-by":"crossref","DOI":"10.1542\/peds.2017-1072","article-title":"Tracking of BMI z scores for severe obesity","volume":"140","author":"Freedman","year":"2017","journal-title":"Pediatrics"},{"key":"2025040919115377700_jsae110-B15","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12966-022-01260-w","article-title":"Weight outcomes of NU-HOME: a randomized controlled trial to prevent obesity among rural children","volume":"19","author":"Fulkerson","year":"2022","journal-title":"International Journal of Behavioral Nutrition and Physical Activity"},{"key":"2025040919115377700_jsae110-B16","doi-asserted-by":"crossref","first-page":"1654","DOI":"10.1038\/oby.2011.59","article-title":"The role of parental motivation in family-based treatment for childhood obesity","volume":"19","author":"Gunnarsdottir","year":"2011","journal-title":"Obesity (Silver Spring, Md.)"},{"key":"2025040919115377700_jsae110-B17","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2022-060640","article-title":"Clinical practice guideline for the evaluation and treatment of children and adolescents with obesity","volume":"151","author":"Hampl","year":"2023","journal-title":"Pediatrics"},{"key":"2025040919115377700_jsae110-B18","doi-asserted-by":"publisher","first-page":"16","DOI":"10.1007\/s12170-015-0443-8","article-title":"Recent updates on the efficacy of group based treatments for pediatric obesity","volume":"9","author":"Hayes","year":"2015","journal-title":"Current Cardiovascular Risk Reports"},{"key":"2025040919115377700_jsae110-B19","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12966-017-0615-7","article-title":"The dose of behavioral interventions to prevent and treat childhood obesity: a systematic review and meta-regression","volume":"14","author":"Heerman","year":"2017","journal-title":"International Journal of Behavioral Nutrition and Physical Activity"},{"key":"2025040919115377700_jsae110-B20","doi-asserted-by":"crossref","first-page":"885","DOI":"10.1186\/s12889-020-09020-w","article-title":"Evaluating dose delivered of a behavioral intervention for childhood obesity prevention: a secondary analysis","volume":"20","author":"Heerman","year":"2020","journal-title":"BMC Public Health"},{"key":"2025040919115377700_jsae110-B21","doi-asserted-by":"crossref","first-page":"889","DOI":"10.1093\/jpepsy\/jsz029","article-title":"Featured article: behavior interventions addressing obesity in rural settings: the E-FLIP for kids trial","volume":"44","author":"Janicke","year":"2019","journal-title":"Journal of Pediatric Psychology"},{"key":"2025040919115377700_jsae110-B22","doi-asserted-by":"crossref","first-page":"809","DOI":"10.1093\/jpepsy\/jsu023","article-title":"Systematic review and meta-analysis of comprehensive behavioral family lifestyle interventions addressing pediatric obesity","volume":"39","author":"Janicke","year":"2014","journal-title":"Journal of Pediatric Psychology"},{"key":"2025040919115377700_jsae110-B23","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1080\/02739615.2011.590391","article-title":"The effect of group-based weight-control intervention on adolescent psychosocial outcomes: perceived peer rejection, social anxiety, and self-concept","volume":"40","author":"Jelalian","year":"2011","journal-title":"Children's Health Care: Journal of the Association for the Care of Children's Health"},{"key":"2025040919115377700_jsae110-B24","doi-asserted-by":"crossref","first-page":"2250","DOI":"10.1038\/oby.2012.96","article-title":"Predictors of attendance in a practical clinical trial of two pediatric weight management interventions","volume":"20","author":"Jensen","year":"2012","journal-title":"Obesity (Silver Spring, Md.)"},{"key":"2025040919115377700_jsae110-B25","doi-asserted-by":"publisher","first-page":"233","DOI":"10.1089\/chi.2014.0085","article-title":"Urban-rural differences in childhood and adolescent obesity in the United States: A systematic review and meta-analysis","volume":"11","author":"Johnson","year":"2015","journal-title":"Childhood Obesity (Print)"},{"key":"2025040919115377700_jsae110-B26","doi-asserted-by":"crossref","first-page":"15","DOI":"10.5223\/pghn.2020.23.1.15","article-title":"An update on mental health problems and cognitive behavioral therapy in pediatric obesity","volume":"23","author":"Kang","year":"2020","journal-title":"Pediatric Gastroenterology, Hepatology & Nutrition"},{"key":"2025040919115377700_jsae110-B27","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1111\/jrh.12078","article-title":"Distance as a predictor of treatment attendance in a family based pediatric weight management program in rural areas","volume":"31","author":"Klitzman","year":"2015","journal-title":"The Journal of Rural Health: Official Journal of the American Rural Health Association and the National Rural Health Care Association"},{"key":"2025040919115377700_jsae110-B28","doi-asserted-by":"crossref","first-page":"2427","DOI":"10.1001\/jama.2017.0332","article-title":"Screening for obesity and intervention for weight management in children and adolescents: evidence report and systematic review for the US Preventive Services Task Force","volume":"317","author":"O\u2019Connor","year":"2017","journal-title":"JAMA"},{"key":"2025040919115377700_jsae110-B29","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1097\/MOP.0000000000000597","article-title":"The institutional development award states pediatric clinical trials network: building research capacity among the rural and medically underserved","volume":"30","author":"Snowden","year":"2018","journal-title":"Current Opinion in Pediatrics"},{"key":"2025040919115377700_jsae110-B30","first-page":"83","article-title":"Family-based behavioral treatment for childhood obesity: caretaker-reported barriers and facilitators","volume":"17","author":"Staiano","year":"2017","journal-title":"Ochsner Journal"},{"key":"2025040919115377700_jsae110-B31","author":"United States Census Bureau","year":"2020"},{"key":"2025040919115377700_jsae110-B32","author":"United States Department of Agriculture","year":"2023"},{"key":"2025040919115377700_jsae110-B33","doi-asserted-by":"crossref","first-page":"e65376","DOI":"10.1371\/journal.pone.0065376","article-title":"Population-based childhood overweight prevention: outcomes of the \u2018Be active, eat right\u2019study","volume":"8","author":"van Grieken","year":"2013","journal-title":"PloS One"},{"key":"2025040919115377700_jsae110-B34","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1186\/1471-2458-14-140","article-title":"Process evaluation of an up-scaled community based child obesity treatment program: NSW Go4Fun\u00ae","volume":"14","author":"Welsby","year":"2014","journal-title":"BMC Public Health"},{"key":"2025040919115377700_jsae110-B35","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-023-50790-1","article-title":"Validation of remote anthropometric measurements in a rural randomized pediatric clinical trial in primary care settings","volume":"14","author":"Zhang","year":"2024","journal-title":"Scientific Reports"}],"container-title":["Journal of Pediatric Psychology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jpepsy\/article-pdf\/50\/3\/280\/61685750\/jsae110.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jpepsy\/article-pdf\/50\/3\/280\/61685750\/jsae110.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,9]],"date-time":"2025-04-09T19:12:08Z","timestamp":1744225928000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jpepsy\/article\/50\/3\/280\/7989409"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,29]]},"references-count":35,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2025,1,29]]},"published-print":{"date-parts":[[2025,3,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jpepsy\/jsae110","relation":{},"ISSN":["0146-8693","1465-735X"],"issn-type":[{"value":"0146-8693","type":"print"},{"value":"1465-735X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,3]]},"published":{"date-parts":[[2025,1,29]]}}}