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Licensed Clinical Social Workers or Registered Dietitian Nutritionists offered 26\u201333 FBT hours delivered virtually over 6\u201312 months to Medicaid-insured patients in an urban and rural pediatric health system in Missouri. The matched-comparison group included 186 participants. The Reach, Effectiveness, Adoption, Implementation, and Maintenance framework (RE-AIM) framework was used to evaluate effectiveness (primary) and reach (secondary) and explore adoption, implementation, and maintenance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Children in the FBT group reduced their percent over median body mass index (BMI) compared with the matched comparison group (mean reduction: \u22123.9 \u00b1 1.4,\n                      <jats:italic toggle=\"yes\">d<\/jats:italic>\n                      = \u22120.42). Within the FBT group, participants also demonstrated improvements in coping with teasing, health-related quality of life, and family health habits (all\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.05). Families rated the program as highly acceptable. Reach data indicated enrolled patients had similar BMI, sex, and ethnic backgrounds compared with eligible but non-enrolled patients (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      s &gt; 0.301).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Data demonstrate the feasibility of adopting and implementing FBT within health care systems and inform efforts to support maintenance. FBT reached a diverse population of families receiving Medicaid in pediatric primary care settings and was associated with greater improvements in youth weight outcomes compared with a matched comparison group. Adaptations made to align with the benefit may have reduced the magnitude of effects; however, this policy provides an opportunity to deliver FBT within primary care settings and expand access.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21532176261450310","type":"journal-article","created":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T12:00:58Z","timestamp":1781006458000},"page":"211-222","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Family-Based Behavioral Treatment for Childhood Obesity Adapted to Align with the MOHealthNet Medicaid Benefit: Results of the Missouri Childhood Obesity Research Demonstration Study"],"prefix":"10.1177","volume":"22","author":[{"given":"Meredith L.","family":"Dreyer Gillette","sequence":"first","affiliation":[{"name":"Center for Children\u2019s Healthy Lifestyles &amp; Nutrition, Children\u2019s Mercy Kansas City, University of Missouri Kansas City, Kansas City, MO, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alyssa M.","family":"Button","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital of Richmond, Healthy Lifestyles Center, Virginia Commonwealth University, Richmond, VA, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda E.","family":"Staiano","sequence":"additional","affiliation":[{"name":"Department of Population and Public Health Sciences, Pennington Biomedical Research Center, Baton Rouge, LA, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa C.","family":"Nelson","sequence":"additional","affiliation":[{"name":"Freeman Health System, Joplin, MO, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jordan A.","family":"Carlson","sequence":"additional","affiliation":[{"name":"Center for Children\u2019s Healthy Lifestyles &amp; Nutrition, Children\u2019s Mercy Hospital, Children\u2019s Mercy Kansas City, University of Missouri Kansas City, Kansas City, MO, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelsey M.","family":"Dean","sequence":"additional","affiliation":[{"name":"Center for Children\u2019s Healthy Lifestyles &amp; Nutrition, Children\u2019s Mercy Kansas City, Kansas City, MO, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah E.","family":"Bullard","sequence":"additional","affiliation":[{"name":"Children\u2019s Mercy Kansas City, Kansas City, MO, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lawrence T.","family":"Monocello","sequence":"additional","affiliation":[{"name":"Department of Anthropology, Texas A&amp;M University, College Station, TX, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robbie","family":"Beyl","sequence":"additional","affiliation":[{"name":"Pennington Biomedical Research Center, Baton Rouge, LA, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. 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