Trial Outcomes & Findings for Adapting Diet and Action for Everyone (ADAPT+) (NCT NCT04800432)

Last Updated: 2024-04-17

Results Overview

Acceptability was measured by a program satisfaction survey at the end of the intervention. Items were rated on a scale from 1 (Not at all) to 4 (Very) enjoyable, comfortable, receptive, relevant, or helpful, depending on the item's content. A mean score was calculated using all items to reflect overall satisfaction, with higher scores indicating greater satisfaction. Only parents completed the program satisfaction survey. Minimum score: 1 Maximum score: 4 Higher scores mean better outcomes.

Recruitment status

COMPLETED

Study phase

Target enrollment

95 participants

Primary outcome timeframe

6 weeks after baseline

Results posted on

2024-04-17

Participant Flow

A total of 48 parent/child dyad pairs were considered enrolled in the study.

Participant milestones

Participant milestones
Measure	Feasibility and Acceptability of ADAPT+ ADAPT+ is a family-based obesity intervention for high-risk Latino youth and their parents living in rural communities that incorporates culture-specific components and mindfulness-based approaches to promote adaptive health behaviors in a high-risk and underserved population. ADAPT+: ADAPT+ is designed as a 6-week intervention. For each session, children and parents participate in separate 1.5-hour group meetings, followed by a joint goal-setting session. Practical strategies related to improving diet and physical activity as well as the role of dealing with parent stress-related factors related to making long-lasting behavioral changes in the family are addressed.	Enhanced Usual Care (EUC) Enhanced Usual Care (EUC) provides publicly available material in both English and Spanish on the role of diet and exercise in pediatric obesity in a one-time information session. EUC: Enhanced Usual Care is an abbreviated version of the full ADAPT+ intervention in which parents are engaged in a one-time, two hour information session to also learn knowledge and skills to improve the health and lifestyle behaviors for their child and for themselves.
Overall Study STARTED	47	48
Overall Study Parents Who Started	24	24
Overall Study Youth Who Started	23	24
Overall Study COMPLETED	41	35
Overall Study NOT COMPLETED	6	13

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

The overall number of participants includes both parents and children participating in the study. A row was created for each group (i.e., one row for parents and one row for children), in order to report Mean and SD values accordingly.

Baseline characteristics by cohort

PRIMARY outcome

Timeframe: 6 weeks after baseline

Population: This number refers to the parents who completed the exit survey.

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of ADAPT+ n=22 Participants ADAPT+ is a family-based obesity intervention for high-risk Latino youth and their parents living in rural communities that incorporates culture-specific components and mindfulness-based approaches to promote adaptive health behaviors in a high-risk and underserved population. ADAPT+: ADAPT+ is designed as a 6-week intervention. For each session, children and parents participate in separate 1.5-hour group meetings, followed by a joint goal-setting session. Practical strategies related to improving diet and physical activity as well as the role of dealing with parent stress-related factors related to making long-lasting behavioral changes in the family are addressed.	Enhanced Usual Care (EUC) n=18 Participants Enhanced Usual Care (EUC) provides publicly available material in both English and Spanish on the role of diet and exercise in pediatric obesity in a one-time information session. EUC: Enhanced Usual Care is an abbreviated version of the full ADAPT+ intervention in which parents are engaged in a one-time, two hour information session to also learn knowledge and skills to improve the health and lifestyle behaviors for their child and for themselves.
Acceptability	3.91 score on a scale Standard Deviation .18	3.85 score on a scale Standard Deviation .32

PRIMARY outcome

Timeframe: 6 weeks after baseline

Population: This number refers to the parent-child dyads.

Percent of families approached who agreed to participate. This was done at the parent/dyad level.

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of ADAPT+ n=30 Participants ADAPT+ is a family-based obesity intervention for high-risk Latino youth and their parents living in rural communities that incorporates culture-specific components and mindfulness-based approaches to promote adaptive health behaviors in a high-risk and underserved population. ADAPT+: ADAPT+ is designed as a 6-week intervention. For each session, children and parents participate in separate 1.5-hour group meetings, followed by a joint goal-setting session. Practical strategies related to improving diet and physical activity as well as the role of dealing with parent stress-related factors related to making long-lasting behavioral changes in the family are addressed.	Enhanced Usual Care (EUC) n=30 Participants Enhanced Usual Care (EUC) provides publicly available material in both English and Spanish on the role of diet and exercise in pediatric obesity in a one-time information session. EUC: Enhanced Usual Care is an abbreviated version of the full ADAPT+ intervention in which parents are engaged in a one-time, two hour information session to also learn knowledge and skills to improve the health and lifestyle behaviors for their child and for themselves.
Feasibility - Accrual Rates	24 Participants	24 Participants

PRIMARY outcome

Timeframe: 6 weeks after baseline

Number of participants who completed at least 75% of the program sessions. This was done at the parent/dyad level.

