ENTREN-F family-system based intervention for managing childhood obesity: Study protocol for a randomized controlled trial at primary care. Issue 4 (July 2022)

• Record Type: Journal Article
• Authors: Rojo, Marta; Lacruz, Tatiana; Solano, Santos; Vivar, Mario; Del Río, Andrea; Martínez, Jone; Foguet, Sara; Marín, Marta; Moreno-Encinas, Alba; Veiga, Óscar Luis; Cabanas, Verónica; Rey, Consuelo; Graell, Montserrat; Sepúlveda, Ana Rosa
• Is Part Of: Obesity research & clinical practice. Volume 16:Issue 4(2022)
• Page Start: 319
• Page End: 329
• Publication Date: 2022-07
• Subjects: Childhood obesity -- Family-based intervention -- Family-system-based intervention -- Randomized controlled trial -- Primary care -- Study protocol; RCT randomized controlled trial -- FBBT family-based behavioral treatment -- CBT cognitive-behavioral therapy -- FST family-system-based treatment -- BMI body mass index -- SES socioeconomic status -- FU follow-up -- KSADS-PL Kiddie Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime version -- POTS-S Perception of Teasing Scale -- LAWSEQ Lawrence Self-Esteem Questionnaire -- DEBQ-C Dutch Eating Behavior Questionnaire-Child version -- SCAS Spence Children Anxiety Scale -- CDI Child's Depression Inventory -- CFQ Child Feeding Questionnaire -- BDI-II Beck Depression Inventory -- SRSS Short Recovery and Stress Scale -- HES-S Home Environment Survey–Spanish version -- DEBQ Dutch Eating Behavior Questionnaire; Obesity -- Research -- Periodicals; Obesity -- Treatment -- Periodicals; Obesity -- Periodicals; Obésité -- Recherche -- Périodiques; Obésité -- Traitement -- Périodiques; Obesity -- Research; Obesity -- Treatment; Electronic journals; Periodicals; 616.398
• DOI: 10.1016/j.orcp.2022.07.001
• Languages: English
• ISSNs: 1871-403X

Abstract

Abstract: Background: Pediatric obesity is a primary public health concern, and designing effective programs for managing it is of the utmost importance. The objective of this study was to describe the protocol study of a three-arm, parallel, randomized controlled trial aimed at assessing the efficacy of a family-system-based intervention ("ENTREN-F" program) for managing childhood obesity, compared to the "ENTREN" program (no "F" - without specific family-system-based workshop) and a control group (behavioral monitoring). Methods/design: The ENTREN-F program was a multicomponent family-system-based intervention carried out by a multidisciplinary team in the primary health care setting. The program targeted children between 8 and 12 years with overweight and obesity (P ≥ 85th). Parents were actively involved in the process. The contents were designed using the Cognitive Behavioral Therapy (CBT) principles. The program comprised individual behavioral monitoring, a healthy habits workshop for children and their parents, a CBT workshop for children, and a family-system-based workshop for parents, enhancing parental management skills plus family functioning. The trial's primary outcomes included changes in child body mass index (BMI) z-scores, child's psychological well-being, and family functioning over six months. Secondary outcomes included changes in eating behavior, physical activity, self-esteem, parental distress, parental feeding practices, and parental modeling. Discussion: To our knowledge, this is one of the few randomized controlled trials to assess the efficacy of a multicomponent program that considers health from a comprehensive perspective, trying to improve children's psychological well-being and family functioning besides weight loss. This study, therefore, addresses a gap in the literature. If found to be efficacious, it suggests a new potential health service for translation into National Primary Health Care services in Spain, one of the ten countries with the highest prevalence of obesity in Europe.