Trial Outcomes & Findings for The Role of Parents in Adolescent Weight Loss (NCT NCT01139411)

NCT ID: NCT01139411

Last Updated: 2016-09-30

Results Overview

Post-treatment BMI (controlling for baseline BMI)

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

49 participants

Primary outcome timeframe

Baseline and at completion of 16 week intervention

Results posted on

2016-09-30

Participant Flow

Participant milestones

Participant milestones
Measure
Behavioral Weight Control With Minimal Parent Involvement
This treatment arm included standard behavioral weight control delivered to the adolescent with minimal parent involvement. Behavioral Weight Control with Minimal Parent Involvement
Behavioral Weight Control With Enhanced Parent Involvement
This treatment arm included periodic dyadic sessions with adolescents and their parents, focusing on weight-related communication combined with standard behavioral weight control. Behavioral Weight Control with Enhanced Parent Involvement
Overall Study
STARTED
26
23
Overall Study
COMPLETED
24
19
Overall Study
NOT COMPLETED
2
4

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

The Role of Parents in Adolescent Weight Loss

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Behavioral Weight Control With Enhanced Parent Involvement
n=23 Participants
This treatment arm included periodic dyadic sessions with adolescents and their parents, focusing on weight-related communication combined with standard behavioral weight control. Behavioral Weight Control with Enhanced Parent Involvement
Behavioral Weight Control With Minimal Parent Involvement
n=26 Participants
This treatment arm included standard behavioral weight control delivered to the adolescent with minimal parent involvement. Behavioral Weight Control with Minimal Parent Involvement
Total
n=49 Participants
Total of all reporting groups
Age, Categorical
<=18 years
23 Participants
n=5 Participants
26 Participants
n=7 Participants
49 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Continuous
15.21 years
STANDARD_DEVIATION 1.40 • n=5 Participants
15.00 years
STANDARD_DEVIATION 1.30 • n=7 Participants
15.10 years
STANDARD_DEVIATION 1.33 • n=5 Participants
Sex: Female, Male
Female
20 Participants
n=5 Participants
17 Participants
n=7 Participants
37 Participants
n=5 Participants
Sex: Female, Male
Male
3 Participants
n=5 Participants
9 Participants
n=7 Participants
12 Participants
n=5 Participants
Region of Enrollment
United States
23 participants
n=5 Participants
26 participants
n=7 Participants
49 participants
n=5 Participants
Body Mass Index (kg/m^2)
33.25 kilograms/meters squared (kg/m2)
STANDARD_DEVIATION 4.02 • n=5 Participants
31.17 kilograms/meters squared (kg/m2)
STANDARD_DEVIATION 3.01 • n=7 Participants
32.16 kilograms/meters squared (kg/m2)
STANDARD_DEVIATION 3.64 • n=5 Participants
Parent modeling 1: Dietary Choices (WCSS)
2.70 units on a scale
STANDARD_DEVIATION 0.76 • n=5 Participants
2.32 units on a scale
STANDARD_DEVIATION 1.13 • n=7 Participants
2.50 units on a scale
STANDARD_DEVIATION 0.98 • n=5 Participants
Parent modeling 2: Self-monitoring (WCSS)
.81 units on a scale
STANDARD_DEVIATION 0.80 • n=5 Participants
0.55 units on a scale
STANDARD_DEVIATION 0.70 • n=7 Participants
0.67 units on a scale
STANDARD_DEVIATION 0.75 • n=5 Participants
Parent modeling 3: Physical Activity (WCSS)
1.75 units on a scale
STANDARD_DEVIATION 1.17 • n=5 Participants
0.90 units on a scale
STANDARD_DEVIATION 1.05 • n=7 Participants
1.30 units on a scale
STANDARD_DEVIATION 1.18 • n=5 Participants
Parent modeling 4: Weight and Body Concerns
2.75 units on a scale
STANDARD_DEVIATION 0.80 • n=5 Participants
2.90 units on a scale
STANDARD_DEVIATION 0.89 • n=7 Participants
2.83 units on a scale
STANDARD_DEVIATION 0.84 • n=5 Participants
Communication 1: Negative weight-related comments
2.73 units on a scale
STANDARD_DEVIATION 0.73 • n=5 Participants
2.85 units on a scale
STANDARD_DEVIATION 0.64 • n=7 Participants
2.79 units on a scale
STANDARD_DEVIATION 0.70 • n=5 Participants
Communication 2: Observed parent-adolescent communication quality
5.5 units on a scale
STANDARD_DEVIATION 2.1 • n=5 Participants
5.8 units on a scale
STANDARD_DEVIATION 1.9 • n=7 Participants
5.7 units on a scale
STANDARD_DEVIATION 1.9 • n=5 Participants