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of ADAPT+ n=47 Participants ADAPT+ is a family-based obesity intervention for high-risk Latino youth and their parents living in rural communities that incorporates culture-specific components and mindfulness-based approaches to promote adaptive health behaviors in a high-risk and underserved population. ADAPT+: ADAPT+ is designed as a 6-week intervention. For each session, children and parents participate in separate 1.5-hour group meetings, followed by a joint goal-setting session. Practical strategies related to improving diet and physical activity as well as the role of dealing with parent stress-related factors related to making long-lasting behavioral changes in the family are addressed.	Enhanced Usual Care (EUC) n=48 Participants Enhanced Usual Care (EUC) provides publicly available material in both English and Spanish on the role of diet and exercise in pediatric obesity in a one-time information session. EUC: Enhanced Usual Care is an abbreviated version of the full ADAPT+ intervention in which parents are engaged in a one-time, two hour information session to also learn knowledge and skills to improve the health and lifestyle behaviors for their child and for themselves.
Feasibility - Number of Participants Attending 75%+ Sessions	38 Participants	48 Participants

PRIMARY outcome

Timeframe: From baseline to post-assessment (6-weeks)

Percentage of families retained for post-intervention assessment

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of ADAPT+ n=47 Participants ADAPT+ is a family-based obesity intervention for high-risk Latino youth and their parents living in rural communities that incorporates culture-specific components and mindfulness-based approaches to promote adaptive health behaviors in a high-risk and underserved population. ADAPT+: ADAPT+ is designed as a 6-week intervention. For each session, children and parents participate in separate 1.5-hour group meetings, followed by a joint goal-setting session. Practical strategies related to improving diet and physical activity as well as the role of dealing with parent stress-related factors related to making long-lasting behavioral changes in the family are addressed.	Enhanced Usual Care (EUC) n=48 Participants Enhanced Usual Care (EUC) provides publicly available material in both English and Spanish on the role of diet and exercise in pediatric obesity in a one-time information session. EUC: Enhanced Usual Care is an abbreviated version of the full ADAPT+ intervention in which parents are engaged in a one-time, two hour information session to also learn knowledge and skills to improve the health and lifestyle behaviors for their child and for themselves.
Retention Over Time (From Baseline to Post-assessment)	44 Participants	35 Participants

PRIMARY outcome

Timeframe: From baseline to 3-month follow-up

Percentage of families retained for 3-month follow-up assessment

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of ADAPT+ n=47 Participants ADAPT+ is a family-based obesity intervention for high-risk Latino youth and their parents living in rural communities that incorporates culture-specific components and mindfulness-based approaches to promote adaptive health behaviors in a high-risk and underserved population. ADAPT+: ADAPT+ is designed as a 6-week intervention. For each session, children and parents participate in separate 1.5-hour group meetings, followed by a joint goal-setting session. Practical strategies related to improving diet and physical activity as well as the role of dealing with parent stress-related factors related to making long-lasting behavioral changes in the family are addressed.	Enhanced Usual Care (EUC) n=48 Participants Enhanced Usual Care (EUC) provides publicly available material in both English and Spanish on the role of diet and exercise in pediatric obesity in a one-time information session. EUC: Enhanced Usual Care is an abbreviated version of the full ADAPT+ intervention in which parents are engaged in a one-time, two hour information session to also learn knowledge and skills to improve the health and lifestyle behaviors for their child and for themselves.
Retention Over Time (From Baseline to 3-month Follow-up)	41 Participants	35 Participants

SECONDARY outcome

Timeframe: Post-Assessment (6 weeks after Baseline)

Height (to the nearest 1/4 inch) using a metal ruler and weight (to the nearest 1/4 pound) using a scale will be measured by study staff. Z Body Mass Index (BMI). 0 represents the population mean. The higher the score, the higher the BMI, based on age and gender. There are no established clinically relevant thresholds for z-BMI.

