{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T12:55:54Z","timestamp":1789649754402,"version":"4.0.0"},"reference-count":55,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2021,3,30]],"date-time":"2021-03-30T00:00:00Z","timestamp":1617062400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000130","name":"National Center for Chronic Disease Prevention and Health Promotion","doi-asserted-by":"publisher","award":["U18 DP006255"],"award-info":[{"award-number":["U18 DP006255"]}],"id":[{"id":"10.13039\/100000130","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["R25 MH080916"],"award-info":[{"award-number":["R25 MH080916"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000026","name":"National Institute on Drug Abuse","doi-asserted-by":"publisher","award":["P30 DA027828"],"award-info":[{"award-number":["P30 DA027828"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Obesity"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Paediatric obesity is a multifaceted public health problem. Family based behavioural interventions are the recommended approach for the prevention of excess weight gain in children and adolescents, yet few have been tested under \u201creal\u2010world\u201d conditions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To evaluate the effectiveness of a family based intervention, delivered in coordination with paediatric primary care, on child and family health outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A sample of 240 families with racially and ethnically diverse (86% non\u2010White) and predominantly low\u2010income children (49% female) ages 6 to 12\u2009years (M\u00a0=\u00a09.5\u2009years) with body mass index (BMI) \u226585th percentile for age and gender were identified in paediatric primary care. Participants were randomized to either the Family Check\u2010Up 4 Health (FCU4Health) program (N\u00a0=\u00a0141) or usual care plus information (N\u00a0=\u00a099). FCU4Health, an assessment\u2010driven individually tailored intervention designed to preempt excess weight gain by improving parenting skills was delivered for 6\u00a0months in clinic, at home and in the community. Child BMI and body fat were assessed using a bioelectrical impedance scale and caregiver\u2010reported health behaviours (eg, diet, physical activity and family health routines) were obtained at baseline, 3, 6 and 12\u2009months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Change in child BMI and percent body fat did not differ by group assignment. Path analysis indicated significant group differences in child health behaviours at 12\u2009months, mediated by improved family health routines at 6\u00a0months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The FCU4Health, delivered in coordination with paediatric primary care, significantly impacted child and family health behaviours that are associated with the development and maintenance of paediatric obesity. BMI did not significantly differ.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ijpo.12780","type":"journal-article","created":{"date-parts":[[2021,3,30]],"date-time":"2021-03-30T07:46:30Z","timestamp":1617090390000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["Health behaviour outcomes of a family based intervention for paediatric obesity in primary care: A randomized type <scp>II<\/scp> hybrid effectiveness\u2010implementation trial"],"prefix":"10.1111","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3264-8082","authenticated-orcid":false,"given":"Justin D.","family":"Smith","sequence":"first","affiliation":[{"name":"Department of Population Health Sciences University of Utah School of Medicine  Salt Lake City Utah USA"},{"name":"Department of Psychiatry and Behavioral Sciences and Department of Medical Social Sciences Northwestern University Feinberg School of Medicine  Chicago Illinois 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