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Clinicians at a pediatric clinic referred patients ages 6\u201312\u2009years with obesity (body mass index percentile [BMI%ile]\u2009\u2265\u200995th) to the home health agency who then delivered the 12-month program in the child\u2019s home as part of their standard practice. The Framework for Reporting Adaptation and Modifications to Evidence-based Interventions (FRAME) was used to document modifications and Reach Effectiveness Adoption Implementation and Maintenance was used to track implementation. BMI%ile, blood pressure, and quality of life (QoL) were tracked.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Eleven adaptations were identified using FRAME-IS. Key modifications to improve delivery included building PATH lesson content and assessment into the home health EHR, digitizing a tailored weight path to inform program adherence, and refining recruitment procedures. Ten families enrolled, attending an average 8\u2009\u00b1\u20097 sessions (Mean\u2009\u00b1\u2009SD; range: 2\u201321). Five participants completed measures at six months and two at twelve months. Across timepoints BMI%ile appeared to be attenuated, systolic blood pressure improved, and gains in QoL were evident.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The PATH IHBLT was adapted for home health delivery and billed to Medicaid, showing preliminary success but challenges with retention. Further work is needed to increase dosage of IHBLT delivered in the home setting.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/tbm\/ibag073","type":"journal-article","created":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T11:30:55Z","timestamp":1790335855000},"source":"Crossref","is-referenced-by-count":0,"title":["Adaptations of an evidence-based intervention for child obesity treatment delivered in a home health setting: a brief report"],"prefix":"10.1093","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1294-057X","authenticated-orcid":false,"given":"Alyssa M","family":"Button","sequence":"first","affiliation":[{"name":"Pennington Biomedical Research Center , Baton Rouge, LA,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angelle","family":"Ullmer","sequence":"additional","affiliation":[{"name":"Pennington Biomedical Research Center , Baton Rouge, LA,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9280-6022","authenticated-orcid":false,"given":"Peter T","family":"Katzmarzyk","sequence":"additional","affiliation":[{"name":"Pennington Biomedical Research Center , Baton Rouge, LA,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stewart","family":"Gordon","sequence":"additional","affiliation":[{"name":"Pennington Biomedical Research Center , Baton Rouge, LA,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Gros","sequence":"additional","affiliation":[{"name":"STAT Home Health Carpenter Health Network , Breaux Bridge, LA,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4603-3719","authenticated-orcid":false,"given":"Hanim E","family":"Diktas","sequence":"additional","affiliation":[{"name":"Pennington Biomedical Research Center , Baton Rouge, LA,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8125-4015","authenticated-orcid":false,"given":"Corby K","family":"Martin","sequence":"additional","affiliation":[{"name":"Pennington Biomedical Research Center , Baton Rouge, LA,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeremy","family":"Domingue","sequence":"additional","affiliation":[{"name":"STAT Home Health Carpenter Health Network , Breaux Bridge, LA,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7846-046X","authenticated-orcid":false,"given":"Amanda E","family":"Staiano","sequence":"additional","affiliation":[{"name":"Pennington Biomedical Research Center , Baton Rouge, LA,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,10,9]]},"reference":[{"key":"2026100911183637200_ibag073-B1","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":"2026100911183637200_ibag073-B2","author":"O\u2019Connor","year":"2024"},{"key":"2026100911183637200_ibag073-B3","author":"Centers for Disease Control and Prevention","year":"2024"},{"key":"2026100911183637200_ibag073-B4","doi-asserted-by":"publisher","first-page":"201","DOI":"10.1001\/jama.2024.11980","article-title":"Treatment interventions for child and adolescent obesity: from evidence to recommendations to action","volume":"332","author":"Robinson","year":"2024","journal-title":"JAMA"},{"key":"2026100911183637200_ibag073-B5","doi-asserted-by":"publisher","first-page":"376","DOI":"10.1089\/chi.2023.0136","article-title":"Closing the gap between evidence and practice for childhood obesity treatment","volume":"20","author":"Button","year":"2024","journal-title":"Child Obes"},{"key":"2026100911183637200_ibag073-B6","doi-asserted-by":"publisher","first-page":"2025","DOI":"10.3389\/fpubh.2025.1519467","article-title":"Child opinions related to a core outcome set for school-based healthy lifestyle behavior interventions: the COCOS study","volume":"13","author":"Altenburg","year":"2025","journal-title":"Front. 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