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of ADAPT+ n=22 Participants ADAPT+ is a family-based obesity intervention for high-risk Latino youth and their parents living in rural communities that incorporates culture-specific components and mindfulness-based approaches to promote adaptive health behaviors in a high-risk and underserved population. ADAPT+: ADAPT+ is designed as a 6-week intervention. For each session, children and parents participate in separate 1.5-hour group meetings, followed by a joint goal-setting session. Practical strategies related to improving diet and physical activity as well as the role of dealing with parent stress-related factors related to making long-lasting behavioral changes in the family are addressed.	Enhanced Usual Care (EUC) n=17 Participants Enhanced Usual Care (EUC) provides publicly available material in both English and Spanish on the role of diet and exercise in pediatric obesity in a one-time information session. EUC: Enhanced Usual Care is an abbreviated version of the full ADAPT+ intervention in which parents are engaged in a one-time, two hour information session to also learn knowledge and skills to improve the health and lifestyle behaviors for their child and for themselves.
Child BMI z Score (Post-Assessment)	2.28 Z-score Standard Deviation .98	1.48 Z-score Standard Deviation 1.02

SECONDARY outcome

Timeframe: 3-month Follow-up (3 months after Post-Assessment)

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of ADAPT+ n=19 Participants ADAPT+ is a family-based obesity intervention for high-risk Latino youth and their parents living in rural communities that incorporates culture-specific components and mindfulness-based approaches to promote adaptive health behaviors in a high-risk and underserved population. ADAPT+: ADAPT+ is designed as a 6-week intervention. For each session, children and parents participate in separate 1.5-hour group meetings, followed by a joint goal-setting session. Practical strategies related to improving diet and physical activity as well as the role of dealing with parent stress-related factors related to making long-lasting behavioral changes in the family are addressed.	Enhanced Usual Care (EUC) n=16 Participants Enhanced Usual Care (EUC) provides publicly available material in both English and Spanish on the role of diet and exercise in pediatric obesity in a one-time information session. EUC: Enhanced Usual Care is an abbreviated version of the full ADAPT+ intervention in which parents are engaged in a one-time, two hour information session to also learn knowledge and skills to improve the health and lifestyle behaviors for their child and for themselves.
Child BMI z Score (3-month Follow-up)	2.30 Z-score Standard Deviation .83	1.58 Z-score Standard Deviation .89

SECONDARY outcome

Timeframe: Post-Assessment (6 weeks after Baseline)

Circumference of the hip (girth of hips above the gluteal fold) and waist (narrowest part of torso above the umbilicus and below the xiphoid process) will be measured by study staff using an anthropometric measuring tape and used to calculate continuous Waist-to-Hip Ratio.

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of ADAPT+ n=22 Participants ADAPT+ is a family-based obesity intervention for high-risk Latino youth and their parents living in rural communities that incorporates culture-specific components and mindfulness-based approaches to promote adaptive health behaviors in a high-risk and underserved population. ADAPT+: ADAPT+ is designed as a 6-week intervention. For each session, children and parents participate in separate 1.5-hour group meetings, followed by a joint goal-setting session. Practical strategies related to improving diet and physical activity as well as the role of dealing with parent stress-related factors related to making long-lasting behavioral changes in the family are addressed.	Enhanced Usual Care (EUC) n=17 Participants Enhanced Usual Care (EUC) provides publicly available material in both English and Spanish on the role of diet and exercise in pediatric obesity in a one-time information session. EUC: Enhanced Usual Care is an abbreviated version of the full ADAPT+ intervention in which parents are engaged in a one-time, two hour information session to also learn knowledge and skills to improve the health and lifestyle behaviors for their child and for themselves.
Child Waist-to-Hip Ratio (Post-Assessment)	.92 Waist-to-Hip Ratio Standard Deviation .05	.92 Waist-to-Hip Ratio Standard Deviation .07

SECONDARY outcome

Timeframe: 3-month Follow-up (3 months after Post-Assessment)

