Methods and baseline characteristics of a randomized trial treating early childhood obesity

The Positive Lifestyles for Active Youngsters (Team PLAY) trial

Marion Hare, Mathilda Coday, Natalie A. Williams, Phyllis Richey, Frances Tylavsky, Andrew J. Bush

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

There are few effective obesity interventions directed towards younger children, particularly young minority children. This paper describes the design, intervention, recruitment methods, and baseline data of the ongoing Positive Lifestyles for Active Youngsters (Team PLAY) study. This randomized controlled trial is designed to test the efficacy of a 6-month, moderately intense, primary care feasible, family-based behavioral intervention, targeting both young children and their parent, in promoting healthy weight change.Participants are 270 overweight and obese children (ages 4 to 7. years) and their parents, who were recruited from a primarily African American urban population. Parents and children were instructed in proven cognitive behavioral techniques (e.g. goal setting, self-talk, stimulus control and reinforcement) designed to encourage healthier food choices (more whole grains, fruits and vegetables, and less concentrated fats and sugar), reduce portion sizes, decrease sweetened beverages and increase moderate to vigorous physical activity engagement. The main outcome of this study is change in BMI at two year post enrollment.Recruitment using reactive methods (mailings, TV ads, pamphlets) was found to be more successful than using only a proactive approach (referral through physicians). At baseline, most children were very obese with an average BMI z-score of 2.6. Reported intake of fruits and vegetables and minutes of moderate to vigorous physical activity engagement did not meet national recommendations. If efficacious, Team PLAY would offer a model for obesity treatment directed at families with young children that could be tested and translated to both community and primary care settings.

Original languageEnglish (US)
Pages (from-to)534-549
Number of pages16
JournalContemporary Clinical Trials
Volume33
Issue number3
DOIs
StatePublished - May 1 2012

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Pediatric Obesity
Life Style
Vegetables
Fruit
Primary Health Care
Obesity
Parents
Portion Size
Exercise
Pamphlets
Urban Population
Beverages
African Americans
Referral and Consultation
Randomized Controlled Trials
Fats
Outcome Assessment (Health Care)
Physicians
Weights and Measures
Food

All Science Journal Classification (ASJC) codes

  • Pharmacology (medical)

Cite this

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abstract = "There are few effective obesity interventions directed towards younger children, particularly young minority children. This paper describes the design, intervention, recruitment methods, and baseline data of the ongoing Positive Lifestyles for Active Youngsters (Team PLAY) study. This randomized controlled trial is designed to test the efficacy of a 6-month, moderately intense, primary care feasible, family-based behavioral intervention, targeting both young children and their parent, in promoting healthy weight change.Participants are 270 overweight and obese children (ages 4 to 7. years) and their parents, who were recruited from a primarily African American urban population. Parents and children were instructed in proven cognitive behavioral techniques (e.g. goal setting, self-talk, stimulus control and reinforcement) designed to encourage healthier food choices (more whole grains, fruits and vegetables, and less concentrated fats and sugar), reduce portion sizes, decrease sweetened beverages and increase moderate to vigorous physical activity engagement. The main outcome of this study is change in BMI at two year post enrollment.Recruitment using reactive methods (mailings, TV ads, pamphlets) was found to be more successful than using only a proactive approach (referral through physicians). At baseline, most children were very obese with an average BMI z-score of 2.6. Reported intake of fruits and vegetables and minutes of moderate to vigorous physical activity engagement did not meet national recommendations. If efficacious, Team PLAY would offer a model for obesity treatment directed at families with young children that could be tested and translated to both community and primary care settings.",
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