PRIMARY outcome

Timeframe: Baseline and at completion of 16 week intervention

Post-treatment BMI (controlling for baseline BMI)

Outcome measures

Outcome measures
Measure
Behavioral Weight Control With Minimal Parent Involvement
n=26 Participants
This treatment arm included standard behavioral weight control delivered to the adolescent with minimal parent involvement. Behavioral Weight Control with Minimal Parent Involvement
Behavioral Weight Control With Enhanced Parent Involvement
n=23 Participants
This treatment arm included periodic dyadic sessions with adolescents and their parents, focusing on weight-related communication combined with standard behavioral weight control. Behavioral Weight Control with Enhanced Parent Involvement
Body Mass Index
29.89 kilograms/meters squared
Standard Deviation 3.41
32.82 kilograms/meters squared
Standard Deviation 4.06

SECONDARY outcome

Timeframe: Baseline to post-treatment

Population: Secondary outcomes analyzed for treatment completers only.

Post-treatment value (controlling for baseline). Parent modeling of dietary choices was assessed using the Diet Choices subscale of the Weight Control Strategies Scale (WCSS), a parent-report measure of his/her own healthy weight control practices. The Dietary choices subscale of the WCSS has a scale range of 0 - 4, with higher scores corresponding to healthier diet choices. Higher scores are considered to be a better treatment outcome.

Outcome measures

Outcome measures
Measure
Behavioral Weight Control With Minimal Parent Involvement
n=19 Participants
This treatment arm included standard behavioral weight control delivered to the adolescent with minimal parent involvement. Behavioral Weight Control with Minimal Parent Involvement
Behavioral Weight Control With Enhanced Parent Involvement
n=24 Participants
This treatment arm included periodic dyadic sessions with adolescents and their parents, focusing on weight-related communication combined with standard behavioral weight control. Behavioral Weight Control with Enhanced Parent Involvement
Parent Modeling 1: Dietary Choices (WCSS)
2.92 units on a scale
Standard Deviation 0.82
2.87 units on a scale
Standard Deviation 0.50

SECONDARY outcome

Timeframe: Baseline to post-treatment

Population: Secondary outcomes analyzed for treatment completers only.

Post-treatment value (controlling for baseline). Parent modeling of self-monitoring behavior was assessed using the Self Monitoring subscale of the Weight Control Strategies Scale (WCSS), a parent-report measure of his/her own healthy weight control practices. The Self Monitoring subscale of the WCSS has a scale range of 0 - 4, with higher scores corresponding to more self-monitoring behavior. Higher scores are thought to reflect a better treatment outcome.

Outcome measures

Outcome measures
Measure
Behavioral Weight Control With Minimal Parent Involvement
n=24 Participants
This treatment arm included standard behavioral weight control delivered to the adolescent with minimal parent involvement. Behavioral Weight Control with Minimal Parent Involvement
Behavioral Weight Control With Enhanced Parent Involvement
n=19 Participants
This treatment arm included periodic dyadic sessions with adolescents and their parents, focusing on weight-related communication combined with standard behavioral weight control. Behavioral Weight Control with Enhanced Parent Involvement
Parent Modeling 2: Self-monitoring (WCSS)
0.81 units on a scale
Standard Deviation 0.81
1.28 units on a scale
Standard Deviation 0.67

SECONDARY outcome

Timeframe: Baseline to post-treatment

Population: Secondary outcomes analyzed for treatment completers only

Post-treatment value (controlling for baseline). Parent modeling of Physical Activity was assessed using the Physical Activity subscale of the Weight Control Strategies Scale (WCSS), a parent-report measure of his/her own healthy weight control practices. The Physical Activity subscale of the WCSS has a scale range of 0-4, with higher scores corresponding to greater physical activity. Higher scores are considered a better treatment outcome.