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of ADAPT+ n=19 Participants ADAPT+ is a family-based obesity intervention for high-risk Latino youth and their parents living in rural communities that incorporates culture-specific components and mindfulness-based approaches to promote adaptive health behaviors in a high-risk and underserved population. ADAPT+: ADAPT+ is designed as a 6-week intervention. For each session, children and parents participate in separate 1.5-hour group meetings, followed by a joint goal-setting session. Practical strategies related to improving diet and physical activity as well as the role of dealing with parent stress-related factors related to making long-lasting behavioral changes in the family are addressed.	Enhanced Usual Care (EUC) n=16 Participants Enhanced Usual Care (EUC) provides publicly available material in both English and Spanish on the role of diet and exercise in pediatric obesity in a one-time information session. EUC: Enhanced Usual Care is an abbreviated version of the full ADAPT+ intervention in which parents are engaged in a one-time, two hour information session to also learn knowledge and skills to improve the health and lifestyle behaviors for their child and for themselves.
Child Waist-to-Hip Ratio (3-month Follow-up)	.94 Waist-to-Hip Ratio Standard Deviation .09	.90 Waist-to-Hip Ratio Standard Deviation .08

SECONDARY outcome

Timeframe: Post-Assessment (6 weeks after Baseline)

The questionnaire consists of 11 questions on food and physical activity behaviors for youth participants in the study. This was adapted from the Youth Expanded Food and Nutrition Education Program (EFNEP) evaluation tool, the EFNEP 3rd-5th Grade Survey, which was designed and tested by Purdue University Extension Program. It will take approximately 5 minutes to complete. Below are presented the minimum and maximum values for each subscale reported. Fruit \& Veg Frequency: 0-15, higher scores mean fruits and veggies consumed more frequently. Fruit \& Veg Quantity: 0-5, higher scores mean larger fruit and veggie quantity consumed. Sugar-Sweetened Beverage Frequency: 0-8, higher scores mean SSB consumed more frequently. Sugar-Sweetened Beverage Quantity: 0-5, higher scores mean larger quantities of SSB consumed. Fast Food Frequency: 0-4, higher scores mean fast food consumed more frequently. Fast Food Quantity: 0-16, higher scores mean larger quantities of fast food consumed.

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of ADAPT+ n=22 Participants ADAPT+ is a family-based obesity intervention for high-risk Latino youth and their parents living in rural communities that incorporates culture-specific components and mindfulness-based approaches to promote adaptive health behaviors in a high-risk and underserved population. ADAPT+: ADAPT+ is designed as a 6-week intervention. For each session, children and parents participate in separate 1.5-hour group meetings, followed by a joint goal-setting session. Practical strategies related to improving diet and physical activity as well as the role of dealing with parent stress-related factors related to making long-lasting behavioral changes in the family are addressed.	Enhanced Usual Care (EUC) n=17 Participants Enhanced Usual Care (EUC) provides publicly available material in both English and Spanish on the role of diet and exercise in pediatric obesity in a one-time information session. EUC: Enhanced Usual Care is an abbreviated version of the full ADAPT+ intervention in which parents are engaged in a one-time, two hour information session to also learn knowledge and skills to improve the health and lifestyle behaviors for their child and for themselves.
Child Sugar Sweet Beverage and Fast Food Intake Instrument (Post-Assessment) Fruit & Vegetable: Frequency	7.18 score on a scale Standard Deviation 3.38	6.53 score on a scale Standard Deviation 2.35
Child Sugar Sweet Beverage and Fast Food Intake Instrument (Post-Assessment) Fruit & Vegetable: Quantity	3.09 score on a scale Standard Deviation .70	3.15 score on a scale Standard Deviation .61
Child Sugar Sweet Beverage and Fast Food Intake Instrument (Post-Assessment) Sugar-Sweetened Beverage: Frequency	2.23 score on a scale Standard Deviation 1.95	1.71 score on a scale Standard Deviation 1.36
Child Sugar Sweet Beverage and Fast Food Intake Instrument (Post-Assessment) Sugar-Sweetened Beverage: Quantity	2.17 score on a scale Standard Deviation 1.30	1.91 score on a scale Standard Deviation 1.18
Child Sugar Sweet Beverage and Fast Food Intake Instrument (Post-Assessment) Fast Food: Frequency	.91 score on a scale Standard Deviation .92	.35 score on a scale Standard Deviation .49
Child Sugar Sweet Beverage and Fast Food Intake Instrument (Post-Assessment) Fast Food: Quantity	3.38 score on a scale Standard Deviation 2.96	1.53 score on a scale Standard Deviation 2.27

SECONDARY outcome

Timeframe: 3-month Follow-up (3 months after Post-Assessment)

