Dataset Information

A Pilot Randomized Trial of an Obesity Prevention Program for High-Risk Infants in Primary Care.

ABSTRACT:

Objective

Rapid infant weight gain is associated with later obesity. Novel interventions to prevent rapid infant weight gain that are accessible to infants and families are needed, especially for those at the highest risk. Our aims were to examine: (a) feasibility and acceptability of a responsive parenting intervention delivered via Integrated Behavioral Health (IBH) in pediatric primary care and (b) preliminary effects on infant weight gain from birth to 6 (post-treatment) and 9 (follow-up) months.

Methods

A parallel design, proof-of-concept randomized control trial was conducted with 65 mother-infant dyads (32 randomized to intervention, 33 randomized an IBH attention control focused on promoting healthy mental health), in which the majority identify as Black (80%) and low income (91% receiving Medicaid). Participants and assessors were masked to treatment condition. Outcomes included feasibility (enrollment), acceptability (retention and adherence), and conditional weight gain (CWG), an indicator of rapid weight gain.

Results

The intervention was feasible (90% of eligible families enrolled) and acceptable (89% of families retained), with 81% receiving ≥3 of 4 treatment sessions. A medium effect was found on CWG (d = -0.54 post-treatment, d = -0.57 follow-up), with the infants in the treatment group showing significantly lower CWG (mean = -0.27, 95% CI, -0.63, 0.09) compared to the control group (mean = 0.29, 95% CI, -0.17, 0.76) at 9 months (p = .04).

Conclusions

This study demonstrates the feasibility of implementing a responsive parenting obesity prevention intervention within primary care. Delivery in pediatric primary care is advantageous for implementation and reaching at-risk populations. The preliminary effects on CWG are promising and support testing in a larger trial.

SUBMITTER: Rybak TM

PROVIDER: S-EPMC10167925 | biostudies-literature | 2023 Feb

REPOSITORIES: biostudies-literature

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Publications

A Pilot Randomized Trial of an Obesity Prevention Program for High-Risk Infants in Primary Care.

Rybak Tiffany M TM Modi Avani C AC Mara Constance A CA Herbst Rachel B RB Lauer Brea A BA Burkhardt Mary Carol MC Stark Lori J LJ

Journal of pediatric psychology 20230201 2

<h4>Objective</h4>Rapid infant weight gain is associated with later obesity. Novel interventions to prevent rapid infant weight gain that are accessible to infants and families are needed, especially for those at the highest risk. Our aims were to examine: (a) feasibility and acceptability of a responsive parenting intervention delivered via Integrated Behavioral Health (IBH) in pediatric primary care and (b) preliminary effects on infant weight gain from birth to 6 (post-treatment) and 9 (follo ...[more]

PMID: 36314374

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Dataset Information

A Pilot Randomized Trial of an Obesity Prevention Program for High-Risk Infants in Primary Care.

Objective

Methods

Results

Conclusions

Publications

A Pilot Randomized Trial of an Obesity Prevention Program for High-Risk Infants in Primary Care.

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