Outcome measures

Outcome measures
Measure
Behavioral Weight Control With Minimal Parent Involvement
n=19 Participants
This treatment arm included standard behavioral weight control delivered to the adolescent with minimal parent involvement. Behavioral Weight Control with Minimal Parent Involvement
Behavioral Weight Control With Enhanced Parent Involvement
n=24 Participants
This treatment arm included periodic dyadic sessions with adolescents and their parents, focusing on weight-related communication combined with standard behavioral weight control. Behavioral Weight Control with Enhanced Parent Involvement
Parent Modeling 3: Physical Activity (WCSS)
1.9 units on a scale
Standard Deviation 1.0
1.32 units on a scale
Standard Deviation 0.75

SECONDARY outcome

Timeframe: Baseline to post-treatment

Population: Secondary outcomes analyzed for treatment completers only

Post-treatment value (controlling for baseline). Parent modeling of concern about weight/body was assessed using the Parent Modeling of Weight and Body Concerns subscale of the Family Experiences Related to Food Questionnaire (FERF-Q)), an adolescent-report measure of parent behavior pertaining to weight control. The Weight and Body Concerns subscale of the FERF-Q has a scale range of 1 - 5, with higher scores corresponding to greater parent weight and body concerns, as perceived and reported by the adolescent. Lower weight and body concern is considered a better treatment outcome.

Outcome measures

Outcome measures
Measure
Behavioral Weight Control With Minimal Parent Involvement
n=19 Participants
This treatment arm included standard behavioral weight control delivered to the adolescent with minimal parent involvement. Behavioral Weight Control with Minimal Parent Involvement
Behavioral Weight Control With Enhanced Parent Involvement
n=24 Participants
This treatment arm included periodic dyadic sessions with adolescents and their parents, focusing on weight-related communication combined with standard behavioral weight control. Behavioral Weight Control with Enhanced Parent Involvement
Parent Modeling 4: Weight and Body Concerns (FERF-Q)
2.63 units on a scale
Standard Deviation 1.02
2.64 units on a scale
Standard Deviation 0.88

SECONDARY outcome

Timeframe: Baseline to post-treatment

Population: Secondary outcomes analyzed for treatment completers only

Post-treatment value (controlling for baseline). Negative maternal weight-related commentary was assessed using the Negative maternal weight-related commentary subscale of the Family Experiences Related to Food Questionnaire (FERF-Q)), an adolescent-report measure of parent behavior pertaining to weight control. The Negative maternal weight-related commentary subscale of the FERF-Q has a scale range of 1 - 5, with higher scores corresponding to greater negative maternal weight-related commentary, as perceived and reported by the adolescent. Lower scores are considered a better treatment outcome.

Outcome measures

Outcome measures
Measure
Behavioral Weight Control With Minimal Parent Involvement
n=19 Participants
This treatment arm included standard behavioral weight control delivered to the adolescent with minimal parent involvement. Behavioral Weight Control with Minimal Parent Involvement
Behavioral Weight Control With Enhanced Parent Involvement
n=24 Participants
This treatment arm included periodic dyadic sessions with adolescents and their parents, focusing on weight-related communication combined with standard behavioral weight control. Behavioral Weight Control with Enhanced Parent Involvement
Communication 1: Negative Maternal Weight-related Commentary (FERF-Q)
2.71 units on a scale
Standard Deviation 0.80
2.32 units on a scale
Standard Deviation 0.70

SECONDARY outcome

Timeframe: Baseline to post-treatment

Population: 38 participants (19 in each group) had complete baseline and post treatment data for videotaped observations.

Post-treatment value (controlling for baseline). Observed parent-adolescent communication quality was measured using the Dyadic Observed Communication Scale (DOCS) used to code communication between adolescent and caregiver during a video-taped observational coding session. The DOCS is coded on a scale of 0 -10, with higher scores reflecting higher quality of communication, as observed by an independent rater. Higher scores are thought to reflect a better treatment outcome.

Outcome measures

Outcome measures
Measure
Behavioral Weight Control With Minimal Parent Involvement
n=19 Participants
This treatment arm included standard behavioral weight control delivered to the adolescent with minimal parent involvement. Behavioral Weight Control with Minimal Parent Involvement
Behavioral Weight Control With Enhanced Parent Involvement
n=19 Participants
This treatment arm included periodic dyadic sessions with adolescents and their parents, focusing on weight-related communication combined with standard behavioral weight control. Behavioral Weight Control with Enhanced Parent Involvement
Communication 2: Observed Parent-adolescent Communication Quality (DOCS)
5.5 units on a scale
Standard Deviation 1.9
5.8 units on a scale
Standard Deviation 1.8

Adverse Events

Behavioral Weight Control With Minimal Parent Involvement

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Behavioral Weight Control With Enhanced Parent Involvement

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Elissa Jelalian

Weight Control and Diabetes Research Center

Phone: (401) 793-9716

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place