The questionnaire consists of 11 questions on food and physical activity behaviors for youth participants in the study. This was adapted from the USDA Youth Expanded Food and Nutrition Education Program (EFNEP) evaluation tool, the EFNEP 3rd-5th Grade Survey, which was designed and tested by Purdue University Extension Program. It will take approximately 5 minutes to complete. Below are presented the minimum and maximum values for each subscale reported. Fruit \& Veg Frequency: 0-15, higher scores mean fruits and veggies consumed more frequently. Fruit \& Veg Quantity: 0-5, higher scores mean larger fruit and veggie quantity consumed. Sugar-Sweetened Beverage Frequency: 0-8, higher scores mean SSB consumed more frequently. Sugar-Sweetened Beverage Quantity: 0-5, higher scores mean larger quantities of SSB consumed. Fast Food Frequency: 0-4, higher scores mean fast food consumed more frequently. Fast Food Quantity: 0-16, higher scores mean larger quantities of fast food consumed.

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of ADAPT+ n=19 Participants ADAPT+ is a family-based obesity intervention for high-risk Latino youth and their parents living in rural communities that incorporates culture-specific components and mindfulness-based approaches to promote adaptive health behaviors in a high-risk and underserved population. ADAPT+: ADAPT+ is designed as a 6-week intervention. For each session, children and parents participate in separate 1.5-hour group meetings, followed by a joint goal-setting session. Practical strategies related to improving diet and physical activity as well as the role of dealing with parent stress-related factors related to making long-lasting behavioral changes in the family are addressed.	Enhanced Usual Care (EUC) n=16 Participants Enhanced Usual Care (EUC) provides publicly available material in both English and Spanish on the role of diet and exercise in pediatric obesity in a one-time information session. EUC: Enhanced Usual Care is an abbreviated version of the full ADAPT+ intervention in which parents are engaged in a one-time, two hour information session to also learn knowledge and skills to improve the health and lifestyle behaviors for their child and for themselves.
Child Sugar Sweet Beverage and Fast Food Intake Instrument (3-month Follow-up) Fruit & Vegetable: Frequency	5.84 score on a scale Standard Deviation 2.59	6.88 score on a scale Standard Deviation 3.01
Child Sugar Sweet Beverage and Fast Food Intake Instrument (3-month Follow-up) Fruit & Vegetable: Quantity	2.95 score on a scale Standard Deviation .96	3.25 score on a scale Standard Deviation .61
Child Sugar Sweet Beverage and Fast Food Intake Instrument (3-month Follow-up) Sugar-Sweetened Beverage: Frequency	1.63 score on a scale Standard Deviation 1.07	1.75 score on a scale Standard Deviation 1.34
Child Sugar Sweet Beverage and Fast Food Intake Instrument (3-month Follow-up) Sugar-Sweetened Beverage: Quantity	1.53 score on a scale Standard Deviation .87	1.47 score on a scale Standard Deviation 1.01
Child Sugar Sweet Beverage and Fast Food Intake Instrument (3-month Follow-up) Fast Food: Frequency	.74 score on a scale Standard Deviation .56	.75 score on a scale Standard Deviation .86
Child Sugar Sweet Beverage and Fast Food Intake Instrument (3-month Follow-up) Fast Food: Quantity	3.26 score on a scale Standard Deviation 3.07	3.00 score on a scale Standard Deviation 2.63

SECONDARY outcome

Timeframe: Post-Assessment (6 weeks after Baseline)

Height (to the nearest 1/4 inch) using a metal ruler and weight (to the nearest 1/4 pound) using a scale will be measured by the study staff and used to calculate continuous adult BMI score.

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of ADAPT+ n=22 Participants ADAPT+ is a family-based obesity intervention for high-risk Latino youth and their parents living in rural communities that incorporates culture-specific components and mindfulness-based approaches to promote adaptive health behaviors in a high-risk and underserved population. ADAPT+: ADAPT+ is designed as a 6-week intervention. For each session, children and parents participate in separate 1.5-hour group meetings, followed by a joint goal-setting session. Practical strategies related to improving diet and physical activity as well as the role of dealing with parent stress-related factors related to making long-lasting behavioral changes in the family are addressed.	Enhanced Usual Care (EUC) n=18 Participants Enhanced Usual Care (EUC) provides publicly available material in both English and Spanish on the role of diet and exercise in pediatric obesity in a one-time information session. EUC: Enhanced Usual Care is an abbreviated version of the full ADAPT+ intervention in which parents are engaged in a one-time, two hour information session to also learn knowledge and skills to improve the health and lifestyle behaviors for their child and for themselves.
Parent BMI (Post-Assessment)	31.29 kg/m^2 Standard Deviation 4.59	30.86 kg/m^2 Standard Deviation 6.14

SECONDARY outcome

Timeframe: 3-month Follow-up (3 months after Post-Assessment)

Height (to the nearest 1/4 inch) using a metal ruler and weight (to the nearest 1/4 pound) using a scale will be measured by the study staff and used to calculate continuous adult BMI score.

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of ADAPT+ n=22 Participants ADAPT+ is a family-based obesity intervention for high-risk Latino youth and their parents living in rural communities that incorporates culture-specific components and mindfulness-based approaches to promote adaptive health behaviors in a high-risk and underserved population. ADAPT+: ADAPT+ is designed as a 6-week intervention. For each session, children and parents participate in separate 1.5-hour group meetings, followed by a joint goal-setting session. Practical strategies related to improving diet and physical activity as well as the role of dealing with parent stress-related factors related to making long-lasting behavioral changes in the family are addressed.	Enhanced Usual Care (EUC) n=19 Participants Enhanced Usual Care (EUC) provides publicly available material in both English and Spanish on the role of diet and exercise in pediatric obesity in a one-time information session. EUC: Enhanced Usual Care is an abbreviated version of the full ADAPT+ intervention in which parents are engaged in a one-time, two hour information session to also learn knowledge and skills to improve the health and lifestyle behaviors for their child and for themselves.
Parent BMI (3-month Follow-up)	31.06 kg/m2 Standard Deviation 4.47	31.41 kg/m2 Standard Deviation 5.27

SECONDARY outcome

Timeframe: Post-Assessment (6 weeks after Baseline)

Circumference of the hip (girth of hips above the gluteal fold) and waist (narrowest part of torso above the umbilicus and below the xiphoid process) will be measured by the study staff using an anthropometric measuring tape and used to calculate continuous Waist-to-Hip Ratio.

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of ADAPT+ n=22 Participants ADAPT+ is a family-based obesity intervention for high-risk Latino youth and their parents living in rural communities that incorporates culture-specific components and mindfulness-based approaches to promote adaptive health behaviors in a high-risk and underserved population. ADAPT+: ADAPT+ is designed as a 6-week intervention. For each session, children and parents participate in separate 1.5-hour group meetings, followed by a joint goal-setting session. Practical strategies related to improving diet and physical activity as well as the role of dealing with parent stress-related factors related to making long-lasting behavioral changes in the family are addressed.	Enhanced Usual Care (EUC) n=18 Participants Enhanced Usual Care (EUC) provides publicly available material in both English and Spanish on the role of diet and exercise in pediatric obesity in a one-time information session. EUC: Enhanced Usual Care is an abbreviated version of the full ADAPT+ intervention in which parents are engaged in a one-time, two hour information session to also learn knowledge and skills to improve the health and lifestyle behaviors for their child and for themselves.
Parent Waist-to-Hip Ratio (Post-Assessment)	.87 Waist-to-Hip Ratio Standard Deviation .04	.88 Waist-to-Hip Ratio Standard Deviation .08

SECONDARY outcome

Timeframe: 3-month Follow-up (3 months after Post-Assessment)

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of ADAPT+ n=22 Participants ADAPT+ is a family-based obesity intervention for high-risk Latino youth and their parents living in rural communities that incorporates culture-specific components and mindfulness-based approaches to promote adaptive health behaviors in a high-risk and underserved population. ADAPT+: ADAPT+ is designed as a 6-week intervention. For each session, children and parents participate in separate 1.5-hour group meetings, followed by a joint goal-setting session. Practical strategies related to improving diet and physical activity as well as the role of dealing with parent stress-related factors related to making long-lasting behavioral changes in the family are addressed.	Enhanced Usual Care (EUC) n=19 Participants Enhanced Usual Care (EUC) provides publicly available material in both English and Spanish on the role of diet and exercise in pediatric obesity in a one-time information session. EUC: Enhanced Usual Care is an abbreviated version of the full ADAPT+ intervention in which parents are engaged in a one-time, two hour information session to also learn knowledge and skills to improve the health and lifestyle behaviors for their child and for themselves.
Parent Waist-to-Hip Ratio (3-month Follow-up)	.88 Waist-to-Hip Ratio Standard Deviation .08	.88 Waist-to-Hip Ratio Standard Deviation .07

SECONDARY outcome

Timeframe: Post-Assessment (6 weeks after Baseline)

The Latino Dietary Behaviors Questionnaire: This 13-item self-report survey of dietary habits (in Spanish) assesses 4 areas of eating behavior -- healthy dietary changes; types of drinks consumed, number of meals per day and fat consumption. Minimum and maximum scores possible for this scale range from 1 to 47. Higher scores reflect healthier eating behaviors.

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of ADAPT+ n=22 Participants ADAPT+ is a family-based obesity intervention for high-risk Latino youth and their parents living in rural communities that incorporates culture-specific components and mindfulness-based approaches to promote adaptive health behaviors in a high-risk and underserved population. ADAPT+: ADAPT+ is designed as a 6-week intervention. For each session, children and parents participate in separate 1.5-hour group meetings, followed by a joint goal-setting session. Practical strategies related to improving diet and physical activity as well as the role of dealing with parent stress-related factors related to making long-lasting behavioral changes in the family are addressed.	Enhanced Usual Care (EUC) n=18 Participants Enhanced Usual Care (EUC) provides publicly available material in both English and Spanish on the role of diet and exercise in pediatric obesity in a one-time information session. EUC: Enhanced Usual Care is an abbreviated version of the full ADAPT+ intervention in which parents are engaged in a one-time, two hour information session to also learn knowledge and skills to improve the health and lifestyle behaviors for their child and for themselves.
Latino Dietary Behaviors Questionnaire (Post-Assessment)	27.41 score on a scale Standard Deviation 4.58	26.00 score on a scale Standard Deviation 4.21

SECONDARY outcome

Timeframe: 3-month Follow-up (3 months after Post-Assessment)

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of ADAPT+ n=22 Participants ADAPT+ is a family-based obesity intervention for high-risk Latino youth and their parents living in rural communities that incorporates culture-specific components and mindfulness-based approaches to promote adaptive health behaviors in a high-risk and underserved population. ADAPT+: ADAPT+ is designed as a 6-week intervention. For each session, children and parents participate in separate 1.5-hour group meetings, followed by a joint goal-setting session. Practical strategies related to improving diet and physical activity as well as the role of dealing with parent stress-related factors related to making long-lasting behavioral changes in the family are addressed.	Enhanced Usual Care (EUC) n=19 Participants Enhanced Usual Care (EUC) provides publicly available material in both English and Spanish on the role of diet and exercise in pediatric obesity in a one-time information session. EUC: Enhanced Usual Care is an abbreviated version of the full ADAPT+ intervention in which parents are engaged in a one-time, two hour information session to also learn knowledge and skills to improve the health and lifestyle behaviors for their child and for themselves.
Latino Dietary Behaviors Questionnaire (3-month Follow-up)	26.59 score on a scale Standard Deviation 3.50	24.50 score on a scale Standard Deviation 3.43

SECONDARY outcome

Timeframe: Post-Assessment (6 weeks after Baseline)

Parents complete the 14 item self-report scale that asks participants about their feelings in the past month. Minimum and maximum scores possible for this scale range from 0 to 40. Higher scores reflect greater perceived stress.

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of ADAPT+ n=22 Participants ADAPT+ is a family-based obesity intervention for high-risk Latino youth and their parents living in rural communities that incorporates culture-specific components and mindfulness-based approaches to promote adaptive health behaviors in a high-risk and underserved population. ADAPT+: ADAPT+ is designed as a 6-week intervention. For each session, children and parents participate in separate 1.5-hour group meetings, followed by a joint goal-setting session. Practical strategies related to improving diet and physical activity as well as the role of dealing with parent stress-related factors related to making long-lasting behavioral changes in the family are addressed.	Enhanced Usual Care (EUC) n=18 Participants Enhanced Usual Care (EUC) provides publicly available material in both English and Spanish on the role of diet and exercise in pediatric obesity in a one-time information session. EUC: Enhanced Usual Care is an abbreviated version of the full ADAPT+ intervention in which parents are engaged in a one-time, two hour information session to also learn knowledge and skills to improve the health and lifestyle behaviors for their child and for themselves.
Perceived Stress Scale (PSS) [Post-Assessment]	16.27 score on a scale Standard Deviation 4.87	15.33 score on a scale Standard Deviation 4.91

SECONDARY outcome

Timeframe: 3-month Follow-up (3 months after Post-Assessment)

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of ADAPT+ n=22 Participants ADAPT+ is a family-based obesity intervention for high-risk Latino youth and their parents living in rural communities that incorporates culture-specific components and mindfulness-based approaches to promote adaptive health behaviors in a high-risk and underserved population. ADAPT+: ADAPT+ is designed as a 6-week intervention. For each session, children and parents participate in separate 1.5-hour group meetings, followed by a joint goal-setting session. Practical strategies related to improving diet and physical activity as well as the role of dealing with parent stress-related factors related to making long-lasting behavioral changes in the family are addressed.	Enhanced Usual Care (EUC) n=19 Participants Enhanced Usual Care (EUC) provides publicly available material in both English and Spanish on the role of diet and exercise in pediatric obesity in a one-time information session. EUC: Enhanced Usual Care is an abbreviated version of the full ADAPT+ intervention in which parents are engaged in a one-time, two hour information session to also learn knowledge and skills to improve the health and lifestyle behaviors for their child and for themselves.
Perceived Stress Scale (PSS) [3-month Follow-up]	15.36 score on a scale Standard Deviation 5.39	18.44 score on a scale Standard Deviation 2.50

SECONDARY outcome

Timeframe: Post-Assessment (6 weeks after Baseline)

Parents will complete the Recognize subscale of the Mindful Eating Questionnaire. The subscale has 9 items and is designed to assess an individual's ability to stop eating when full. Minimum and maximum scores possible for this subscale range from 9 to 36. Higher scores reflect a greater degree of recognition of hunger and satiety cues.

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of ADAPT+ n=22 Participants ADAPT+ is a family-based obesity intervention for high-risk Latino youth and their parents living in rural communities that incorporates culture-specific components and mindfulness-based approaches to promote adaptive health behaviors in a high-risk and underserved population. ADAPT+: ADAPT+ is designed as a 6-week intervention. For each session, children and parents participate in separate 1.5-hour group meetings, followed by a joint goal-setting session. Practical strategies related to improving diet and physical activity as well as the role of dealing with parent stress-related factors related to making long-lasting behavioral changes in the family are addressed.	Enhanced Usual Care (EUC) n=18 Participants Enhanced Usual Care (EUC) provides publicly available material in both English and Spanish on the role of diet and exercise in pediatric obesity in a one-time information session. EUC: Enhanced Usual Care is an abbreviated version of the full ADAPT+ intervention in which parents are engaged in a one-time, two hour information session to also learn knowledge and skills to improve the health and lifestyle behaviors for their child and for themselves.
Recognize Subscale of the Mindful Eating Questionnaire (Post-Assessment)	30.55 score on a scale Standard Deviation 2.96	29.72 score on a scale Standard Deviation 2.74

SECONDARY outcome

Timeframe: 3-month Follow-up (3 months after Post-Assessment)

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of ADAPT+ n=22 Participants ADAPT+ is a family-based obesity intervention for high-risk Latino youth and their parents living in rural communities that incorporates culture-specific components and mindfulness-based approaches to promote adaptive health behaviors in a high-risk and underserved population. ADAPT+: ADAPT+ is designed as a 6-week intervention. For each session, children and parents participate in separate 1.5-hour group meetings, followed by a joint goal-setting session. Practical strategies related to improving diet and physical activity as well as the role of dealing with parent stress-related factors related to making long-lasting behavioral changes in the family are addressed.	Enhanced Usual Care (EUC) n=19 Participants Enhanced Usual Care (EUC) provides publicly available material in both English and Spanish on the role of diet and exercise in pediatric obesity in a one-time information session. EUC: Enhanced Usual Care is an abbreviated version of the full ADAPT+ intervention in which parents are engaged in a one-time, two hour information session to also learn knowledge and skills to improve the health and lifestyle behaviors for their child and for themselves.
Recognize Subscale of the Mindful Eating Questionnaire (3-month Follow-up)	31.14 score on a scale Standard Deviation 4.72	29.13 score on a scale Standard Deviation 4.36

Adverse Events

Feasibility and Acceptability of ADAPT+

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Enhanced Usual Care (EUC)

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

Tatyana Harris

University of South Florida

Phone: (813) 974-7454

Email: [email protected]

Results disclosure agreements

Principal investigator is a sponsor employee
Publication restrictions are in place